SELECTIVE ENDOVASCULAR EMBOLIZATION IN THE TREATMENT OF UTERINE FIBROIDS

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