TITLE:
Visualization of utero-ovarian anastomoses: Comparison between patients with and without uterine fibroid
AUTHORS:
Yasutaka Baba, Sadao Hayashi, Shunichiro Ikeda, Masayuki Nakajo, Mitsushiro Yoshinaga, Tsutomu Douchi
KEYWORDS:
Uterus; Leiomyoma; Uterine Artery Embolization; Ovary
JOURNAL NAME:
Journal of Biomedical Science and Engineering,
Vol.5 No.12A,
December
31,
2012
ABSTRACT: Purpose: To retrospectively
review uteroovarian anastomosis (UOA) visualization during uterine artery
embolization (UAE) in patients with or without uterine fibroids (UFs). Material
and Methods: 43 patients underwent UAE for uterine fibroids (n = 23) and gynecological hemorrhage (n = 20). The
frequency of angiographic visualization of UOAs was compared between the
two groups and analyzed by the Fisher’s exact test. Results: Except for one
patient with no right uterine artery, 85 uterine arteries were evaluated. Of
these 85 uterine arteries, 23 UOA were recognized: 14 UOAs (58%) (right: 5
[21.7%], left: 9 [37.5%]) were visualized in 23 patients with UFs, and 9 UOAs
(47.4%) (right: 4 [21%], left: 5 [26.3%]) were visualized in 20 patients with
gynecological hemorrhage. In both groups, UOA was observed after UAE in one
patient. Statistically significant difference was not observed for UOAs
visualized between patients with or without UFs except a group of left UAE in
patients with UFs (P = 0.036). Conclusion: The frequency
of UOAs visualized during angiography was similar between patients with or
without UFs. Therefore, UOA should be visualized carefully during UAE in
patients with gynecological hemorrhage.