Uterine Artery Embolization And Gynecologic Embolotherapy

Written by interventional radiologists and gynecologists, this volume is the first comprehensive reference on uterine artery embolization, a minimally invasive procedure for treating uterine fibroids. The first section provides a thorough understanding of uterine fibroids, pelvic anatomy, gynecologic evaluation of patients with fibroids, and pelvic and uterine imaging. The second section guides practitioners step by step through the embolization procedure, including patient selection and preparation, peri-procedural patient management, technique, choice of embolics, and pitfalls. Chapters discuss therapeutic outcomes, management of complications, and pregnancy after uterine artery embolization. The book also includes chapters on uterine embolization for obstetrical and gynecologic hemorrhage.

This book provides a state-of-the-art review of the technical and clinical aspects of the vascular interventional radiological (IR) procedures currently employed in obstetrics and gynaecology. A particular focus is on uterine artery embolisation for fibroid disease, which is contrasted with the main alternative uterus-conserving surgical approach of myomectomy, and with ablation therapy. Detailed consideration is also given to the role of embolisation in a variety of other less common conditions, including arteriovenous malformations, post-partum haemorrhage, abnormal placentation and pelvic congestion syndrome. IR procedures are examined from a critical gynaecological perspective and with regard to surgical alternatives. The authors include leading interventional radiologists and gynaecologists from the United Kingdom, Europe and North America.

This new edition of a groundbreaking book is now in two volumes, on 'Fundamentals, Symptoms, and Conditions‘ on 'Reconstructive and Fertility Preserving Surgery and Procedures. From a distinguished editorial team and internationally recognized contributors the text educates surgeons on the techniques and procedures now needed in gynecology, with a special focus on reconstructive vaginal, hysteroscopic, laparoscopic, and laparotomic surgery, including that designed to preserve or enhance fertility. The reader can now more readily understand pathogenesis, appropriate investigation, and application of both surgical and nonsurgical strategies and techniques. The two volumes contain over 20 new chapters and in the integral ebook, over 140 instructional videos; each chapter has Key Points summarized.

Written as a concise, clinical guide to major interventional procedures impacting upon women’s health, Women’s Health in Interventional Radiology focuses on a wide range of vascular and non-vascular interventions commonly performed in daily practice, including those related to the pelvis, fallopian tube, spine, and lower extremities. Chapters provide key clinical background information on each intervention, including pathophysiology, clinical manifestations, basic anatomy, and imaging features, before moving on to step-by-step explanations of the techniques. Accompanied by high-quality illustrations and images throughout, chapters also include technical hints, pearls, and pitfalls, postoperative care guidelines, outcomes data, and complications. Written by an expert group of experienced interventionalists, this book promises the reader a comprehensive overview of interventions currently performed to treat problems affecting the health of women and is a valuable resource for both practicing physicians and those in training.

This book offers a highly informative guide to interventional radiology such as arterial embolization and arterial balloon occlusion for the prevention of massive hemorrhage and management of cervical myomectomy and cesarean hysterectomy. Recently, catheter intervention for hemostasis in obstetric patients has been increasingly used. Before myomectomy of large cervical leiomyoma or cesarean hysterectomy for placenta percreta with expected massive hemorrhage, a balloon occlusion catheter is inserted into arteries. In cesarean hysterectomy operations, ligation of internal iliac artery is not always effective in hemostasis of uterine bleeding: the success rate is about 40 -60%. Uterine blood flow during pregnancy is much different from that in non-pregnant women because large numbers of complicated collateral arteries develop during pregnancy, especially in patients with placenta previa. If the internal iliac artery and hypogastric artery are ligated, peripheral blood flow is still maintained, which causes intraoperative problems. The authors argue that effective transcatheter balloon occlusion requires a detailed knowledge of blood flow in both pregnant and non-pregnant women. As such the book provides extensive, detailed anatomical figures and videos offer readers vivid insights into methods of intercepting the uterine blood supply and the surgical methods. The book offers a new and indispensable reference guide for all obstetricians, not only for residents, but also for experienced professionals. It is also a valuable resource for radiologists and radiological technicians and radiology specialists.

Endovascular embolization therapy has made remarkable progress during the past two decades, driven primarily by improvements in digital imaging, breakthroughs in microcatheter technology and coil design, and the development of new embolic materials. Initially employed in the management of musculoskeletal trauma, embolization therapy now has a wide range of applications. It permits effective non-operative management of major hepatic, splenic, and renal injuries that once posed a tremendous challenge to the trauma surgeon and has also become an integral facet of the modern oncology center. Further important indications include uterine fibroids, vascular malformations, visceral aneurysms and GI bleeding. This volume and volume 2 present the current state of the art in this exciting and growing field. High informational content is supplemented by detailed graphics, providing a comprehensive reference work for both experts and novices in the field.

Comprehensive guide to vascular imaging and endovascular interventions. Covers diagnosis and treatment of numerous vascular disorders. Internationally recognised author team.

Embolization procedures have grown in numbers, diversity and complexity during the last decade. During this time, there have been a number of new embolic agents and techniques developed. This book presents evidence based reviews of all the advances in the field including current devices, basic and advanced techniques, and tips and tricks. Key Features Topics included span the breadth of the embolization work performed by Interventional Radiologists, including neuro applications, trauma applications, and applications in Interventional Oncology among others A comprehensive reference covering all applications of embolotherapy Focal point of the text will be the evidence-based reviews for each topic Tips and tricks section will bring added value to this project providing clinical pearls that can be immediately incorporated into everyday clinical practice