Uterine artery embolization in the treatment of submucous myomatous nodes

Authors

  • Dulat Tazhibayev National Diagnostics Center “University Medical Center”, Republic of Kazakhstan, 2, ul. Syganak, Nur-Sultan, 010000, Republic of Kazakhstan
  • Bakhyt Abishev National Research Center of Maternity and Child “University Medical Center”, 32, ul. Turan, Nur-Sultan, 010000, Republic of Kazakhstan
  • Irina Kamyshanskaya St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
  • Makash Aliyakparov Karaganda Medical University, 40, ul. Gogolya, Karaganda, 100000, Republic of Kazakhstan

DOI:

https://doi.org/10.21638/spbu11.2020.202

Abstract

The purpose of the article was to evaluate trends of uterine submucousal myomas after the embolization of uterine arteries. Uterine fibroids are a common disease in women of reproductive age, accounting for 10 to 30 %, according to various authors. The submucous location of the myomatous node is an unfavorable type of localization of fibroids since it almost always requires surgical treatment. In this work, we would like to report on the results of endovascular x-ray occlusion of the uterine arteries in the treatment of submucous myomatous nodes. Percutaneous through catheter occlusion of uterine arteries with submucousal myomatous nodes was performed in 21 patients where 18 of them through the femoral, and 3 of them through beam access. The patients’ age was under 32 up to 47 with average 36,5. Myomatous nodes’ size is from 3,0 till 9,0 centimeters. There were noted self-expulsions of 10 from 21 submucousal myomatous nodes after X-ray endovascular occlusion during the 7 days and until 3 months. In the gynecological department they performed removal of partially born submucosal nodes in 3 out of 21 patients within 3 months. In the remaining 8 of 21 observations (381 %), submucosal nodes underwent myolysis in the following 12 months. After X-ray endovascular occlusion there might be expulsion or myolysis of myoma nodes in different terms during the submucosal myomatous of uterine.

Keywords:

uterine artery embolisation, roentgen-endovascular occlusion, magnetic resonance tomography, uterine myoma, submucousal myomatous nodules

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References


References

Pelage J. P., Beregi J. Uterine fibroid embolization using the calibrated mocrospheros “Embosphere”.Cardiovasc. Intervent. Radiol., 2000, vol. 23, suppl. 1, p. 154.

Linde V. A., Dobrovolsky M. S, Volkov N. N. Uterine myoma and myomectomy. Moscow, Meditsina Publ., 2010. 96 p. (In Russian)

Tikhomirov A. L., Lubin D. M. Contraception in patients with uterine myoma. Vestnik akusheraginekologa,2003, no. 3–4, p. 36. (In Russian)

Kim C.-W., Shim H. S., Jang H., Song Y. G. The effects of uterine artery embolization on ovarian reserve.Eur J Obstet Gynecol Reprod Biol., 2016, P-206. PabMed.

Scherbakov V. V., Zakharchenko I. A. Uterine myoma: pathogenesis, clinical presentation, diagnosis, treatment. Мezhdunarodnyi meditsinskii zhurnal, 1998, no. 3, p. 62. (In Russian)

Batton K. A., Toskich B. B., LeGout J. D., Bolan C. W., Grove M. T., Lewis J. T., McKinney J. M., Brigham T. J., McComb B. L. Disseminated Peritoneal Leiomyomatosis After Uterine Artery Embolization. Cardiovasc Intervent Radiol., 2018, Dec, 41 (12), pp. 1972–1975. https://doi.org/10.1007.s00270-018-2044-7.Epub 2018 Aug 7. PabMed.

Gupta J. K., Sinha A., Lumsden M. A., Hickey M. Uterine artery embolization for symptomatic uterine fibroids. Cochrane Database Syst Rev., 2014, no. 12, Cd005073. PabMed.

