Endovascular uterine artery interventions.

Area of Science:

• Interventional Radiology
• Gynecologic Surgery
• Obstetric Interventions

Background:

• Percutaneous vascular embolization is crucial for managing gynecologic and obstetric issues.
• Transcatheter embolization offers a minimally invasive alternative to surgery, reducing complications and preserving fertility.

Purpose of the Study:

• To discuss gynecologic and obstetric indications for transcatheter embolization.
• To review procedural techniques and outcomes for embolization procedures.

Main Methods:

• Review of clinical indications for transcatheter embolization.
• Discussion of procedural techniques for uterine artery and internal iliac artery embolization.

Main Results:

• Transcatheter embolization is indicated for uterine fibroids, adenomyosis, arteriovenous malformations, and intractable bleeding from malignancies.
• Uterine artery embolization (UAE) is used for postpartum hemorrhage, placental implantation abnormalities, and ectopic pregnancy.
• Pelvic bleeding from coagulopathy or iatrogenic injury can be managed with uterine or internal iliac artery embolization.

Conclusions:

• Transcatheter embolization is a versatile, minimally invasive option for various gynecologic and obstetric conditions.
• The procedure demonstrates effectiveness in managing abnormal bleeding and preserving reproductive potential.