ArticleBJOG : an international journal of obstetrics and gynaecology2025
Risk Factors of Complications After Uterine Artery Embolisation for Symptomatic Fibroids: A Case-Control Study.
Article in BJOG : an international journal of obstetrics and gynaecology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveWe aim to clarify potential risk factors of complications after uterine artery embolisation (UAE).
settingComplications after uterine artery embolisation (UAE) for symptomatic fibroids are rare, but failure of treatment occurs for approximately 13%-24% of patients at 10 years.
designWe conducted a case-control study including all complications post UAE over 15 years in our specialised unit. POPULATION: All Grade 2 complications (or worse) for the Society of Interventional Radiology Standards of Practice Committee complications post UAE were considered. One thousand one hundred seventy-two UAE were performed.
methodsComplications were divided into two groups: early (< 1 month) or late (≥ 1 month) to differentiate complications from failure of procedure. Multinomial analysis was conducted to assess links between complications and potential risk factors.
resultsSixty-nine (0.06%) complications were found: 24.6% hospitalisation for pain (n = 17/69), 30.4% for infection (n = 21/69) and 2.9% expulsion of fibroid (n = 2/69). Overall, 31 patients underwent a second procedure (45%).
main outcome measuresIntra-uterine device and multiple fibroids were strongly related to early complications (OR
conclusionOur study enlightens about the potential risk factors of UAE's complications and differentiate their impact between early and late complications.
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