Erschienen in:
01.06.2003 | Clinical Investigations
Ovarian Artery: Angiographic Appearance, Embolization and
Relevance to Uterine Fibroid Embolization
verfasst von:
J.P. Pelage, W.J. Walker, O. Le Dref, R. Rymer
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 3/2003
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Abstract
Purpose: To describe the angiographic
appearance of the ovarian artery and its main variations that may be
relevant to uterine fibroid embolization.
Methods: The
flush aortograms of 294 women who had been treated by uterine artery
embolization for fibroids were reviewed. Significant arterial supply to
the fibroid, and the origin and diameter of identified ovarian arteries
were recorded. In patients with additional embolization of the ovarian
artery, the follow-up evaluation also included hormonal levels and
Doppler imaging of the ovaries.
Results: A total of 75
ovarian arteries were identified in 59 women (bilaterally in 16 women
and unilaterally in 43 women). All ovarian arteries originated from the
aorta below the level of the renal arteries with a characteristic
tortuous course. Fifteen women had at least one enlarged ovarian artery
supplying the fibroids. Fourteen women (14/15, 93%) presented at least
one of the following factors: prior pelvic surgery, tubo-ovarian
pathology or large fundal fibroids.
Conclusion: We
advocate the use of flush aortography in women with prior tubo-ovarian
pathology or surgery or in cases of large fundal fibroids. In the case
of an ovarian artery supply to the fibroids, superselective
catheterization and embolization of the ovarian artery should be
considered.