OBJECTIVES: To analyze the technical aspects of uterine artery embolization with dextran microspheres and to evaluate the effectiveness of this technique as the primary treatment of uterine @entity2909 in a series of 38 @entity1 . METHODS: Thirty-eight volunteers (age range, 24-48 years; mean, 37.2 years) with symptoms caused by uterine @entity2909 ( @entity931 , mass-related symptoms, and @entity2371 ) were randomly included in this study. The @entity2909 were single in 32 @entity1 and multiple in 6 @entity1 . According to the @entity5 location, subserous @entity2909 were found in 4 @entity1 and interstitial or submucosal @entity2909 in 34. @entity5 size was from 2 to 10.9 cm in diameter. We performed embolization with a single Headhunter catheter using the right-femoral artery approach, injection of dextran microspheres (225-450 micro m), and an absorbable gelatin sponge. Follow-up included clinical and sonographic examinations at one-month intervals for 6 months. RESULTS: Embolization was successfully performed in all @entity1 . Post-procedural @entity158 control was good in 35 (92%) @entity1 . In most @entity1 , symptoms were improved at 3 months (36/38, 95%). Clinical failure of the treatment occurred in only 2 @entity1 (2/38, 5%). Progressive reduction in @entity2909 size was revealed during sonographic follow-up, and the reduction rate at the sixth month after embolization was 68%. The @entity5 had vanished in five @entity2909 @entity1 . Histopathological tests showed that the @entity5 was degenerative as @entity82 and @entity6517 . CONCLUSIONS: Uterine artery embolization with dextran microspheres is a micro-invasive method for the treatment of uterine @entity2909 . It is clinically effective in most @entity1 and induces a progressive reduction in the size of @entity2909 . Based on this study, we believe that this new technique is much more suitable for submucosal @entity2909 with massive @entity931 .

Dextran uterine artery embolization to treat XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis'] @entity6517 :: ('MESH:D057770', 'Disease') :: ['hyalinosis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor', 'Tumor'] @entity2371 :: ('MESH:D017699', 'Disease') :: ['pelvic pain'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity931 :: ('MESH:D008595', 'Disease') :: ['menorrhagia'] @entity2909 :: ('MESH:D007889', 'Disease') :: ['fibroids', 'submucosal fibroid', 'leiomyoma']
@entity2909 :: (MESH:D007889,Disease) :: ['fibroids']
