Inferior mesenteric artery collaterals to the uterus during uterine artery embolization: Prevalence, risk factors, and clinical outcomes

Suyon Chang, Mu Sook Lee, ManDeuk Kim, Chang Jin Yoon, Dae Chul Jung, Myungsu Lee, Sung Il Park, Jong Yoon Won, Do Yun Lee

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

Purpose To evaluate the prevalence of inferior mesenteric artery (IMA) collaterals to the uterus found during uterine artery embolization (UAE), associated risk factors, and clinical outcomes. Materials and Methods The records of 559 women who underwent UAE during the period 2008-2011 for uterine fibroids or adenomyosis found on magnetic resonance imaging were retrospectively analyzed. If IMA collaterals to the uterus were suspected on aortography performed after embolization, selective angiography was performed. Risk factors for IMA collaterals to the uterus were analyzed, including the presence of adenomyosis, baseline uterine volume, or prior pelvic surgery. Results Collaterals to the uterus were found from the ovarian artery (n = 21; 3.8%), IMA (n = 7; 1.3%), round ligament artery (n = 1; 0.2%), and internal pudendal artery (n = 1; 0.2%). IMA collaterals were found in seven patients. Of 185 patients, 6 (3.2%) had adenomyosis, with or without fibroids, which was significantly more frequent than the 1 (0.27%) of 374 patients who had fibroids only (P =.006). On multiple logistic regression analysis, the presence of adenomyosis (odds ratio, 19.556; P =.0168) and uterine volume (odds ratio, 1.003; P =.0069) were independent factors for the presence of IMA collaterals. Of the seven patients with IMA collaterals, embolization was not attempted in six, resulting in clinical failure in four. One patient who underwent IMA embolization with coils experienced clinical improvement. Conclusions The IMA was the second most common (1.3%) source of collaterals to the uterus. IMA collaterals were more frequent in patients with adenomyosis than in patients with fibroids only, resulting in high frequency of treatment failure.

Original languageEnglish
Pages (from-to)1353-1360
Number of pages8
JournalJournal of Vascular and Interventional Radiology
Volume24
Issue number9
DOIs
Publication statusPublished - 2013 Sep 1

Fingerprint

Inferior Mesenteric Artery
Uterine Artery Embolization
Uterus
Adenomyosis
Leiomyoma
Arteries
Round Ligaments
Odds Ratio
Aortography
Treatment Failure
Angiography
Logistic Models
Regression Analysis
Magnetic Resonance Imaging

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

Cite this

Chang, Suyon ; Lee, Mu Sook ; Kim, ManDeuk ; Yoon, Chang Jin ; Jung, Dae Chul ; Lee, Myungsu ; Park, Sung Il ; Won, Jong Yoon ; Lee, Do Yun. / Inferior mesenteric artery collaterals to the uterus during uterine artery embolization : Prevalence, risk factors, and clinical outcomes. In: Journal of Vascular and Interventional Radiology. 2013 ; Vol. 24, No. 9. pp. 1353-1360.
@article{0c2951da189f45e9b10b443d32f5c139,
title = "Inferior mesenteric artery collaterals to the uterus during uterine artery embolization: Prevalence, risk factors, and clinical outcomes",
abstract = "Purpose To evaluate the prevalence of inferior mesenteric artery (IMA) collaterals to the uterus found during uterine artery embolization (UAE), associated risk factors, and clinical outcomes. Materials and Methods The records of 559 women who underwent UAE during the period 2008-2011 for uterine fibroids or adenomyosis found on magnetic resonance imaging were retrospectively analyzed. If IMA collaterals to the uterus were suspected on aortography performed after embolization, selective angiography was performed. Risk factors for IMA collaterals to the uterus were analyzed, including the presence of adenomyosis, baseline uterine volume, or prior pelvic surgery. Results Collaterals to the uterus were found from the ovarian artery (n = 21; 3.8{\%}), IMA (n = 7; 1.3{\%}), round ligament artery (n = 1; 0.2{\%}), and internal pudendal artery (n = 1; 0.2{\%}). IMA collaterals were found in seven patients. Of 185 patients, 6 (3.2{\%}) had adenomyosis, with or without fibroids, which was significantly more frequent than the 1 (0.27{\%}) of 374 patients who had fibroids only (P =.006). On multiple logistic regression analysis, the presence of adenomyosis (odds ratio, 19.556; P =.0168) and uterine volume (odds ratio, 1.003; P =.0069) were independent factors for the presence of IMA collaterals. Of the seven patients with IMA collaterals, embolization was not attempted in six, resulting in clinical failure in four. One patient who underwent IMA embolization with coils experienced clinical improvement. Conclusions The IMA was the second most common (1.3{\%}) source of collaterals to the uterus. IMA collaterals were more frequent in patients with adenomyosis than in patients with fibroids only, resulting in high frequency of treatment failure.",
author = "Suyon Chang and Lee, {Mu Sook} and ManDeuk Kim and Yoon, {Chang Jin} and Jung, {Dae Chul} and Myungsu Lee and Park, {Sung Il} and Won, {Jong Yoon} and Lee, {Do Yun}",
year = "2013",
month = "9",
day = "1",
doi = "10.1016/j.jvir.2013.05.049",
language = "English",
volume = "24",
pages = "1353--1360",
journal = "Journal of Vascular and Interventional Radiology",
issn = "1051-0443",
publisher = "Elsevier Inc.",
number = "9",

}

Inferior mesenteric artery collaterals to the uterus during uterine artery embolization : Prevalence, risk factors, and clinical outcomes. / Chang, Suyon; Lee, Mu Sook; Kim, ManDeuk; Yoon, Chang Jin; Jung, Dae Chul; Lee, Myungsu; Park, Sung Il; Won, Jong Yoon; Lee, Do Yun.

