Embolization of the uterine arteries, as an alternative treatment to hysterectomy in patients with symptomatic fibroids, consists in the occlusion of these arteries by injecting particles of gelled polyvinyl alcohol using radioscopic monitoring. In this study we present the results obtained in the University Hospital of the Virgen de las Nieves in Granada during the years 2001 and 2002. We look at improvement of symptoms, reduction in uterine size, patient satisfaction, and fertility.
array:23 [ "pii" => "S0210573X04773657" "issn" => "0210573X" "doi" => "10.1016/S0210-573X(04)77365-7" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "77365" "copyright" => "Elsevier España, S.L.. Todos los derechos reservados" "copyrightAnyo" => "2004" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Clin Invest Ginecol Obstet. 2004;31:348-52" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2806 "formatos" => array:3 [ "EPUB" => 30 "HTML" => 2205 "PDF" => 571 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210573X04773669" "issn" => "0210573X" "doi" => "10.1016/S0210-573X(04)77366-9" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "77366" "copyright" => "Elsevier España, S.L." "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Clin Invest Ginecol Obstet. 2004;31:353-8" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3545 "formatos" => array:3 [ "EPUB" => 30 "HTML" => 3056 "PDF" => 459 ] ] "es" => array:9 [ "idiomaDefecto" => true "titulo" => "Citología peritoneal en pacientes con carcinoma de endometrio según la realización previa de histeroscopia diagnóstica y biopsia dirigida frente a legrado fraccionado" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "353" "paginaFinal" => "358" ] ] "contieneResumen" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "A. Ferrero, C. Obispo, G. Bravo, M.J. Lamas" "autores" => array:4 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Ferrero" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "Obispo" ] 2 => array:2 [ "nombre" => "G." "apellidos" => "Bravo" ] 3 => array:2 [ "nombre" => "M.J." "apellidos" => "Lamas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210573X04773669?idApp=UINPBA00004N" "url" => "/0210573X/0000003100000010/v1_201307111234/S0210573X04773669/v1_201307111234/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210573X04773645" "issn" => "0210573X" "doi" => "10.1016/S0210-573X(04)77364-5" "estado" => "S300" "fechaPublicacion" => "2004-01-01" "aid" => "77364" "copyright" => "Elsevier España, S.L." "documento" => "simple-article" "crossmark" => 0 "subdocumento" => "edi" "cita" => "Clin Invest Ginecol Obstet. 2004;31:347" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 8847 "formatos" => array:3 [ "EPUB" => 26 "HTML" => 7545 "PDF" => 1276 ] ] "es" => array:6 [ "idiomaDefecto" => true "titulo" => "Editorial" "tienePdf" => "es" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "347" ] ] "contienePdf" => array:1 [ "es" => true ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210573X04773645?idApp=UINPBA00004N" "url" => "/0210573X/0000003100000010/v1_201307111234/S0210573X04773645/v1_201307111234/es/main.assets" ] "es" => array:11 [ "idiomaDefecto" => true "titulo" => "Embolización arterial uterina. Resultados a corto plazo" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "348" "paginaFinal" => "352" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "M. Navarroa, M.C. Mallola, M.A. Carmona, A. García-Entrena, F. Parrillaa" "autores" => array:5 [ 0 => array:3 [ "nombre" => "M." "apellidos" => "Navarroa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "M.C." "apellidos" => "Mallola" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "M.A." "apellidos" => "Carmona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "A." "apellidos" => "García-Entrena" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "F." "apellidos" => "Parrillaa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Obstetricia y Ginecología. Hospital Universitario Virgen de las Nieves. Granada." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Radiología. Hospital Universitario Virgen de las Nieves. Granada. España." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2004-05-27" "tieneResumen" => true "resumen" => array:1 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Embolization of the uterine arteries, as an alternative treatment to hysterectomy in patients with symptomatic fibroids, consists in the occlusion of these arteries by injecting particles of gelled polyvinyl alcohol using radioscopic monitoring. In this study we present the results obtained in the University Hospital of the Virgen de las Nieves in Granada during the years 2001 and 2002. We look at improvement of symptoms, reduction in uterine size, patient satisfaction, and fertility.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "High cumulative incidence of uterine leiomyoma in black and white women ultrasound evidence" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D. Day Baird" 1 => "D.B. Dunson" 2 => "M.C. Hill" 3 => "D. Cousins" 4 => "J.M. Schectman" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Obstet" "fecha" => "2003" "volumen" => "188" "paginaInicial" => "100" "paginaFinal" => "107" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Embolization of uterine fibroids" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "S. Murgo" 1 => "P. Simon" 2 => "J. Golzarian" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Med Brux" "fecha" => "2002" "volumen" => "23" "paginaInicial" => "435" "paginaFinal" => "442" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12474325" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib3" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Self-reported heavy bleeding associated with uterine leiomyomata" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G. Wegienka" 1 => "D.D. Baird" 2 => "I. Hertz-Picciotto" 3 => "S.D. Harlow" 4 => "J.F. Ste-ege" 5 => "M.C. Hill" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "2003" "volumen" => "101" "paginaInicial" => "431" "paginaFinal" => "437" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12636944" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib4" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fibroids and infertility: a systematic review of the evidence" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "E.A. Pritts" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol Surv" "fecha" => "2001" "volumen" => "56" "paginaInicial" => "483" "paginaFinal" => "491" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11496160" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib5" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The management of uterine leiomyomas" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G. Lefebvre" 1 => "G. Vilos" 2 => "C. Allaire" 3 => "J. Jeffrey" 4 => "J. Arneja" 5 => "C. Birch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "J Obstet Gynecol Can" "fecha" => "2003" "volumen" => "25" "paginaInicial" => "396" "paginaFinal" => "418" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib6" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Embolization