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SELECTIVE ENDOVASCULAR EMBOLIZATION IN THE TREATMENT OF UTERINE FIBROIDS

Rossolko Dmitry S.  (Candidate of Medical Sciences, Associate Professor of the Department obstetrics and gynecology of the St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation )

Rukhlyada Nikolay N.  (Doctor of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology of St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation )

Prokhorovich Tatyana I.  (Candidate of Medical Sciences, Associate Professor of the Department obstetrics and gynecology of the St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation )

Dzhanibekova Sherifat S.  (Candidate of Medical Sciences, Associate Professor Department of Obstetrics and Gynecology of St. Petersburg State Pediatric Medical University of the Ministry of Health of the Russian Federation )

Matevosyan Irina E.  (Candidate of Medical Sciences, Associate Professor of the Department obstetrics and gynecology of the St. Petersburg State Pediatric Medical University )

Libova Tatyana A.  (Candidate of Medical Sciences, Associate Professor of the Department of Obstetrics and Gynecology, St. Petersburg State Pediatric Medical University)

Vitko Yuri A.  (Far Eastern State Medical University)

Vertunova Svetlana Yu.  (Far Eastern State Medical University)

Due to the high prevalence of uterine fibroids, especially among patients of reproductive age, it is extremely important to evaluate the prospects and indications of the endovascular embolization method. It is noted that the problem of revascularization and recurrence of fibroids may directly depend on the quality of embolization. If it is selective and starts from the microvasculature (as is the case with the use of embolic microspheres), the likelihood of restoring blood flow in the myomatous node is extremely low. It is concluded that at present, highly selective embolization can only be performed by endovascular specialists. While gynecologists can be trained to perform temporary balloon occlusion, full endovascular intervention can only be performed by a specialist in endovascular surgery.

Keywords:uterine fibroids, endovascular embolization, surgery, therapy, reproductive age

 

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Citation link:
Rossolko D. S., Rukhlyada N. N., Prokhorovich T. I., Dzhanibekova S. S., Matevosyan I. E., Libova T. A., Vitko Y. A., Vertunova S. Y. SELECTIVE ENDOVASCULAR EMBOLIZATION IN THE TREATMENT OF UTERINE FIBROIDS // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№02. -С. 189-193 DOI 10.37882/2223-2966.2024.02.31
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