Table 4: Fibroid and anatomical characteristics to consider when preferring UAE to other options.
Fibroid characteristics | Anatomical considerations | |
Non-responsive | Fibroids not enhancing on contrast MRI: Are already degenerated and will not be affected by embolization | Individualized decision based on single patient, e.g. a common arterial supply to ovaries and uterus that does not allow a selective embolization of the fibroids sparing the ovaries. |
Less responsive | Broad ligament fibroids | |
Cervical fibroids, for the possible collateral flow from the cervical blood supply | ||
Pedunculated subserosal fibroids if stalk diameter is at least 50% narrower than the diameter of the tumor | ||
Intracavitary fibroids |