Uterine Fibroid Embolization (Radial access)

Uterine fibroid embolization (UFE) is an image guided minimally invasive procedure utilized to treat symptomatic fibroids (myomas) of the uterus which are causing pain, irregular or heavy menstrual bleeding, and abdominal/pelvic pressure on the bladder or bowel.
This animation demonstrates how one of the most popular minimally invasive procedure, uterine fibroid embolization is performed step by step through a radial access. This procedure is commonly done by interventional radiologist.
As a first step, the left radial artery is accessed under ultrasound guidance using a micropuncture needle. Once the blood return is noted, a microwire is advanced through the needle into the left radial artery.
The needle is exchanged for a slim sheath.
Once the slim sheath is advanced over the microwire and properly placed, the microwire and inner dilator are removed.
A mixture of vasodilators is injected through the sheath to avoid arterial spasm at this point. Then, normal saline infusion is started through the sheath to avoid possible clot formation.
A combination of catheter and wire is advanced from the left radial artery to the aorta and subsequently to the internal iliac artery. Once, the tip of the catheter is placed at the origin of internal iliac artery.
Then, a long small gauge needle is advanced through the anterior abdominal wall to the anterior aspect of lumbar vertebra to preform hypogastric nerve block. After injecting the cocktail, the needle is removed.
Then, the wire is exchanged for a combination of microcatheter and microwire, which is advanced to the uterine artery.
Once unwanted collaterals are bypassed, the uterine artery is embolized using particles until the blood flow slows down, or in another word stasis is achieved.
Then, the microcatheter is pulled back in to the base catheter which is also pulled back to the aorta and thenadvanced to the contralateral internal iliac artery. The unwanted collaterals are bypassed in similar fashion, and particles are injected into the contralateral uterine artery until slow blood flow is noted.
All catheters and microcatheters are removed. Then, saline infusion is stopped.
The wrist is lifted. Then, a TR band is placed on the wrist, inflated with air, and the sheath is removed. Finally, the amount of air within the TR band is adjusted.
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[@cintsscha5899]

I had mine one week ago... thanks to the modern science for giving us a chance for a life ❤

[@thatgyrl9468]

I am 1 week out today from having mine done. The healing is going ok, cant wait to get to a new normal and not bleed my life away or in constant pain.

[@angelamr29]

Did you go through radial artery? I am scheduled for the 12 this makes me nervous, I wanted to do the leg.

[@Vivianpr100]

I’ve read some awful women testimonials of post procedure. How are you feeling? How is the pain? And any nausea? Read some women suffered terrible cramps (more like contractions) from day 1 post op through weeks and months! Followed by nausea and vomiting.. I’m about to get mine done in December and seriously considering after seeing these comment.

[@IRADGraphics]

either options are possible. with the radial artery access, you could be discharged sooner, while with groin access you should be watched at least for 2-3 hours.

[@angelamr29]

​@@Vivianpr100did you have yours done yet? I had complications from mine, just ended up having an emergency hysterectomy.

[@SassyO100]

oo wish you well on your healing journey. I am due mine on Tuesday 19th March 24 which is earlier than expected. Abit nervous about the post-procedure as we all heal differently and at varying rates hey.

[@adventureswithadrienne]

4.21.2024 This was so satisfying to watch 😫 I really hope that i qualify for this procedure. I have my consultation soon

[@thandekambatha9166]

Hi guys I had mines on the 1st of November and I must say it went well.. Just the pains after the surgery is really severe, then then next day you are fine..

[@IRADGraphics]

You could certainly ask for hypogastric nerve block while undergoing UFE. This could significantly reduce the pain.

[@StupidMouse]

Hi was you awake during the procedure?

[@thandekambatha9166]

Nope, I was under anesthesia.. So I didn't feel anything during the procedure I was sleeping..

[@anshah6646]

Hi were your Fibriods big ?

[@thandekambatha9166]

About 5.5cm big not that big

[@sarahshafi464]

I had this procedure done few months back. Totally worth it. I went from very heavy menstruation to normal period . The first 48 hours after the procedure was intense with labor intense cramps. But it was worth it. I show l improvement after my next cycle. The surgery doctor is called intervention radiology

[@sarasarah6055]

Hw much it costs?

[@IRADGraphics]

It is a very effective procedure, comparable with surgical myomectomy.

