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Fibroid-related Menorrhagia: Treatment with Superselective Embolization of the Uterine Arteries and Midterm Follow-up1

Jean-Pierre Pelage, MD, Olivier Le Dref, MD, Philippe Soyer, MD, PhD, Mourad Kardache, MD, Henri Dahan, MD, Martine Abitbol, MD, Jean-Jacques Merland, MD, Jacques-Henri Ravina, MD and Roland Rymer, MD

1 From the Departments of Body and Vascular Imaging (J.P.P., O.L.D., P.S., M.K., H.D., M.A., R.R.), Neuroradiology (J.J.M.), and Obstetrics and Gynecology (J.H.R.), Lariboisière Hospital-Public Assistance Hospital of Paris, 2 rue Ambroise Paré, 75475 Paris cedex 10, France; and the Laboratory of Experimental Radiology, Université Paris VII, France (J.P.P., P.S.). Received December 16, 1998; revision requested February 15, 1999; final revision received August 17; accepted September 1. Address correspondence to J.P.P. (e-mail: jean-pierre.pelage@lrb.ap-hop-paris.fr).



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  		Figure 1a. Pelvic arteriography in a 42-year-old woman with a polymyomatous uterus. Superselective, left-anterior-oblique images of the right uterine artery (arrow) demonstrate (a) an enlarged uterine artery with a characteristic peripheral network (arrowheads) that surrounds the myoma and (b) hypervascularity (*) of the uterus in the late arterial phase.

 


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  		Figure 1b. Pelvic arteriography in a 42-year-old woman with a polymyomatous uterus. Superselective, left-anterior-oblique images of the right uterine artery (arrow) demonstrate (a) an enlarged uterine artery with a characteristic peripheral network (arrowheads) that surrounds the myoma and (b) hypervascularity (*) of the uterus in the late arterial phase.

 


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  		Figure 2. Pelvic arteriography in a 47-year-old woman with interstitial leiomyoma. Selective, left-anterior-oblique image of the right uterine artery (arrowhead) demonstrates retrograde filling of the right ovarian artery (arrow).

 




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