The Indications and Outcome of Percutaneous Trans-Arterial Embolization of the Uterine Artery: A Single Center Experience

Objectives:The aim of this Cross-Sectional study was to identify the various indications and its outcome of Uterine artery embolization.Materials & Methods: Adult Patients, symptomatic, who underwent Uterine artery embolization for obstetrical and gynaecological indications, availability of pre and post procedural imaging and clinical data were included from the interventional radiology department and Maternity hospital between January 2009 -December 2019.Results: A total of 16 women, 11 (68.8%) with uterine fibroids, 5 (31.4%) with post-partum haemorrhage due to placental disease, one with arteriovenous malformation, and one with cervical ectopic pregnancy were observed.Bleeding almost ceased in 50%, but symptoms recurred in 25% of the patients, 3 of whom required hysterectomy.Pain post-procedure was common (100%) followed by transient vaginal bleeding (81.2%).Less common complications included radial artery thrombosis, development of small pseudoaneurysm of the radial artery and non-target embolization noticed.However, large prospective studies are required to establish the long-term outcomes and effectiveness.