Evidence map›Paper›PMID 41362633›Full record

ArticleAJOG global reports2025

Transradial uterine artery embolization for the treatment of symptomatic fibroids: A ten year experience.

Carlos Jiménez-Rámila, Ana Redondo-Villatoro, Rafael J Ruiz-Salmerón, Sergio Rodríguez de Leiras-Otero, Antonio Jiménez-Caraballo

Abstract read
In one paragraph

Article in AJOG global reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Carlos Jiménez-RámilaObstetrics and Gynecology Unit, Virgen Macarena University Hospital, Seville, Spain (Jiménez-Rámila, Redondo-Villatoro, and Jiménez-Caraballo).
Ana Redondo-VillatoroObstetrics and Gynecology Unit, Virgen Macarena University Hospital, Seville, Spain (Jiménez-Rámila, Redondo-Villatoro, and Jiménez-Caraballo).
Rafael J Ruiz-SalmerónHemodynamics Unit, Virgen Macarena University Hospital, Seville, Spain (Ruiz-Salmerón and de Leiras-Otero).
Sergio Rodríguez de Leiras-OteroHemodynamics Unit, Virgen Macarena University Hospital, Seville, Spain (Ruiz-Salmerón and de Leiras-Otero).
Antonio Jiménez-CaraballoObstetrics and Gynecology Unit, Virgen Macarena University Hospital, Seville, Spain (Jiménez-Rámila, Redondo-Villatoro, and Jiménez-Caraballo).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUterine fibroids are the most common tumors in women. They are generally asymptomatic but can cause bleeding problems and/or compression of neighboring structures and infertility. Embolization is an effective treatment for fibroids. However, transradial access is underused for various reasons.

objectiveThis study aimed to demonstrate that transradial access is safe and effective for treating symptomatic uterine fibroids to avoid the need for conventional surgery. STUDY

designA single-center retrospective observational study of medical records between 2012 and 2022, in which 189 procedures were planned in patients with symptomatic uterine fibroids with fulfilled gestational desire, was conducted. The feasibility and safety of the technique, the need for subsequent surgery because of the lack of effectiveness of the treatment in women who could complete it from the date of the procedure until 24 months later, changes in uterine volume and in the largest fibroid, and changes in hemoglobin levels, follicle-stimulating hormone, luteinizing hormone, and estradiol were analyzed before and 6 months after the procedure. Changes in the quality of life questionnaire (Uterine Fibroid Symptom and Health-Related Quality of Life questionnaire) were analyzed before embolization and at 2 and 6 months after embolization.

resultsOf note, 184 of 189 procedures (97.35%) were performed with total or partial angiographic success. Surgical intervention was not necessary 24 months after the procedure in 85.4% of patients (158/180 patients with complete angiographic success) with a very low rate of complications, all of them mild (13/185 [7%]). Between the first visit and the visit at 6 months after the intervention, both the uterine volume decreased (n=176; previous volume, 458.11 mL; volume after 6 months, 311.87 mL; -146.24 mL [95% confidence interval, -115.41 to -177.06];

conclusionThe transradial approach should be adopted as a safe and effective alternative for the treatment of symptomatic uterine fibroids in patients with fulfilled gestational desire.

Indexed as

embolizationfibroidleiomyomatransradial

Identifiers

PMID41362633
PMCPMC12681523

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.