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Periodicum biologorum, Vol. 127 No. 3-4, 2025.

Short communication, Note

https://doi.org/10.18054/pb.v127i3-4.38324

Uterine artery embolization: Future or past in treatment of symptomatic myomas

Ena Radić ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia *
Luka Novosel ; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Neven Tučkar ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Hrvojka Soljačić Vraneš ; Department of Gynecology and Obstetrics, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Stjepan Radić ; Department of Surgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia

* Corresponding author.

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Abstract

Objective: To evaluate the effectiveness and potential complications of uterine artery embolization (UAE) as a treatment option for symptomatic uterine fibroids in women of reproductive age.
Methods: A retrospective analysis was performed on 66 patients who underwent UAE between January 2017 and December 2023 due to symptomatic fibroids or asymptomatic fibroids with documented growth. Embolization was performed using tris-acryl gelatin Embosphere microspheres (500–900 μm). Treatment outcomes were assessed by resolution of clinical symptoms, presence of myoma infarction, and reduction in total myoma volume, as determined by follow-up magnetic resonance imaging (MRI).
Results: Complete symptom resolution was achieved in 85% of patients, while myoma infarction was observed in 74.3% of cases. The mean reduction in uterine volume and dominant fibroid volume was 55.95% and 37.51%, respectively.
Conclusions: UAE is a minimally invasive radiological procedure that demonstrates high effectiveness in managing symptomatic uterine fibroids. It may represent a valuable alternative to surgical treatment in carefully selected patients.

Keywords

uterine artery embolization; UAE; myomas; myoma infarction

Hrčak ID:

347128

URI

https://hrcak.srce.hr/347128

Publication date:

13.5.2026.

Visits: 213 *