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Uterine arteries: bilateral catheterization with a single femoral approach and a single 5-F catheter--technical note

J P Pelage1, P Soyer, O Le Dref

  • 1Department of Body and Vascular Imaging, Hôpital Lariboisière, Paris, France.

Radiology
|April 20, 1999
PubMed

Insights

Uterine artery embolization using a single femoral approach and cobra catheter achieved high success rates. A microcatheter offered enhanced safety for distal embolization, demonstrating feasibility of bilateral uterine artery embolization with one catheter.

Area of Science:

  • Interventional Radiology
  • Vascular Surgery
  • Gynecologic Oncology

Background:

  • Uterine artery embolization (UAE) is a minimally invasive procedure for treating conditions like uterine fibroids and postpartum hemorrhage.
  • Optimizing catheter techniques for UAE is crucial for improving procedural success and patient safety.
  • The feasibility of bilateral selective uterine artery embolization using a single catheter approach warrants investigation.

Purpose of the Study:

  • To evaluate the efficacy and safety of uterine artery embolization using a single femoral approach with a 5-F cobra catheter.
  • To assess the utility of a coaxial 3-F microcatheter for distal embolization in specific cases.
  • To determine the feasibility of performing bilateral selective uterine artery embolization with a single catheter.

Main Methods:

  • A retrospective analysis of 197 patients undergoing uterine artery embolization.
  • Utilizing a single femoral artery access and a 5-F cobra catheter for embolization.
  • Employing a coaxial 3-F microcatheter for distal embolization in select cases.
  • Performing embolization at the anterior division of internal iliac arteries in patients with life-threatening conditions.

Main Results:

  • Successful embolization in 362 out of 394 (92%) uterine arteries.
  • Distal embolization with a coaxial 3-F microcatheter was deemed safer in six patients (12 arteries).
  • Bilateral selective embolization of uterine arteries was successfully performed using a single catheter.
  • Embolization in the anterior division of internal iliac arteries was performed in 10 patients with critical conditions.

Conclusions:

  • Single femoral approach and 5-F cobra catheter provide a successful method for uterine artery embolization.
  • A coaxial microcatheter enhances safety for distal embolization.
  • Bilateral selective uterine artery embolization is achievable with a single catheter, offering a streamlined approach.

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