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.
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
Pre-embolisation injection into the left uterine artery demonstrates diffuse uterine hypervascularisation
Post-embolisation MRI (dynamic contrast-enhanced sagittal image) performed 24 hours after embolisation shows complete devascularisation of all the fibroids
Post-embolisation injection into the left uterine artery demonstrates satisfactory arterial occlusion