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Frequency and Extent of Uterine Perfusion via Ovarian Arteries Observed During Uterine Artery Embolization for Leiomyomas

Suhny Abbara1,2, Boris Nikolic1,3, Jean-Pierre Pelage4, Filip Banovac1 and James B. Spies1

1 Department of Radiology, Georgetown University Medical Center, 3800 Reservoir Rd., NW, Washington, DC 20007-2113.
2 Department of Radiology, Massachusetts General Hospital, Boston, MA.
3 Present address: Department of Radiology, Kennedy Memorial Hospital, Cherry Hill, NJ.
4 Department of Vascular and Body Imaging, Hôpital Lariboisiere, Paris, France.


Figure 1
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  		Fig. 1A —42-year-old woman undergoing uterine artery embolization (UAE) for treatment of symptomatic uterine leiomyoma. Aortogram shows left ovarian artery fulfils criteria for ovarian artery catheterization (arrow), which was subsequently performed.

 

Figure 2
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  		Fig. 1B —42-year-old woman undergoing uterine artery embolization (UAE) for treatment of symptomatic uterine leiomyoma. Aortogram obtained after subsequent selection and contrast injection of left ovarian artery shows substantial supply to uterine fibroids that may cause UAE treatment to fail unless left ovarian artery is also embolized.

 

Figure 3
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  		Fig. 2 —Drawing shows model that was superimposed on uterus in anteroposterior projection. Dots indicate categorization of segments into central and peripheral, and radial lines indicate additional categorization in clockwise fashion.

 

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