Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 cases
Uterine leiomyomas are the most common benign pelvic tumors in premenopausal women, causing significant morbidity. Uterine fibroid embolization is a minimally invasive alternative to traditional open or laparoscopic surgeries for the management of symptomatic uterine leiomyoma. For large fibroids, h...
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
|
| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322010202 |
| _version_ | 1811176135113834496 |
|---|---|
| author | Martyna Czarnik, BA Frank A. Cusimano, DO, PhD Sonia Bahlani, MD Nicole Ciuffo, CST Adriana Vaglica, RDMS Christine Mitchell, RVS Christa Ziffer, RCS Glenys Hernandez, PAC Nicole Gentile, RN, BSN Anthony Watkins, MD Adam Tonis, DC David A. Greuner, MD |
| author_facet | Martyna Czarnik, BA Frank A. Cusimano, DO, PhD Sonia Bahlani, MD Nicole Ciuffo, CST Adriana Vaglica, RDMS Christine Mitchell, RVS Christa Ziffer, RCS Glenys Hernandez, PAC Nicole Gentile, RN, BSN Anthony Watkins, MD Adam Tonis, DC David A. Greuner, MD |
| author_sort | Martyna Czarnik, BA |
| collection | DOAJ |
| description | Uterine leiomyomas are the most common benign pelvic tumors in premenopausal women, causing significant morbidity. Uterine fibroid embolization is a minimally invasive alternative to traditional open or laparoscopic surgeries for the management of symptomatic uterine leiomyoma. For large fibroids, hospitalization after treatment is often required. However, there are limited data on patients with large, complex uterine leiomyomas treated by embolization. This report of 2 cases describes 2 females with large, complex fibroids causing pain and decreased quality of life who were evaluated and treated with embolization in the outpatient setting. Each patient underwent transradial cannulation and uterine artery embolization under local anesthesia or conscious sedation and returned home without complication. For women wishing to preserve their uterus, uterine fibroid embolization is an effective nonsurgical alternative to hysterectomy and myomectomy in an outpatient setting. If standard protocols are followed, embolization by way of transradial artery catheterization is safe for the treatment of large, complex, symptomatic fibroids in the outpatient setting; however, additional studies with larger cohorts are warranted. Accessing the uterine arteries transradially reduces the risk of intra- and post-operative complications for patients, reduces their time spent in a hospital, and minimizes operating costs. |
| first_indexed | 2024-04-10T19:47:16Z |
| format | Article |
| id | doaj.art-50034952dc064598af7a9d9aa8c86260 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-10T19:47:16Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-50034952dc064598af7a9d9aa8c862602023-01-29T04:19:49ZengElsevierRadiology Case Reports1930-04332023-03-01183936942Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 casesMartyna Czarnik, BA0Frank A. Cusimano, DO, PhD1Sonia Bahlani, MD2Nicole Ciuffo, CST3Adriana Vaglica, RDMS4Christine Mitchell, RVS5Christa Ziffer, RCS6Glenys Hernandez, PAC7Nicole Gentile, RN, BSN8Anthony Watkins, MD9Adam Tonis, DC10David A. Greuner, MD11Office of Research, NYC Surgical Associates, New York City, NY, USAOffice of Research, NYC Surgical Associates, New York City, NY, USA; Department of Medicine, Jackson Memorial Health System/University of Miami, 1611 N.W. 12th Ave., Miami, FL 33136, USA; Corresponding author.Pelvic Pain Doc PLLC & SB Medical PLLC, Gynecology & Pelvic Pain Specialist, New York City, NY, USANYC Surgical Associates, New York City, NY, USANYC Surgical Associates, New York City, NY, USANYC Surgical Associates, New York City, NY, USANYC Surgical Associates, New York City, NY, USANYC Surgical Associates, New York City, NY, USANYC Surgical Associates, New York City, NY, USATampa General Hospital, Tampa, FL, USA; University of South Florida Health Morsani College of Medicine, Tampa, FL, USANYC Surgical Associates, New York City, NY, USANYC Surgical Associates, New York City, NY, USAUterine leiomyomas are the most common benign pelvic tumors in premenopausal women, causing significant morbidity. Uterine fibroid embolization is a minimally invasive alternative to traditional open or laparoscopic surgeries for the management of symptomatic uterine leiomyoma. For large fibroids, hospitalization after treatment is often required. However, there are limited data on patients with large, complex uterine leiomyomas treated by embolization. This report of 2 cases describes 2 females with large, complex fibroids causing pain and decreased quality of life who were evaluated and treated with embolization in the outpatient setting. Each patient underwent transradial cannulation and uterine artery embolization under local anesthesia or conscious sedation and returned home without complication. For women wishing to preserve their uterus, uterine fibroid embolization is an effective nonsurgical alternative to hysterectomy and myomectomy in an outpatient setting. If standard protocols are followed, embolization by way of transradial artery catheterization is safe for the treatment of large, complex, symptomatic fibroids in the outpatient setting; however, additional studies with larger cohorts are warranted. Accessing the uterine arteries transradially reduces the risk of intra- and post-operative complications for patients, reduces their time spent in a hospital, and minimizes operating costs.http://www.sciencedirect.com/science/article/pii/S1930043322010202Uterine leiomyomaUterine fibroid embolizationUterine fibroidsEndovascular embolizationFibroid embolizationMinimally invasive |
| spellingShingle | Martyna Czarnik, BA Frank A. Cusimano, DO, PhD Sonia Bahlani, MD Nicole Ciuffo, CST Adriana Vaglica, RDMS Christine Mitchell, RVS Christa Ziffer, RCS Glenys Hernandez, PAC Nicole Gentile, RN, BSN Anthony Watkins, MD Adam Tonis, DC David A. Greuner, MD Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 cases Radiology Case Reports Uterine leiomyoma Uterine fibroid embolization Uterine fibroids Endovascular embolization Fibroid embolization Minimally invasive |
| title | Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 cases |
| title_full | Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 cases |
| title_fullStr | Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 cases |
| title_full_unstemmed | Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 cases |
| title_short | Embolization for the treatment of large, complex fibroids in an outpatient setting: A report of 2 cases |
| title_sort | embolization for the treatment of large complex fibroids in an outpatient setting a report of 2 cases |
| topic | Uterine leiomyoma Uterine fibroid embolization Uterine fibroids Endovascular embolization Fibroid embolization Minimally invasive |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322010202 |
| work_keys_str_mv | AT martynaczarnikba embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT frankacusimanodophd embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT soniabahlanimd embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT nicoleciuffocst embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT adrianavaglicardms embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT christinemitchellrvs embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT christazifferrcs embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT glenyshernandezpac embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT nicolegentilernbsn embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT anthonywatkinsmd embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT adamtonisdc embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases AT davidagreunermd embolizationforthetreatmentoflargecomplexfibroidsinanoutpatientsettingareportof2cases |