Bookedited by John Reidy, Nigel Hacking, Bruce McLucas.
Summary: 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. .
Contents:
The History and Epidemiology of Fibroids
The Medical Treatment of Uterine Fibroids
Clinical Presentation of Uterine Fibroids
Gynecological Assessment Prior to Uterine Artery Embolization
Imaging Fibroids Pre and Post Uterine Artery Embolisation
Uterine Artery Embolization Indications and Contraindications
Clinical Results of Fibroid Embolisation, Trials and Registries
Complications of Fibroid Embolisation
When to Consider Ovarian Artery Embolization in UAE
Early Post UAE Management
Postembolization Problems and Management
The Role of a Repeat UAE Procedure
Myomectomy Techniques
Myomectomy: Results and Complications
Myomectomy Following UAE
UAE is not Recommended for Women Wishing to Conceive
Costing Issues and UAE in the Developing World
Who Can and Should do Uterine Artery Embolisation
Is There a Place for UAE in Adenomyosis?
The Role of Magnetic Resonance Guided Focused Ultrasound for Uterine Fibroids
Obstetric Management of Postpartum Haemorrhage
The Role of Interventional Radiology in the Management of Abnormal Placentation
Pelvic Venous Congestion
Embolization in Pelvic Congestion Syndrome.