Uterine Fibroid Embolization

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An aneurysm is a weak area in a blood vessel wall that usually enlarges and balloons out. A brain (cerebral) aneurysm or intracranial aneurysm (IA) is the ballooning or bulge on the wall of an artery in the brain. The pressure of blood flow in the weak walls of the ballooned area can lead to rupture of the brain aneurysm. This can result in a subarachnoid haemorrhage (SAH), or blood leakage into the area surrounding the brain – which may develop into an intracranial hematoma (a blood clot within the brain).

Brain aneurysm can occur due to congenital defects or other conditions such as high blood pressure, atherosclerosis (the build-up of fatty deposits in the arteries), or other causes. Cerebral aneurysms are common in adults over 40 years, smokers and hypertensives. They are slightly more common in women than in men.

Risk Factors of Peripheral Vascular Diseases

Symptoms of brain aneurysm demanding treatment are:

  • Cranial nerve palsy
  • Dilated pupils or Double vision
  • Pain above and behind eye
  • Localized headache or Stiff neck
  • Nausea or Vomiting
  • Loss of sensation or Sensitivity to Light (photophobia)

Rupture of a cerebral aneurysm usually results in bleeding in the brain (SAH). Early brain aneurysm treatment reduces risk of:

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Uterine Fibroid Treatment Methods

Uterine Fibroid treatment can be done medically, surgically as well as using non-surgical procedures:

Medical Treatment

Birth control pills are administered to patients to treat uterine fibroids medically. These pills reduce heavy bleeding and the GnRH analogues (hormones) in them can shrink fibroids also. However, this initiates an artificial menopause. The fibroids also regrow and symptoms return when medication is stopped.

Surgical Treatment

Uterine Fibroid treatment can be done medically, surgically as well as using non-surgical procedures:

Uterine Fibroid Embolization (Non-surgical Treatment)

Uterine Fibroid Embolization (UFE), also called as Uterine Artery Embolization is a minimally invasive procedure done under local anaesthesia, using fluoroscopy guidance. An Interventional Radiologist inserts a thin catheter inside a thigh artery and guides it to the uterine artery. Tiny round particles called PVA (Poly Vinyl Alcohol) are injected into the blood vessels of the uterine artery for embolization. These particles block blood flow to the fibroids, causing them to shrink. The PVA particles remain permanently at the fibroid site.

After a uterine fibroid/artery embolization, there is immediate relief from heavy bleeding. Pressure / size related symptoms take about a few weeks or months to disappear.

Since the uterine artery embolization cuts off blood and necessary nutrients for fibroid growth, they gradually shrink over a period of 3 – 6 months. Once the fibroids have shrunk, they do not grow back.

Treatment Results at Vein Center

Varicose Vein Untreated
Varicose Vein Untreated

Advantages of Uterine Fibroid Embolization

  • Minimally invasive – Uterine artery embolization treatment is a non-surgical treatment
  • Fast recovery – 1 or 2 days hospital stay and women return to normal within days
  • Lower abdominal distension / bloating sensation
  • Significant improvement in quality of life – Relief from heavy bleeding, pressure, and other symptoms
  • Uterine sparing – Fibroid embolization keeps the uterus intact preserving hormonal function, and fertility in women of childbearing age
  • Safe and non-toxic – No drugs or hormones