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