Uterine Fibroid Embolisation using Bead Block

Professor J. Pelage, MD
Department of Body and Vascular Imaging, Hôpital Lariboisière, Paris, France

Patient History

  • 39-year-old woman with menorrhagia and pelvic pressure related to multiple uterine fibroids.
  • Hormonal treatment was not effective and the patient was treated with uterine artery embolisation as an alternative to hysterectomy.
Bead Block Case 10 fig 1

Pre-embolisation MRI (sagittal T2-weighted image) shows multiple uterine fibroids

Procedure

  • Bilateral uterine artery embolisation was performed with 12ml of Bead Block 700-900μm via a 2.7Fr Progreat microcatheter.
  • Angiographic end-point was near-stasis in the uterine artery with sluggish antegrade flow.

Outcome

  • Early post-embolisation procedure demonstrated complete fibroid devascularisation.
  • Three months after bilateral uterine artery embolisation, complete resolution of symptoms was observed.
  • Post-embolisation MRI confirmed marked uterine volume reduction and devascularisation of all the fibroids.

Clinician Comment

Large 700-900µm Bead Block can be easily injected through large lumen microcatheters. Targeted embolisation can be achieved.

Professor J. Pelage, MD
Hôpital Lariboisière, Paris, France

 

Bead Block Case 10 fig 2

Pre-embolisation injection into the left uterine artery demonstrates diffuse uterine hypervascularisation

Bead Block Case 10 fig 3

Post-embolisation MRI (dynamic contrast-enhanced sagittal image) performed 24 hours after embolisation shows complete devascularisation of all the fibroids

Bead Block Case 10 fig 4

Post-embolisation injection into the left uterine artery demonstrates satisfactory arterial occlusion