Wednesday, October 14, 2009

New England Journal of Medicine highlights the clinical benefits of treatment of uterine artery embolization in

New England Journal of Medicine highlights the clinical benefits of treatment of uterine artery embolization in the article, may decrease hysterectomy rate of UFE in the United States br uterine artery embolization, a minimally invasive interventional radiology for woman who interrupts blood flow to the fibroids painful to kill tumorsis highlighted as an appropriate treatment for women in an article published in Clinical Therapeutics, in the Aug. 13 edition of the New England Journal of Medicine. br quot; UFE (also called uterine artery embolization or the United Arab Emirates) is a safe, effective and minimally invasive option for women to consider. This is especially important news for more than 300,000 women have hysterectomies performed annually in the United States to treat symptomatic uterine fibroids. Many of these women can confidently choose UFE, and this could significantly decrease the rate of hysterectomy in the United States quot;, said Scott C. Goodwin, MD, FSIR, an interventional radiologist who is coauthor revistaquot quot; Uterine Fibroid Embolization;. br quot; publish this information in the New England Journal of Medicine, doctors still faster discuss all treatment options for symptomatic uterine fibroids, including UFE, if not haciendoquot;, Goodwin said. quot; a woman seeking treatment for their fibroids should be aware of all treatment options. UFE may be one of those options and the best way to determine this is to the patient and her gynecologist or primary care physician to consult with an interventional radiologist quot;, said Goodwin, who is professor and director of radiological sciences at the University of California at Irvine. Interventional radiologists use magnetic resonance imaging (or MRI) to determine if fibroids can be adequately embolization, in identifying other causes of symptoms, to rule out misdiagnosis, identify which treatments are most appropriate for each patient and avoid ineffective treatments. br quot; surgical uterine fibroid embolization is a real breakthrough in health mujerquot, said the Society of Interventional Radiology Stainken President Brian F., MD, FSIR, representing a national organization of nearly 4,500 doctors, scientists and professionals health dedicated to improving health care through minimally invasive treatments. quot; informed consent before surgery, without doubt, patients should be aware of all treatment options. Women considering surgical treatment should also seek the views of an experienced professional to determine whether UFE are candidates for treatment of radiology intervencionistaquot; Stainken said, an interventional radiologist who is also president of the Network of Rhode Island and images chief of diagnostic imaging department at Roger Williams Medical Center in Providence, RI quot; UFE is widely available, and Sir identifies interventional radiologists with expertise in this area in accordance with its quot directory of doctors, he said. br Goodwin, said in a magazine article that the American College of Obstetricians and Gynecologists considers UFE one quot; safe and effective option for women because seleccionados.quot, ACOG said in practice one of your newsletters that women who want to choose UFE quot; due to a complete evaluation with a gynecologist to facilitate optimal collaboration with interventional radiologist and to ensure the adequacy of therapy, taking into account the reproduction of the patient wishes quot;. Goodwin added radiologists, quot; A woman can and should have confidence in the uterine artery embolization as a treatment option. Interventionist can provide a second opinion to determine whether UFE is an option tratamientoquot;. br main magazine coauthored with James B. Spies, MD, MPH, FSIR, professor of radiology and director of the department of radiology at the Medical Center of Georgetown University in Washington, DC begins with a case vignette that includes treatment recommendations. It includes a review of the benefits of treatment, the main clinical studies, the clinical use of this treatment and the possible adverse effects that ends with the cooperation of the authors' clinical recommendations. In this case, a gynecologist recommended a hysterectomy for a woman of 45 African American, who had an abnormal menstrual period and the intense and prolonged pain of the uterus during menstruation serious in the last 10 years. Women do not want a hysterectomy and alternatives sought. She was sent to an interventional radiologist ordered an MRI. Women often undergo a scan in the office of her gynecologist, as part of the evaluation process to determine the presence of uterine fibroids. MRI scans provide additional benefits, Goodwin said. br Uterine fibroids are benign tumors that can cause prolonged, heavy menstrual bleeding can be severe enough to cause anemia or require transfusion, disabling pelvic pain and pressure, urinary frequency, pain during intercourse, and miscarriage. Twenty to 40 percent of women over 35 have uterine fibroids of significant size, African American women are at higher risk for fibroids (as many as 50 percent have fibroids of significant size). br pioneered and performed by interventional radiologists, UFE blocks the small blood vessels that feed fibroids, and the tumor (s) of the death and disappearance of symptoms. An interventional radiologist uses imaging to guide a thin catheter to the uterine artery to treat the source of the disease internally, avoiding open surgery. The procedure offers less risk, less pain and less recovery time compared to open surgery. br br br br br br