of the uterine artery in the treatment of uterine myoma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G. Simonetti" 1 => "C. Romanini" 2 => "M. Pocek" 3 => "E. Piccione" 4 => "M. Guazzaro-ni" 5 => "E. Zupi" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Radiol Med" "fecha" => "2001" "volumen" => "101" "paginaInicial" => "157" "paginaFinal" => "164" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11402954" "web" => "Medline" ] ] ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib7" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preoperative embolization of uterine fibroma. Preliminary results (10 cases" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.H. Ravina" 1 => "J.J. Merlan" 2 => "D. Herbreteau" 3 => "E. Houdart" 4 => "J.M. Bounet" 5 => "P. Madelenat" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Press Med" "fecha" => "1994" "volumen" => "23" "paginaInicial" => "1540" ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib8" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Preliminary experience with uterine artery embolization for uterine fibroids" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "S.C. Goodwin" 1 => "S. Vedantham" 2 => "B. McLucas" 3 => "A.E. Forno" 4 => "R. Perre-lla" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "1997" "volumen" => "8" "paginaInicial" => "517" "paginaFinal" => "526" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9232565" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib9" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Uterine arterial embolization for the management of leiomyomas: quality of life assessment and clinical response" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "R.L. Worthington-Kirsch" 1 => "G.L. Popky" 2 => "F.L. Hutchins" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1148/radiology.208.3.9722838" "Revista" => array:6 [ "tituloSerie" => "Radiology" "fecha" => "1998" "volumen" => "208" "paginaInicial" => "625" "paginaFinal" => "629" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9722838" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib10" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Uterine arterial embolization for the treatment of uterine leiomyomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.W. Bai" 1 => "J.B. Jang" 2 => "Y. Lee Do" 3 => "K.A. Jeong" 4 => "S.K. Kim" 5 => "K.H. Park" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.3349/ymj.2002.43.3.346" "Revista" => array:6 [ "tituloSerie" => "Yonsei Med J" "fecha" => "2002" "volumen" => "43" "paginaInicial" => "346" "paginaFinal" => "350" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12089743" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib11" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Uterine artery embolization for leiomyomata" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.B. Spies" 1 => "S.A. Ascher" 2 => "A.R. Roth" 3 => "J. Kim" 4 => "E.B. Levy" 5 => "J. Gómez-Jorge" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Obstet Gynecol" "fecha" => "2001" "volumen" => "98" "paginaInicial" => "29" "paginaFinal" => "34" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11430952" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib12" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Uterine artery embolization for symptomatic uterine myomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "B.S. Hurst" 1 => "D.J. Stackhouse" 2 => "M.L. Matthews" 3 => "P.B. Marshburn" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Fertil Steril" "fecha" => "2000" "volumen" => "74" "paginaInicial" => "855" "paginaFinal" => "869" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11056222" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib13" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Selective uterine artery embolization in the management of uterine myomas" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "E. Zupi" 1 => "M. Pocek" 2 => "M. Dauri" 3 => "D. Marconi" 4 => "M. Sbracia" 5 => "E. Piccio-ne" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Fertil Steril" "fecha" => "2003" "volumen" => "79" "paginaInicial" => "107" "paginaFinal" => "111" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12524072" "web" => "Medline" ] ] ] ] ] ] ] ] 13 => array:3 [ "identificador" => "bib14" "etiqueta" => "14." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of uterine fibroid embolization on resumption of menses and ovarian function" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "H.B. Christman" 1 => "M.B. Saker" 2 => "R.K. Ryu" 3 => "A. Nemcek" 4 => "M.V. Gerbie" 5 => "M.P. Milad" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Vasc Interv Radiol" "fecha" => "2000" "volumen" => "11" "paginaInicial" => "699" "paginaFinal" => "703" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10877413" "web" => "Medline" ] ] ] ] ] ] ] ] 14 => array:3 [ "identificador" => "bib15" "etiqueta" => "15." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ovarian failure after uterine artery embolization for the treatment of myomas" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "N.H. Stringer" 1 => "T. Grant" 2 => "J. Park" 3 => "L. Oldham" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Am Assoc Gynecol Laparosc" "fecha" => "2000" "volumen" => "7" "paginaInicial" => "395" "paginaFinal" => "400" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10924636" "web" => "Medline" ] ] ] ] ] ] ] ] 15 => array:3 [ "identificador" => "bib16" "etiqueta" => "16." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transient ovarian failure: a complication of uterine arterial embolization" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Amato" 1 => "A. Roberts" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Fertil Steril" "fecha" => "2001" "volumen" => "75" "paginaInicial" => "438" "paginaFinal" => "439" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11172854" "web" => "Medline" ] ] ] ] ] ] ] ] 16 => array:3 [ "identificador" => "bib17" "etiqueta" => "17." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Randomised trial comparing hysterectomy with endometrial ablation for dysfunctional uterine bleeding: psychiatric and psychosocial aspects" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "D.A. Alexander" 1 => "A.A. Naji" 2 => "S.B. Pihion" 3 => "J. Mollison" 4 => "H.C. Kitchener" 5 => "D.E. Parkin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "BMJ" "fecha" => "1996" "volumen" => "312" "paginaInicial" => "280" "paginaFinal" => "284" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8611783" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/0210573X/0000003100000010/v1_201307111234/S0210573X04773657/v1_201307111234/es/main.assets" "Apartado" => array:4 [ "identificador" => "7489" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Originales" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/0210573X/0000003100000010/v1_201307111234/S0210573X04773657/v1_201307111234/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210573X04773657?idApp=UINPBA00004N" ]