Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method

  • Authors:
    • Takahisa Kojima
    • Yasunori Taki
    • Hidefumi Fujisawa
    • Kumiko Koyama
  • View Affiliations

  • Published online on: August 29, 2012     https://doi.org/10.3892/etm.2012.688
  • Pages: 781-784
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Abstract

Uterine leiomyoma, a benign tumor, may be treated with drugs, albeit surgical resection is more common. The present study aimed to evaluate the treatment of leiomyoma cases by uterine artery embolization (UAE) using a gelatin sponge prepared by the pumping method. The results of 700 leiomyoma cases treated by UAE in the outpatient department were evaluated. UAE was performed by injecting gelatin sponge prepared by the pumping method into the uterine artery. Among 700 cases, effective cases were 680 (97.2%), ineffective cases were 18 (2.8%) and impossible cases for UAE were 2 (0.2%). Retreatment was required in 23 cases (3.3%). Complication events designated by the Society of Interventional Radiology Clinical Practice Guidelines occurred in 31 cases (4.4%): 1 case showed permanent adverse sequelae, 4 cases required major therapy with a prolonged hospitalization (>48 h) and 10 patients required therapy with minor hospitalization (<48 h). The remaining 16 cases required nominal or no therapy. Follow-up of patients was performed for 599 cases for an average period of 1.2±0.9 years, ranging between 1 month and 6 years. Pregnancy after UAE was observed in 12 cases/15 cycles. Thus, the findings indicate that UAE using gelatin sponge prepared by the pumping method applied to outpatients is a safe and useful treatment procedure.
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November 2012
Volume 4 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Kojima T, Taki Y, Fujisawa H and Koyama K: Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method. Exp Ther Med 4: 781-784, 2012.
APA
Kojima, T., Taki, Y., Fujisawa, H., & Koyama, K. (2012). Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method. Experimental and Therapeutic Medicine, 4, 781-784. https://doi.org/10.3892/etm.2012.688
MLA
Kojima, T., Taki, Y., Fujisawa, H., Koyama, K."Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method". Experimental and Therapeutic Medicine 4.5 (2012): 781-784.
Chicago
Kojima, T., Taki, Y., Fujisawa, H., Koyama, K."Leiomyoma treatment by uterine artery embolization using gelatin sponge prepared by the pumping method". Experimental and Therapeutic Medicine 4, no. 5 (2012): 781-784. https://doi.org/10.3892/etm.2012.688