Uterine artery embolization (UAE) is a technique used by interventional radiology specialists. It was introduced several decades ago for the treatment of massive uterine hemorrhages due to various causes. This technique aims to treat the bleeding rapidly without resorting to surgical removal of the uterus or other pelvic organs, and may possibly make it easier to stop the hemorrhage without compromising the patient’s fertility.
The indications for this procedure have been codified, and include:
In all these cases, the success of the procedure is about 80% in cases of experienced physicians, but the patient should be transferred early, thus avoiding unnecessary delay due to last-minute decisions. Its safety is also established and either one or both uterine arteries are embolized.
Patients posted for UAE should be assessed as follows:
In some patients UAE is not recommended if other alternatives are available. These relative contraindications include:
Conditions in which UAE should never be performed include