Kudrin E. A., Baburin D. E. Uterine fibroids: Modern aspects of pathogenesis and treatment (clinica lecture).Arhiv akusherstva i ginekologii im. V. F. Snegireva, pp. 4–10. (In Russian)

Rudakova U. B. Intrauterine pathology: clinic, hysteroscopic diagnosis and treatment: teaching aid. Moscow,MEDpress-inform Publ., 2011. 80 р. (In Russian)

Saveliev G. M., Sukhikh G. T., Manukhin I. B. Gynecology. National Guide. Moscow, GEOTAR-Media Publ., 2015. 690 p. (In Russian)

Kiselev V. I. Hyperplastic processes of the organs of the female reproductive system: theory and practice.Moscow,Meditsinskaia praktika Publ.,2011. 467 p. (In Russian)

Jakimiuk A. J., Bogusiewicz M., Tarkowskl R. et al. Estrogen receptor alpha and beta expression in uterine leiomyomas from premenopausal women. Fértil. Steril., 2004, Suppl. 3, pp. 1244–1249.

Petunina E. S. Embolization of uterine arteries in the treatment of uterine fibroids. Nauka i mir, 2014,vol. 2, no. 10 (14), pp. 100–103. (In Russian)

Kiselev S. I. Modern approaches to the surgical treatment of patients with uterine myoma. Abstract of PhD in Medicine thesis. Moscow, 2003. (In Russian)

Ukibasova T. M., Tazhibaev D. M., Abishev B. Kh. The results of uterine artery embolization in uterine myoma according to ultrasound and MRI. V Eurasian Radiological Forum. Forum materials. Scientifi and technological progress and radiology. September 19–20, 2013. Astana, 2013, pp. 198–200.

Fauser B., Donnez J., Bouchard P., Barlow D. H., Vazquez F., Arriagada P., et al. Safety after extended repeated use of ulipristal acetate for uterine fibroids. PLoS One, 2017, 12. PabMed.

Samoilova T. E. Non-operative treatment of uterine fibroids. Lechashchii vrach, 2010, no. 3, pp. 53–60.(In Russian)

Schwartz M. Epidemiology of uterine leiomyomata. Clin. Obstet. Gynecol., 2001, vol. 44 (2), pp. 316–332.

Vorontsov I. M. Optimizaton of endovascular diagnosis and treatment of uterine fibroid. PhD in Medicine thesis. Omsk, 2017. 27 p. (In Russian)

Meriacry A. V. Epidemiology and pathogenesis of uterine fibroids. Sibirskii meditsinskii zhurnal, 1998,vol. 13, no. 2, pp. 8–10. (In Russian)

Ishchenko A. I. Uterine myoma: etiology, pathogenesis, diagnosis, treatment. Moscow, Izdatel’skii dom Vidar-M Publ., 2010. 244 p. (In Russian)

Aksenov V. B. The efficacy of uterine artery embolization in patients with uterine myoma in the longterm period. PhD in Medicine thesis. Moscow, 2011. 37 p. (In Russian)

Kulakov V. I., Sukhikh G. T., Gataulina R. G. Apoptosis in the clinic of gynecological diseases. Problemy reprodukcii, 1999, no. 2, pp. 15–27. (In Russian)

Kurashvili Yu. B., Sidorova I. S., Ageeva M. B., Batarshina O. I. The possibilities of magnetic resonance imaging in the differential diagnosis of various types of uterine fibroids. Arhiv akusherstva i ginekologii im. V. F. Snegireva, 2015, no. 3, pp. 16–19. (In Russian)

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Published

2020-11-02

How to Cite

Tazhibayev , D. ., Abishev , B., Kamyshanskaya , I. ., & Aliyakparov, M. . (2020). Uterine artery embolization in the treatment of submucous myomatous nodes. Vestnik of Saint Petersburg University. Medicine, 15(2), 107–114. https://doi.org/10.21638/spbu11.2020.202

Issue

Vol. 15 No. 2 (2020)

Section

Obstetrics and ginecology

License

Articles of "Vestnik of Saint Petersburg University. Medicine" are open access distributed under the terms of the License Agreement with Saint Petersburg State University, which permits to the authors unrestricted distribution and self-archiving free of charge.