[ROLE OF UTERINE ARTERY EMBOLIZATION IN ORGAN-PRESERVING TREATMENT OF ADENOMYOSIS (REVIEW)].

The aim of this work is to review current trends in the minimally invasive treatment of adenomyosis, in particular uterine artery embolization (UAE). Adenomyosis is an unsolved problem in modern gynecology, its clinical manifestations and associated infertility lead to a decrease in the quality of life of women. Advances in imaging are making it possible to diagnose adenomyosis in young women.

Superselective prostatic artery embolization in the treatment of large benign prostatic hyperplasia.

Purpose: To evaluate the use of prostatic artery embolization (PAE) as a treatment option for patients with symptomatic benign prostatic hyperplasia (BPH) with prostate volumes of 80 cc and more.

Materials And Methods: The study included 75 patients with high anesthesia-related risks for conventional surgery (TURP). All patients were surveyed for symptom burden, using IPSS and quality of life score.

[Effect of technical and anatomical factors on efficacy of embolization of uterine arteries].

The article deals with analysis of technical and anatomical factors influencing the efficacy of uterine arteries embolization (UAE) in treatment of patients with uterine myoma. Based on experience gained in 420 interventions, the authors revealed that inefficiency of UAE may be attributed to the following causes: 1) a technical failure associated with anatomical peculiarities of the uterine artery or a spasm thereof; 2) incomplete embolization apparently attributable to both technical and anatomical factors; 3) an adventitious restoration of blood supply to the uterine myoma. We also determined the significance of utero-ovarian arterial anastomoses in blood supply of the myomatous nodes, suggesting technical manipulations making it possible to attain adequate embolization thereof, if such.

Endovascular rotary fragmentation in the treatment of massive pulmonary thromboembolism.

Endovascular rotary fragmentation using a modified pigtail catheter was provided to 20 patients with massive pulmonary thromboembolism. Fragmentation wes supplemented by the course of standard thrombolytic therapy (13 patients) or by the shortened treatment course (3 patients). Just after intervention the Miller index dropped on the average from 28.