Journal of Vascular and Interventional Radiology
Volume 19, Issue 11 , Pages 1537-1542 , November 2008

Pelvic Pain after Uterine Artery Embolization: A Prospective Randomized Study of Polyvinyl Alcohol Particles Mixed with Ketoprofen versus Bland Polyvinyl Alcohol Particles

  • João M. Pisco, MD

      Affiliations

    • St. Louis Hospital and Department of Radiology, Lisbon, Portugal
    • Faculty of Medical Sciences, New University of Lisbon, Lisbon, Portugal
    • Corresponding Author InformationAddress correspondence to J.M.P.
    • ,
  • Tiago Bilhim, MD

      Affiliations

    • St. Louis Hospital and Department of Radiology, Lisbon, Portugal
    • Faculty of Medical Sciences, New University of Lisbon, Lisbon, Portugal
    • ,
  • Marisa Duarte, MD

      Affiliations

    • Department of Radiology, Pulido Valente Hospital, Lisbon, Portugal
    • ,
  • Ana Ferreira, MD

      Affiliations

    • Department of Radiology, Pulido Valente Hospital, Lisbon, Portugal
    • ,
  • Daniela Santos, MD

      Affiliations

    • Department of Surgery, Cascais Hospital, Lisbon, Portugal
    • ,
  • F. Moura Pires, MD
    • ,
  • Antonio G. Oliveira, MD

      Affiliations

    • Department of Biostatistics, Lisbon, Portugal

Received 16 November 2007 ,Revised 15 July 2008 ,Accepted 16 July 2008.

References 

  1. Spies JB, Spector A, Roth AR, Baker CM, Skrynarz LM, Skrynarz KM. Complications after uterine artery embolization for leiomyomas. Obstet Gynecol. 2002;100:873–880
  2. Bruno J, Sterbis K, Flick P, et al. Recovery after uterine artery embolization for leiomyomas: a detailed analysis of its duration and severity. J Vasc Interv Radiol. 2004;15:801–807
  3. Klein AK, Schwartz ML. Uterine artery embolization for the treatment of uterine fibroids: an outpatient procedure. Am J Obstet Gynecol. 2001;184:1556–1563
  4. Baerlocher MO, Asch MR, Hayeems EZ, Rajan DK. Uterine artery embolization: inpatient and outpatient therapy—a comparison of cost, safety, and patient satisfaction. Can Assoc Radiol J. 2006;57:95–105
  5. Siskin GP, Stainken BF, Dowling K, Meo P, Ahn J, Dolen EG. Outpatient uterine artery embolization for symptomatic uterine fibroids: experience in 49 patients. J Vasc Interv Radiol. 2000;11:305–311
  6. Goodwin SC, Walker WJ. Uterine artery embolization for the treatment of uterine fibroids. Curr Opin Obstet Gynecol. 1998;10:315–320
  7. Ryan JM, Gainey M, Glasson J, Doherty J, Smith TP. Simplified pain-control protocol after uterine artery embolization. Radiology. 2002;224:610–611
  8. Al-Fozan H, Dufort HJ, Kaplow M, Valenti D, Tulandi T. Cost analysis of myomectomy, hysterectomy, and uterine artery embolization. Am J Obstet Gynecol. 2002;187:1401–1404
  9. Worthington-Kirsch RL, Koller NE. Time course of pain after uterine artery embolization for fibroid disease. Medscape Womens Health. 2002;7:4
  10. Laurent A, Pelage JP. Anti-inflammatory effect of ibuprofen-loaded embolization microspheres in sheeps uterus. J Vasc Interv Radiol. 2006;17(suppl):39
  11. Laurent A, Pelage JP, Kasselouri A, Prognon P, Guiffant G. Ibuprofen-loaded embolization microspheres versus ibuprofen solution: in vitro and in vivo release studies. J Vasc Interv Radiol. 2006;17(suppl):39–40
  12. Newman JS, Moon E, Bradley L, Morar K, Heil L, Lieber ML. Pain control following uterine fibroid embolization using ketorolak-loaded PVA particles. Presented at the 2006 SIR Annual Scientific Meeting, Toronto, Canada, April 2, 2006.
  13. Pelage JP, Dref O, Soyer P, et al. Fibroid-related menorrhagia: treatment with superselective embolization of the uterine arteries and midterm follow-up. Radiology. 2000;215:428–431
  14. Songhua Z, Yi L, Guoliang W, et al. Effectiveness of intra-arterial anesthesia for uterine fibroid embolization using dilute lidocaine. Eur Radiol. 2005;15:1752–1756
  15. Keyoung JA, Levy EB, Roth AR, et al. Intraarterial lidocaine for pain control after uterine artery embolization for leiomyomata. J Vasc Interv Radiol. 2001;12:1065–1069
  16. Spies JB, Bruno J, Czeyda-Pommersheim F, Magee ST, Ascher SA, Jha RC. Long-term outcome of uterine artery embolization of leiomyomata. Obstet Gynecol. 2005;106:933–939
  17. Roth AR, Spies JB, Walsh SM, Wood BJ, Gomez-Jorge J, Levy EB. Pain after uterine artery embolization for leiomyomata: can its severity be predicted and does severity predict outcome?. J Vasc Interv Radiol. 2000;11:1047–1052
  18. Pron G, Mocarski E, Bennett J, et al. Tolerance, hospital stay, and recovery after uterine artery embolization for fibroids: The Ontario Uterine Fibroid Embolization Trial. J Vasc Interv Radiol. 2003;14:1243–1250

 From the 2007 SIR annual meeting.

 None of the authors have identified a conflict of interest.

PII: S1051-0443(08)00673-8

doi: 10.1016/j.jvir.2008.07.015

Journal of Vascular and Interventional Radiology
Volume 19, Issue 11 , Pages 1537-1542 , November 2008

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