[@IRADGraphics]

the cost of the procedure is variable based on the country and location and institute and of course insurance. you could reach out to local practices offering IR procedures to inquire about the price.

[@sarasarah6055]

@@IRADGraphics chances of pregnancy? After ufe? Kindly guide me in detail about pregnancy after this procedure bcz i hv read so many contradict response by dfrnt people through KZbin. I am so much worried. I am young 31 years old. I hv fibroids about 6 mm size. I am planning to get this treatment so wht should i do nw?

[@IRADGraphics]

@@sarasarah6055 the reported rate varies between 50-80%, but is pretty high...see this article: www.ncbi.nlm.nih.gov/pmc/articles/PMC6948071/

[@Yentiiiii]

I had mine today. My pains aren’t too severe but I know this really depends on pain tolerance and willingness to take narcotics. I got a bunch which is helping a lot. They won’t refill to make sure abuse can’t occur

[@SassyO100]

Im having this procedure this coming week and know from my MRI scan that I have a few pedunculated subserosal fibroids. I heard I could be at higher risk of infection and wondered are there ways of tackling this once the fibroids start to shrink. I know they don't have anyway of leaving my body.

[@jennyjones3978]

I had this procedure done two weeks ago today. Just spotting a little not too bad.

[@SassyO100]

Same here. Had mine on 26 March 2024 so in post op mode. Rest and relax for a few days whilst the cramps and inflammation subsided although I don’t know if it will fully given the process of shrinkage could take upto 9 month to a year. Speedy healing to you

[@jennyjones3978]

@@SassyO100 Thank you! I can’t wait until my 6 months check up. 🙏❤️

[@SassyO100]

@@jennyjones3978 here’s to 6mth check in. I had my first period in these days so it’s a good sign for me 🙏🏽

[@leratosokhulu2278]

Are yiu getting your periods guys?

[@jennyjones3978]

@@leratosokhulu2278 yup! I thought it was gone but it came back today. 😩

[@jataufwangshak8002]

Your generosity towards my Infection called Fibroid is incomparable. You assured me of getting healed and surprisingly after 14days of taking the medication i was healed completely. Thanks Dr Igho I will keep letting the world know about your KZbin Channel.

[@IRADGraphics]

Fibroid is not an infection. Fibroids are benign tumors made of smooth muscle cells and fibrous connective tissue that develop in the uterus. It is estimated that 70 to 80 percent of women will develop fibroids in their lifetime - however, not everyone will develop symptoms or require treatment.

[@BBFLYRISEN]

Got mine done yesterday. ❤️

[@FluttershyBabb]

Were you asleep

[@BBFLYRISEN]

@@FluttershyBabb Yes. But the Dr woke me up at one point to look at the screen so I could see what he was doing. 🤦🏿‍♀️

[@amerleclark7238]

Have to have mine Thursday on the 23rd and I'm so scared

[@BBFLYRISEN]

@@amerleclark7238 You will wake up a NEW woman! 😘

[@LuckyBlackDiamond]

@@amerleclark7238 How did it go? How are you feeling?

[@ritaabbey4982]

Please we need your help

[@BB_5913]

My doctor did not even mention that they can go thru the wrist. What are the risks of going thru the leg.

[@JTG313]

Seems riskier this way

[@IIIIIVII]

It looks way more harder to do from the wrist than it would be to do from a closer region like the groin. That's the other area that they could perform the procedure from and so kinda makes sense too

[@IIIIIVII]

That was a great video thanks IRAD 👌 does this work for Adenomyosis?

[@IRADGraphics]

Thank you. Yes, it does, but smaller particles have to be used.

[@scarletcandy8141]

Nice. Is the wrist procedure safer? Who is at risk of stroke?

[@IRADGraphics]

Radial artery (wrist) access for peripheral endovascular procedures appears to be safe and effective and should be considered more often. Complication rates are lower than those reported for femoral artery access. The patient could go back to daily actively 3 hours after the procedure. The wrist access is done through the left wrist and almost there is no risk for stroke. The risk of stroke presents when the right radial )wrist) access is obtained.

