Features of anatomical assessment of vessels during uterine arteries embolization
E.Yu. Antropova1, 4, B.M. Sharafutdinov2–4
1Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan
2Russian Medical Academy for continuous professional education, Moscow
3Republic Clinical Oncology Dispensary named after Prof. M.Z. Sigal, Kazan
4“Institute for Health and Longevity” Medical Clinic, Kazan
Contact details:
Antropova E.Yu. — Cand. Sci. (medicine), Associate Professor of the Department of Obstetrics and Gynecology
Address: 36 Butlerov Str., 420012 Kazan, tel.: +7-9030344-01-32, еmail: antropoval@mail.ru
Based on an analysis of publications and own clinical example, the article presents the importance of assessing the anatomical features of the uterine artery before performing UAE for uterine fibroids. Before UAE, it is necessary to conduct an adequate assessment of the topography and blood supply of myomatous nodes by ultrasound with Doppler. For atypical locations, large and gigantic myomatous nodes, it is recommended to perform computed tomography or magnetic resonance imaging. Transradial access for women with a history of childbirth is preferable, due to changes in blood vessels in the form of tortuosity and flexures, which makes it difficult to visualize the origin of small branches of the uterine artery.
Key words: uterine fibroid, uterine artery embolization, vessels anatomy.
REFERENCES
- Kalinina N.A., Sulima A.N., Rumyantseva Z.S., Baskakov P.N., Kalinin V.D. Impact assessment of uterine artery embolization on reproductive. Obstet. Gynecol. Reprod, 2023, vol. 17 (4), pp. 476–484. DOI: 10.17749/2313-7347/ob.gyn.rep.2023.410
- Klinicheskie rekomendatsii MZ RF. Mioma matki. 2020 [Clinical guidelines of the Ministry of Health of the Russian Federation. Uterine fibroids. 2020], available at: http://chelsma.ru/files/misc/kr_miomamatki.pdf
- San’kova I.V., Kaplunova O.A., Chaplygina E.V. Asymmetry of the uterine vessels. Zhurnal anatomii i gistopatologii, 2017, vol. 6, no. 4, pp. 42–46 (in Russ.). DOI: 10.18499/2225-7357-2017-6-4-42-46
- Bilan M.I., Kozyura O. P. Uterine artery embolization for uterine fibroids: features of catheterization technique. Mezhdunarodnyy zhurnal interventsionnoy kardioangiologii, 2004, no. 4, pp. 43–46 (in Russ.).
- Wortington-Kirsch R., Walker W., Adler L. et al. Anatomic variations in the uterine arteries: A cause of failure of uterine artery embolization for the management of symptomatic fibroids. Min. Invas. Ther. Allied Technol, 1999, vol. 8, pp. 397–402.
- Amato P., Roberts A.S. Transient ovarian failure: a complication of uterine artery embolization. Fertil. Steril, 2001, vol. 75 (2), pp. 438–439.
- Belenky A., Cohen M., Bachar G.N. Uterine arterial embolization for the management of leiomyomas. Isr. Med. Assoc. J, 2001, vol. 3 (10), pp. 719–721.
- McLucas V., Goodwin S., Adier L. et al. Pregnancy following uterine fibroid embolization. Int. J. Gynec. Obstetr, 2001, vol. 74 (1), pp. 1–7.
- Kokov L.S., Damirov M.M., Oleinikova O.N., Medvedev A.A., Belozyorov G.Y. Prophylaxis of ischemic damage to the ovaries, taking into account peculiarities of blood supply to the uterus during endovascular treatment of le yo fibroids. Russ. Sklifosovsky J. Emerg. Med. Care, 2020, vol. 9 (2), pp. 273–280. DOI: 10.23934/2223-9022-2020-9-2-273-280
- Dobrokhotova Yu.E., Khachatryan A.S., Ibragimova D.M. Uterine fibroids. Modern issues of pathogenesis and drug reduction therapy. Doktor.Ru, 2013, vol. 7-1, no. 85, pp. 29–32 (in Russ.).
- Antropova E.Yu., Sharafutdinov B.M., Ryzhkin S.A., Mazitova M.I. (2021). Successes and unresolved issues of uterine artery embolization in uterine fibroids. Rossiyskiy mediko-biologicheskiy vestnik im. akad. I.P. Pavlova, 2021, vol. 29, no. 4, pp. 545–556 (in Russ.).
- Kokov L.S., Sitkin I.I., Samoylova T.E. Arterial blood vessels of the uterus and its appendages in the norm, at different age periods and in pathological conditions in relation to endovascular occlusion of the uterine arteries. Ginekologiya, 2004, vol. 6, no. 5, pp. 32–40 (in Russ.).
- San’kova I.V., Kaplunova O.A., Sokolov V.V. X-ray anatomy of the uterine arterial vessels in the age aspect. Meditsinskiy vestnik Yuga Rossii, 2011, no. 4, pp. 44–47 (in Russ.).