TY  - BOOK
AU  - Desale, Sameer
AU  - Lacayo, Eduardo A
TI  - Leiomyoma Infarction after Uterine Artery Embolization: Influence of Embolic Agent and Leiomyoma Size and Location on Outcome
SN  - 1051-0443
PY  - 2017///
KW  - *Infarction/et [Etiology]
KW  - *Leiomyoma/th [Therapy]
KW  - *Uterine Artery Embolization
KW  - *Uterine Neoplasms/th [Therapy]
KW  - Acrylic Resins
KW  - Adult
KW  - Female
KW  - Gelatin
KW  - Humans
KW  - Middle Aged
KW  - Polyvinyl Alcohol
KW  - Retrospective Studies
KW  - Treatment Outcome
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N1  - Available online through MWHC library: 2002 - 2006, Available in print through MWHC library: 1999 - 2006
N2  - CONCLUSIONS: Nonspherical PVA particles and TAGMs produce similar rates of uterine leiomyoma infarction. Complete infarction of individual tumors is less likely in serosal and pedunculated serosal tumors; Copyright (c) 2017 SIR. Published by Elsevier Inc. All rights reserved; MATERIALS AND METHODS: This retrospective study included 91 patients (mean age, 44 y [range, 34-54 y]) who underwent UAE with tris-acryl gelatin microspheres (TAGMs) or nonspherical polyvinyl alcohol (PVA) particles. Twenty-one patients were treated with PVA (23%) and 70 were treated with TAGMs (77%). A total of 356 uterine leiomyomas were assessed, with a median uterine volume of 533 cm<sup>3</sup> (range, 321-848 cm<sup>3</sup>). A reader masked to demographic and technical details reviewed contrast-enhanced magnetic resonance images before and 3 months after UAE to estimate the extent of tumor infarction; PURPOSE: To study the factors that might impact infarction of individual uterine leiomyomas and total tumor burden after uterine artery embolization (UAE); RESULTS: There was no significant difference in global or individual tumor infarction rate between embolizations with TAGMs and PVA particles (P = .73 and P = .3, respectively). Global infarction was not affected by age (P = .53), race (P = .12), number of leiomyomas (P = .72), or uterine volume (P = .74). Leiomyoma size did not influence individual tumor infarction (P = .41). Leiomyoma location was the sole factor that influenced individual tumor infarction rates, with pedunculated serosal tumors significantly less likely to show complete infarction than transmural tumors (odds ratio, 0.24; P = .01)
UR  - https://dx.doi.org/10.1016/j.jvir.2017.03.015
ER  -