Low vascularity predicts favourable outcomes in leiomyoma patients treated with uterine artery embolization.
Objectives: To investigate the clinical factors predicting outcomes of leiomyoma treated with uterine artery embolization (UAE).Methods: A total of 183 uterine leiomyoma patients undergoing UAE were retrospectively analyzed. Patient age, characteristics of vascular supply in magnetic resonance imagi...
| Publicado en: | European Radiology Vol. 26; no. 10; pp. 3571 - 3580 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Springer Nature
Oct2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=118060249&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 118060249 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09387994 NPH jtl: European Radiology issn: 09387994 maglogo: N pubinfo: dt: Oct2016 vid: 26 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 118060249 118060249 NLM26817928 10.1007/s00330-016-4223-8 NLM26817928 118060249 ppf: 3571 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Low vascularity predicts favourable outcomes in leiomyoma patients treated with uterine artery embolization. aug: au: Tang, Yixin Chen, Chunlin Duan, Hui Ma, Ben Liu, Ping affil: Department of Obstetrics and Gynecology , Nan fang Hospital of the Southern Medical University , Guangzhou 510515 People's Republic of China sug: subj: Leiomyoma Blood Supply Neovascularization, Pathologic Uterine Artery Embolization Methods Leiomyoma Therapy Uterine Neoplasms Blood Supply Uterine Neoplasms Therapy Neoplasm Recurrence, Local Uterine Neoplasms Angiography, Digital Subtraction Methods Retrospective Design Treatment Outcomes Leiomyoma Leiomyoma Pathology Prognosis Middle Age Risk Factors Female Magnetic Resonance Angiography Methods Adult Uterine Neoplasms Pathology Scales Middle Aged: 45-64 years Adult: 19-44 years Female ab: Objectives: To investigate the clinical factors predicting outcomes of leiomyoma treated with uterine artery embolization (UAE).Methods: A total of 183 uterine leiomyoma patients undergoing UAE were retrospectively analyzed. Patient age, characteristics of vascular supply in magnetic resonance imaging (MRI)/digital subtraction angiography (DSA), number, size and location of leiomyoma were recorded. Leiomyoma regrowth, new leiomyoma appearance and recurrence of any previously reported symptoms were carefully monitored over a mean follow-up of 30 months (median 32 months, range 12-80). Potential recurrence risk factors were analyzed by univariate and multivariate cox regression analysis.Results: Twenty-three recurrences were recorded. The difference in the vascularity classification systems between MRI and DSA was not statistically significant (P = 0.059). High vascularity in MRI, high vascularity in DSA and multiple leiomyoma showed a significant risk of recurrence using univariate and multivariate analysis (P = 0.004, P < 0.001 and P = 0.023, respectively). The other factors were not significantly associated with leiomyoma recurrence (P > 0.05).Conclusion: Low vascularity and solitary leiomyoma indicated favourable outcomes in patients treated with UAE.Key Points: • Low vascularity and solitary mass predicted favourable outcomes in UAE-treated patients. • MRI might provide information on vascularity in leiomyoma before UAE. • Variations in vascular supply, age, size, location were not associated with recurrence. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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