Beyond Hysterectomy: Uterine Artery Embolization - American ...

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UTERINE LEIOMYOMATA U.S. STATISTICS Most common pelvic mass in women - prevalence: 20-40% (= millions) - 75%: asymptomatic - 25%: menorrhagia, pain, mass effect 600,000 Hysterectomies annually - approximately 1/3 for fibroids - cost: $4 Billion Nat’l Ctr for Health Stats. Vital Health Stat Series No. 13 (92). 1987
Pelvic <strong>Embolization</strong>s: Over TWO DECADES Postpartum hemorrhage Post-abortion, cesarean section Bleeding ectopic pregnancy Post-surgical hemorrhage Trophoblastic disease HIGH RATE OF SUCCESS 86-100% for all indications Curr Opin Obstet Gynecol 1998;10:475-479 AJR 1979;133:152-154 Am J Obstet Gynecol 1997;176:938-948
Page 1 and 2: Beyond Hysterectomy: Uterine Artery
Page 3: Waiting 2.9 Million Women with Fibr
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 and 32: Types of Adenomyosis benign disease
Page 33 and 34: Adenomyosis treatment options: 1. M
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

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