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Abdominal Myomectomy Versus Uterine Fibroid Embolization in the Treatment of Symptomatic Uterine Leiomyomas

Mahmood K. Razavi1, Gloria Hwang1, Ayda Jahed1, Shohreh Modanloo1 and Bertha Chen2

1 Department of Vascular and Interventional Radiology, H-3651, Stanford University Vascular Center, 300 Pasteur Dr., Stanford, CA 94305.
2 Department of Gynecology and Obstetrics, Stanford University Hospital, Stanford, CA 94305.



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  		Fig. 1A. —38-year-old woman with uterine fibroids. Before embolization, pelvic angiogram reveals enlarged uterine arteries (arrows) bilaterally.

 


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  		Fig. 1B. —38-year-old woman with uterine fibroids. After embolization, pelvic arteriogram shows absence of uterine arteries.

 


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  		Fig. 1C. —38-year-old woman with uterine fibroids. Selective right (C) and left (D) uterine angiograms show hypervascular tumor.

 


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  		Fig. 1D. —38-year-old woman with uterine fibroids. Selective right (C) and left (D) uterine angiograms show hypervascular tumor.

 


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  		Fig. 1E. —38-year-old woman with uterine fibroids. Selective left uterine arteriogram after embolization shows stasis for flow in main uterine artery after embolization.

 

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