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

Regulatory Notices

Worldwide (excluding USA)

Bead Block™ is CE marked and indicated for the treatment of a variety of hypervascular tumours (including Uterine Fibroids) and arteriovenous malformations (AVMs). Bead Blockā„¢ may not be indicated for the treatment of Uterine Fibroids in your country, please check with your local distributor. For full prescribing information please refer to Bead Block instructions for use.

USA

In the USA and Canada, Bead Block™ is indicated for the treatment of hypervascular tumors and arteriovenous malformations (AVMs). For full prescribing information please refer to Bead Block USA Instructions for use.