Beyond Hysterectomy: Uterine Artery Embolization - American ...

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Types of Adenomyosis •suffer dysmenorrhea and menorrhagia - incidence in woman 40-55 yrs 20-30% -accompanied with fibroids 15-50% •Diagnose with imaging: -TVUS quite reliable 70% -MRI reliable 80% -TVUS + MRI most reliable 90% 11/8/2012 33
Adenomyosis treatment options: 1. Medical treatment - IUD (Mirena ®) - hormon therapy -GnRH-agonists 2. Surgery - excision or enucleation (focal adenomyosis) - hysterectomy (deep myometrial involvement) 3. <strong>Uterine</strong> artery embolization 4. Focused Ultrasound MR guided (future) 11/8/2012 34
Page 1 and 2: Beyond Hysterectomy: Uterine Artery
Page 3 and 4: Waiting 2.9 Million Women with Fibr
Page 5 and 6: Pelvic Embolizations: Over TWO DECA
Page 7 and 8: UTERINE ARTERY EMBOLIZATION 1995 -
Page 9 and 10: Common Fibroid Treatment Options
Page 11 and 12: Symptoms • Menorrhagia, Anemia
Page 13 and 14: Ideal candidates for UAE: • Most
Page 15 and 16: Contra-indications 11/8/2012 15
Page 19 and 20: Embospheres (Merit): FDA approval,
Page 21 and 22: Follow-up: 1. One month: looking fo
Page 23 and 24: RESULTS Over 50,000 treated in U.S.
Page 25 and 26: UAE Evidence: • 23 articles from
Page 27 and 28: UFE, 42 y.o.
Page 29 and 30: UAE for Adenomyosis 11/8/2012 30
Page 31: Types of Adenomyosis benign disease
Page 35 and 36: Adenomyosis treatment options: Uter
Page 37 and 38: Adenomyosis treatment options: Uter
Page 39 and 40: Treatment Options for Symptomatic F
Page 41 and 42: MR Guided Focused Ultrasound Non in
Page 47 and 48: MR Findings Pre-MRgFUS Immediately
Page 49 and 50: Post HIFUS

Beyond Hysterectomy: Uterine Artery Embolization - American ...

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