PMC8445718_01
(a) Periprocedural digital subtraction angiography from UAE, showing aorta-iliac bifurcation and left (b) and right (c) uterine arteries before embolization. The procedure was performed on the left with four vials of Embospheres, two of 300-500 microns, one of 500-700 microns, and one of 700-900 microns. On the right, three vials were used, one of 300-500 microns, one of 500-700 microns, and one of 700-900 microns.
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fig1
A periprocedural arteriography revealed pervious distal aorta, common, internal, and external iliac arteries, and a giant uterine fibroid with its blood supply coming from both uterine arteries (Figure 1).
Digital subtraction angiography postembolization demonstrating effective embolization of the left (a) and right (b) uterine arteries.
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A standard UAE was performed, and the uterine arteries were embolized with 300 to 900 microns until they were completely devascularized (Figure 2).
(a) Vaginal expulsion of infarcted submucous fibroid 15 days after uterine artery embolization. (b) Specimen measuring approximately 8 cm.
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fig3
The complete mass expulsion occurred, at the patient's home, eight days after symptom onset and measured approximately 8 cm (Figure 3).