[@SassyO100]

Ive not been offered the wrist entry yet. I don't know why they wouldn't have. um

[@andreal1163]

Nekem jobb könyök hajlatban csinálták.Kell félnem??😢​@@IRADGraphics

[@gospelsongsdelilah4799]

🙏🏽

[@nataliecannell7961]

Hi. How I rich you doctor. I have multiple fibroids in my uterine and in pelvic. Also, prolapse stage 2. I need treatment please help me. 😩

[@IRADGraphics]

Any interventional radiologist could perform this procedure. please find a local interventional radiologist.

[@lynnet_Nayiga]

It's scary. Looks painful

[@pammst52422]

The pain is after the procedure. You will be sedated during the procedure so you won’t feel any pain. I just had mine June 27th.

[@lynnet_Nayiga]

@@pammst52422 thanks girl this is so kind of you. Want so bad to go For but its very expensive here in my country. $15000. So the doctors are suggesting that they should remove my whole uterus since my fibroids are too much and they are at a mature stage. Am just 23 and no kids so kinda worried about my health and the fact that I'm most likely not to be a mother. It's too much Would have shared with you the scan results if I had a way.

[@IRADGraphics]

removing your uterus would result in loss of fertility. Please inquire from different institutes or neighbor countries.

[@leticia-sg1ly]

You’re too young for them to take your uterus out unless if it is cancerous.

[@shivanshugoel0603]

What is the role of the air at the end?

[@IRADGraphics]

The air is pushed into the wrist band to expand the sac and put control pressure on the entry site ton the left radial artery

[@nuru8080]

Can you conceive after that procedure? Or do you must go back to remove the micro beads they put inside the arteries? 😢😮q

[@IRADGraphics]

Preserving fertility is one of the reasons for this procedure. Almost all my patient who came to undergo UFE to preserve fertility, were able to conceive if desired.

[@igbinosaruthaniel9732]

​@@IRADGraphicsplease where is your location

[@SassyO100]

@@IRADGraphics Does is matter which contrast particles are used? ie which is preferred?

[@CC-kl4nh]

The fertility is NOT true! Oh my goodness! I spoke with an interventional radiologist. The fertility preservation is currently unknown after UFE. It is known please put studies here!

[@SassyO100]

@@CC-kl4nh it’s hit and miss. I’ve just had my UFE and I asked that any intervention near my ovaries would need to be held off on as I wanted to avoid early menopause.

[@fakehakhan7577]

S large fibroid treatment possible

[@IRADGraphics]

it is. We have emboli zed fibroids as large as 26 cm

[@fakehakhan7577]

@@IRADGraphics send me ur location with charges for this process

[@anikomazan8871]

Whitout any anesthetic?

[@BBFLYRISEN]

I was sedated by IV in my right hand. The DR did UFE in my left wrist. I’m having my second menstrual cycle now. NO cramps. NO heavy bleeding. ❤️

[@86Kera]

@@BBFLYRISEN I’m happy for you! I can’t wait to have mine 😊

[@BBFLYRISEN]

@@86Kera You will feel like a NEW woman afterwards. I feel absolutely WONDERFUL!!!

[@_maryam_2917]

Was it general anesthesia or local anesthesia?

[@tgreen8946]

Do you need this done if you are about to go into menapause? My doctor said I have two fibroids

[@Abeercraft]

Is it possible for cancer tumor

[@sabnamsplendor]

No this is not a cancer tumor ..... don't worry

[@IRADGraphics]

this is for fibroid. For tumors, pending on the nature and stage of the disease, different approaches could be taken in consideration. but, the gold standard is hysterectomy.

[@ProfessorsabaShabir]

I read in a coloumn this procedure have no result nd increase disease

[@uwadile1139]

Well are your location pls 😢

[@IRADGraphics]

we are located in the United States. Washington, DC

[@pennygirl99]

I have a 10cm fibroid on top of an atery, Has anyone had embolization on that size of fibroid? I refuse a hysterectomy.

[@christineporter9914]

I have a 10.9 cm fibroid myself am refusing as well to get a hysterectomy done am 50 Years old now I already have two grown daughters. Never had any of my organs removed since I've had my daughter's. But am praying for Healing natural from God to shrink the fibroids.🙏🏾🙏🏾

[@IRADGraphics]

Yes, regardless of their location, all could be embolized.

[@pmambongwe8640]

Sounds complicated 😭

[@IRADGraphics]

It is very straight forward procedure for interventionists.

[@leticia-sg1ly]

They say it takes like 45 minutes to an hour.