Uterine artery embolization as a treatment for symptomatic uterine fibroids: A review of literature and case report

被引:6
作者
Gainey Seals, Judy
Jones, Paul A.
Wolfe, Cheryl
机构
[1] Mercy Hosp & Med Ctr, Jones Endovasc Inst, Chicago, IL 60616 USA
[2] Mercy Hosp & Med Ctr, Cardiovasc Serv, Chicago, IL 60616 USA
[3] Mercy Hosp & Med Ctr, Teaching Fac, Chicago, IL 60616 USA
[4] Chicago Womens Healthcare, Teaching Fac, Chicago, IL USA
来源
JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS | 2006年 / 18卷 / 08期
关键词
uterine fibroids; uterine artery embolization; menorrhagia; postembolization syndrome; fibroid expulsion; uterine volume reduction;
D O I
10.1111/j.1745-7599.2006.00138.x
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose: To provide a case presentation and review of the literature on uterine artery embolization (UAE) as a treatment alternative for symptomatic uterine fibroids and to guide the nurse practitioner (NP) in patient selection, education, and periprocedural management of patients undergoing this procedure. Data sources: Research articles, clinical articles, and case studies pertaining to UAE. Conclusions: UAE is a safe, well tolerated, and effective nonsurgical treatment option for symptomatic uterine fibroids. This uterus-sparing procedure has low complication rates with excellent clinical outcomes and high patient satisfaction rates. The majority of women who undergo UAE report marked reduction in the severity of fibroid specific symptoms and significant improvement in their quality of life. Implications for practice: Uterine fibroids are common in women and often produce symptoms that have a negative impact on quality of life. The NP is instrumental in identifying which patients may be appropriate candidates for UAE, educating them about the risks and benefits of the procedure, and managing these patients before and after the procedure.
引用
收藏
页码:361 / 367
页数:7
相关论文
共 19 条
[1]
Patient care and uterine artery embolization for leiomyomata [J].
Andrews, RT ;
Spies, JB ;
Sacks, D ;
Worthington-Kirsch, RL ;
Niedzwiecki, GA ;
Marx, MV ;
Hovsepian, DM ;
Miller, DL ;
Siskin, GP ;
Raabe, RD ;
Goodwin, SC ;
Min, RJ ;
Bonn, J ;
Cardella, JF ;
Patel, NH .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2004, 15 (02) :115-120
[2]
Pregnancy outcomes after treatment for fibromyomata:: Uterine artery embolization versus laparoscopic myomectomy [J].
Goldberg, J ;
Pereira, L ;
Berghella, V ;
Diamond, J ;
Daraï, E ;
Seinera, P ;
Seracchioli, R .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (01) :18-21
[3]
Myoma expulsion after uterine artery embolization: Complication or cure? [J].
Hehenkamp, WJ ;
Volkers, NA ;
Van Swijndregt, ADM ;
De Blok, S ;
Reekers, JA ;
Ankum, WM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2004, 191 (05) :1713-1715
[4]
Quality improvement guidelines for uterine artery embolization for symptomatic leiomyomata [J].
Hovsepian, DM ;
Siskin, GP ;
Bonn, J ;
Cardella, JF ;
Clark, TWI ;
Lampmann, LE ;
Miller, DL ;
Omary, RA ;
Pelage, JP ;
Rajan, D ;
Schwartzberg, MS ;
Towbin, RB ;
Sacks, D .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2004, 15 (06) :535-541
[5]
Embolotherapy for myoma-induced menorrhagia [J].
Hutchins, FL ;
Worthlngton-Kirsch, R .
OBSTETRICS AND GYNECOLOGY CLINICS OF NORTH AMERICA, 2000, 27 (02) :397-+
[6]
Neonatal platelet activation in preeclampsia [J].
Klein, B ;
Faridi, A ;
Amo-Takyi, BK ;
Heilmann, L ;
von Tempelhoff, GF ;
Rath, W .
CLINICAL AND APPLIED THROMBOSIS-HEMOSTASIS, 2001, 7 (01) :29-32
[7]
Spontaneous expulsion of three large fibroids after uterine artery embolization [J].
Laverge, F ;
D'Angelo, A ;
Davies, NJ ;
Wood, A ;
Amso, NN .
FERTILITY AND STERILITY, 2003, 80 (02) :450-452
[8]
Fibroids treated by uterine artery embolization - A review [J].
Lund, N ;
Justesen, P ;
Elle, B ;
Thomsen, SG ;
Floridon, C .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2000, 79 (11) :905-910
[9]
Late leiomyoma expulsion after uterine artery embolization [J].
Marret, H ;
Keris, YLB ;
Acker, O ;
Cottier, JP ;
Herbreteau, D .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2004, 15 (12) :1483-1485
[10]
Leiomyoma recurrence after uterine artery embolization [J].
Marret, H ;
Alonso, AM ;
Cottier, JP ;
Tranquart, F ;
Herbreteau, D ;
Body, G .
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, 2003, 14 (11) :1395-1399