Embolotherapy in Women’s Health

Ir is moving quickly to a clinical discipline and I think UFE is a the prime example of how this could work. That means that you have to see the patient and an outpatient setting to really inform her about the options.

You can explain the procedure, the positives and negatives. What can be expected? This cannot be done by someone else. This cannot be done by the gynecologist. The most important factors from considering patients for UFE is to correlate symptoms symptomatology with imaging and to have a proper clinical history.

So what a patient wants to achieve with the procedure is also important. So, given the experience of the years, the ideal candidate is a woman who is not considering childbirth in the next year’s, who has really strong symptoms like heavy menstrual bleeding and a polyfibroid uterus, which is hard to treat by other means of uterine.

Conserving treatments, while, clinically speaking, it is difficult to make a distinction between fibroids, causing symptoms and adenomyosis, causing symptoms in these women suffering from having muscle bleeding pain and bilk related symptoms.

However, we as radiologists have tools to make this distinction when analyzing adenomyosis, the embolic material, is a little bit smaller in order to reach deep in fortune into this adenomatous tissue.

So, instead of using particles 500 to 700 for fibroids, we work with 500. You have to go to full stasis in the horizontal part of your uterine artery on both sides. I do think that UAE is underutilized for adenomyosis cases.

Indeed, too many women visit the gynecologist and the end result is a hysterectomy which I believe is wrong. We should offer these women the embolization procedure in order to preserve the uterus and also their femininity.

They are feeling of being a woman. The success rate of embolisation in postpartum hemorrhage is actually quite high in most papers. It’s, quoted as being between 85 to 95 percent, and some studies even reported up to 100 percent success rate.

Although there’s, a range of embolic materials available in postpartum hemorrhage, the embolic agent of choice, would be gel foam. The reason you’d use gel foam is because it’s easily available it’s cheap, it works very effectively and it works fast, as well as being a temporary agent in postpartum hemorrhage embolization, the main complication to watch Out, for is non-target embolization.

This can occur when you don’t, have good quality, imaging and in a very tense situation where you may have a patient who’s bleeding to death. It’s very easy to overdo the embolization and reflux of the embolic material can result in non-target embolization.

To avoid this, it’s, useful to have good technique to high quality, imaging and, of course, to have operators who are well trained. Performing the procedure and finally, in order to have successful treatment, it’s very important to have good, multidisciplinary team working and to have good communications between clinicians and the interventional radiologists.

It’s, important that the Gynaecologists are aware of the availability of interventional radiology and the availability of the procedure. [, Music, ], [ Applause, ], [, Music, ] ir, is moving quickly to a clinical discipline, and I think UFE is a the prime example of how this could work.

That means that you have to see the patient and an outpatient setting to really inform her about the options. You can explain the procedure, the positives and negatives. What can be expected? This cannot be done by someone else.

This cannot be done by the gynecologist. The most important factors from considering patients for you of E is to correlate symptoms symptomatology with imaging and to have a proper clinical history. So what a patient wants to achieve with the procedure is also important.

So, given the experience of the years, the ideal candidate is a woman who is not considering childbirth in the next year’s, who has really strong symptoms like heavy menstrual bleeding and a puli fibroid uterus, which is hard to treat by other means of Uterine conserving treatments, [ Music ], while clinically speaking, it is difficult to make a distinction between fibroids, causing symptoms and other know, meiosis, causing symptoms in these women suffering from having muscle bleeding pain and bilk related symptoms.

However, we as radiologists have tools to make this distinction when analyzing adenomyosis, the Ambala Tyrael, is a little bit smaller in order to reach deep in fortune into this adenomatous tissue. So, instead of using particles 500 to 700 for fibroids, we work with 500.

You have to go to full stasis in the horizontal part of your uterine artery on both sides. I do think that UAE is underutilized for other no meiosis cases. Indeed, too many women visit the gynecologist and the end result is a hysterectomy which I believe is wrong.

We should offer these women the immunization procedure in order to preserve the uterus and also their femininity. They are feeling of being a woman, [ Applause, ], [, Music ]. The success rate of embolisation in postpartum hemorrhage is actually quite high in most papers.

It’s, quoted as being between 85 to 95 percent, and some studies even reported up to 100 percent success rate. Although there’s, a range of embolic materials available in postpartum hemorrhage, the embolic agent of choice, would be gel fo.

The reason you’d use gel film is because it’s easily available it’s cheap, it works very effectively and it works fast, as well as being a temporary agent in postpartum hemorrhage embolization, the main complication to watch Out, for is non-target embolization.

This can occur when you don’t, have good quality, imaging and in a very tense situation where you may have a patient who’s bleeding to death. It’s very easy to overdo the embolization and reflux of the embolic material can result in non-target embolization.

To avoid this, it’s, useful to have good technique to high quality, imaging and, of course, to have operators who are well trained. Performing the procedure and finally, in order to have successful treatment, it’s very important to have good, multidisciplinary team working and to have good communications between clinicians and the interventional radiologists.

It’s, important that the Gynaecologists are aware of the availability of interventional radiology and the availability of the procedure.

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