Uterine fibroids - The embolization

Just before, during and after the procedure the patients have an ansiolytic per mouth; analgesic, anti-inflammatory and anti-vomiting are given through the intravenous line.

Local anaesthesia is given in the right inguinal zone, through which the femoral artery is punctured. A slender flexible tube (catheter), 1.5 mm diameter is placed in that artery and, then, into the left uterine artery.
Placement of the catheter into uterine artery is performed under X-ray control. Polyvinyl alcohol particles (PVA) or Embozene microspheres are used to block the arteries. These particles follow the increased blood flow of the fibroids and block the supplying arterial branches. At the end, a final arteriogram is performed to check that all fibroid vessels are blocked.

Then, the catheter is taken out of the contralateral uterine artery (right) and placed in the ipsilateral uterine artery (right)and embolization is performed as above.

As an alternative, acupuncture can be performed by Dr. Mitsuharu Tsuchiya instead of local anesthesia.

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Comentários: 1

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