Contrast-enhanced sonography during uterine artery embolization for the treatment of leiomyomas.

Abstract

Uterine artery embolization (UAE) is a successful and safe treatment for symptomatic leiomyomas. However, rare complications such as premature menopause and uterine necrosis can arise because of embolization of non-target tissues. We studied the feasibility of using contrast-enhanced sonography with intravenous SonoVue just before, during and after complete occlusion of both uterine arteries. In a patient with multiple, large, symptomatic leiomyomas, contrast-enhanced imaging established that the UAE was technically successful and that myometrial vascularity was not reduced. Our case suggests that ultrasound contrast agents may have a role in monitoring UAE and thus may help prevent ischemic complications. Further studies are required to confirm this.

• Authors: H Marret, F Tranquart, S Sauget, A M Alonso, J-P Cottier, D Herbreteau
• Journal: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology (Ultrasound Obstet Gynecol) Vol. 23 Issue 1 Pg. 77-9 (Jan 2004) ISSN: 0960-7692 [Print] England
• PMID: 14971005 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright 2003 ISUOG. Published by John Wiley & Sons, Ltd.

Chemical References

• Contrast Media

Topics

• Arteries
• Contrast Media
• Embolization, Therapeutic (methods)
• Female
• Humans
• Leiomyoma (blood supply, diagnostic imaging, therapy)
• Middle Aged
• Ultrasonography, Interventional
• Uterine Neoplasms (blood supply, diagnostic imaging, therapy)
• Uterus (blood supply)