Canada Vascular

Uterine Fibroids & Uterine Artery Embolization for Fibroids

Background

Treatment Options

Uterine Artery Embolization for Fibroids (UAE/UFE)

How Can I Get (UAE/UFE)?

Common Questions & Answers

Bibliography

 

 


How Can I Get Uterine Artery Embolization for Fibroids (UAE/UFE)?

What is the Process to get UAE/UFE?

Have your Family doctor or Gynecologist fax a consultation letter requesting for a Uterine Artery Embolization Consult for Fibroids including any lab or ultrasound results to The Toronto Endovascular Centre at 416-929-0392.

What Does a Consult Involve?

A consultation involves a medical and focused fibroid history, along with a limited physical exam and ultrasound. Based on the history and ultrasound, a decision is made as to whether the patient is a appropriate candidate for UAE/UFE. If the patient is a candidate for the procedure, the risks and benefits of the procedure are explained to the patient, and a procedure date is selected and the appropriate paperwork for the procedure to be performed is completed.

Is there any Cost for the Consult?

There is no cost for patient with active OHIP health coverage or another provincial health insurance plan.

Where is the Procedure Performed?

UAE/UFE is performed at the Scarborough Hospital General Campus.

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What tests need to be performed prior to the Procedure?

All patients will undergo the necessary blood tests, anesthesia consultation and a MRI at the Scarborough Hospital General Campus.

Is there any Cost for the UAE/UFE Procedure?

There is no cost as long as you have active OHIP coverage or another provincial health insurance plan.

 

Uterine Artery Embolization for Fibroids Case Study

Sanjoy Kundu BSc., M.D., F.R.C.P.(C), D.A B.R., FASA, Division of Interventional Radiology
Scarborough Hospital – General Division, Scarborough, Ontario, Canada

Case History:

47 year old female presented with a one year history of very heavy periods lasting for four days during each menstrual cycle. Her past medical and surgical history was otherwise unremarkable. A MRI demonstrated a dominant intramural fibroid in the uterine fundus (Figure 1). After assessing the different therapeutic options, the patient chose to go ahead with a

Interventional Procedure (Case performed at Scarborough General Hospital – General Campus):

Uterine Artery Embolization Procedure for her fibroids. The patient’s right common femoral artery was accessed. Using a C2 catheter, the patient’s left uterine artery was cannulated (Figure 2). One and a half vials of Contour SE PVA measuring 500-700um was injected, until there was complete stasis in the main left uterine artery (Figure 3). Cannulation of the right uterine artery was also performed followed by injection of one and half vials of Contour SE PVA.

Fig. 1 Fig. 2
Figure 1 Figure 2

Outcome:

A nine month follow up MRI demonstrated greater than 50 percent reduction in size of the index fibroid. The patient’s menstrual cycles also normalized with no episodes of heavy bleeding during her periods (Figure 4).

Comments:

Uterine artery embolization for fibroids is a attractive, less invasive treatment for women with symptomatic fibroids. Uterine artery embolization is a viable and effective alternative to surgical myomectomy or hysterectomy, without the postoperative risks of bleeding, ureteric injury or pulmonary thromboembolism.

Fig. 1 Fig. 2
Figure 3 Figure 4
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