Predictors of hysterectomy after uterine artery embolization for leiomyoma

Katherine Gabriel-Cox, Gavin F. Jacobson, Mary Anne Armstrong, Yun Yi Hung, Lee A. Learman

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Objective: This study was undertaken to describe long-term outcomes after uterine artery embolization for leiomyoma. Study Design: Data from Kaiser Permanente Northern California members undergoing uterine artery embolization for leiomyoma before July 2001 were collected. Survival analysis was performed to describe hysterectomy rates and identify predictors of hysterectomy. Results: Uterine artery embolization was performed in 562 women from 1997-2001. Thirty-three women (5.9%) had unilateral uterine artery embolization. One hundred women (18%) underwent hysterectomy after uterine artery embolization, and 32 (5.7%) had additional uterine sparing procedures. Only unilateral uterine artery embolization predicted subsequent hysterectomy (relative risk = 2.19; 95% CI 1.34-3.57), whereas age, indication, uterine volume, embolizing particle, and radiologist experience did not. The rate of hysterectomy at 5 years was 19.7%; rates for bilateral and unilateral uterine artery embolizations were 18.5% and 39.2%, respectively. Fifty-four women (9.6%) had emergency room visits and 17 (3%) had unplanned readmissions. Conclusions: Uterine artery embolization for leiomyoma permits uterine conservation in more than 80% of women monitored long-term. When bilateral procedures cannot be performed, failure rates are considerably higher.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume196
Issue number6
DOIs
StatePublished - Jun 2007
Externally publishedYes

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Uterine Artery Embolization
Leiomyoma
Hysterectomy
Survival Analysis
Hospital Emergency Service

Keywords

  • hysterectomy
  • uterine artery embolization
  • uterine leiomyoma

ASJC Scopus subject areas

  • Medicine(all)
  • Obstetrics and Gynecology

Cite this

Predictors of hysterectomy after uterine artery embolization for leiomyoma. / Gabriel-Cox, Katherine; Jacobson, Gavin F.; Armstrong, Mary Anne; Hung, Yun Yi; Learman, Lee A.

In: American Journal of Obstetrics and Gynecology, Vol. 196, No. 6, 06.2007.

Research output: Contribution to journalArticle

Gabriel-Cox, Katherine ; Jacobson, Gavin F. ; Armstrong, Mary Anne ; Hung, Yun Yi ; Learman, Lee A. / Predictors of hysterectomy after uterine artery embolization for leiomyoma. In: American Journal of Obstetrics and Gynecology. 2007 ; Vol. 196, No. 6.
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