In: Journal of Vascular and Interventional Radiology, Vol. 24, No. 9, 01.09.2013, p. 1353-1360.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Inferior mesenteric artery collaterals to the uterus during uterine artery embolization

T2 - Prevalence, risk factors, and clinical outcomes

AU - Chang, Suyon

AU - Lee, Mu Sook

AU - Kim, ManDeuk

AU - Yoon, Chang Jin

AU - Jung, Dae Chul

AU - Lee, Myungsu

AU - Park, Sung Il

AU - Won, Jong Yoon

AU - Lee, Do Yun

PY - 2013/9/1

Y1 - 2013/9/1

N2 - Purpose To evaluate the prevalence of inferior mesenteric artery (IMA) collaterals to the uterus found during uterine artery embolization (UAE), associated risk factors, and clinical outcomes. Materials and Methods The records of 559 women who underwent UAE during the period 2008-2011 for uterine fibroids or adenomyosis found on magnetic resonance imaging were retrospectively analyzed. If IMA collaterals to the uterus were suspected on aortography performed after embolization, selective angiography was performed. Risk factors for IMA collaterals to the uterus were analyzed, including the presence of adenomyosis, baseline uterine volume, or prior pelvic surgery. Results Collaterals to the uterus were found from the ovarian artery (n = 21; 3.8%), IMA (n = 7; 1.3%), round ligament artery (n = 1; 0.2%), and internal pudendal artery (n = 1; 0.2%). IMA collaterals were found in seven patients. Of 185 patients, 6 (3.2%) had adenomyosis, with or without fibroids, which was significantly more frequent than the 1 (0.27%) of 374 patients who had fibroids only (P =.006). On multiple logistic regression analysis, the presence of adenomyosis (odds ratio, 19.556; P =.0168) and uterine volume (odds ratio, 1.003; P =.0069) were independent factors for the presence of IMA collaterals. Of the seven patients with IMA collaterals, embolization was not attempted in six, resulting in clinical failure in four. One patient who underwent IMA embolization with coils experienced clinical improvement. Conclusions The IMA was the second most common (1.3%) source of collaterals to the uterus. IMA collaterals were more frequent in patients with adenomyosis than in patients with fibroids only, resulting in high frequency of treatment failure.

AB - Purpose To evaluate the prevalence of inferior mesenteric artery (IMA) collaterals to the uterus found during uterine artery embolization (UAE), associated risk factors, and clinical outcomes. Materials and Methods The records of 559 women who underwent UAE during the period 2008-2011 for uterine fibroids or adenomyosis found on magnetic resonance imaging were retrospectively analyzed. If IMA collaterals to the uterus were suspected on aortography performed after embolization, selective angiography was performed. Risk factors for IMA collaterals to the uterus were analyzed, including the presence of adenomyosis, baseline uterine volume, or prior pelvic surgery. Results Collaterals to the uterus were found from the ovarian artery (n = 21; 3.8%), IMA (n = 7; 1.3%), round ligament artery (n = 1; 0.2%), and internal pudendal artery (n = 1; 0.2%). IMA collaterals were found in seven patients. Of 185 patients, 6 (3.2%) had adenomyosis, with or without fibroids, which was significantly more frequent than the 1 (0.27%) of 374 patients who had fibroids only (P =.006). On multiple logistic regression analysis, the presence of adenomyosis (odds ratio, 19.556; P =.0168) and uterine volume (odds ratio, 1.003; P =.0069) were independent factors for the presence of IMA collaterals. Of the seven patients with IMA collaterals, embolization was not attempted in six, resulting in clinical failure in four. One patient who underwent IMA embolization with coils experienced clinical improvement. Conclusions The IMA was the second most common (1.3%) source of collaterals to the uterus. IMA collaterals were more frequent in patients with adenomyosis than in patients with fibroids only, resulting in high frequency of treatment failure.

UR - http://www.scopus.com/inward/record.url?scp=84883245015&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84883245015&partnerID=8YFLogxK

U2 - 10.1016/j.jvir.2013.05.049

DO - 10.1016/j.jvir.2013.05.049

M3 - Article

C2 - 23891048

AN - SCOPUS:84883245015

VL - 24

SP - 1353

EP - 1360

JO - Journal of Vascular and Interventional Radiology

JF - Journal of Vascular and Interventional Radiology

SN - 1051-0443

IS - 9

ER -