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Uterine Fibroid Embolization: The Utility of Aortography in Detecting Ovarian Artery Collateral Supply

February 23rd, 2009

Authors: Amy M. White, MD, Filip Banovac, MD, Shadi Yousefi, MD, Rebecca S. Slack, MS, and James B. Spies, MD
Vascular and Interventional Radiology

Shortened abstract:

Purpose:

To retrospectively determine the sensitivity of ovarian artery (OA) visualization at aortography performed after uterine fibroid embolization (UFE) and, using OA arteriography as the reference standard, compare the extent of arterial flow to the uterus at aortography with selective ovarian arteriography, to establish the utility of aortography and ovarian arteriography in the routine practice of UFE.

Conclusion:

Aortography rarely helps identify patients with substantial residual OA supply to the uterus and is a poor predictor of the extent of that supply, and thus may be of limited utility in routine UFE.

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