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POST-EMBOLIZATION SYNDROME AFTER UTERINE ARTERY EMBOLIZATION IN UTERINE MYOMA

POST-EMBOLIZATION SYNDROME AFTER UTERINE ARTERY EMBOLIZATION IN UTERINE MYOMA

Abstract

The search for information was carried out in the PubMed, Scopus, Webof-science, RSCI databases using the following keywords: post-embolization syndrome, uterine artery embolization, uterine myoma, without language restrictions. For analysis, 50 sources with full access to the text were selected, 90 % of which were published within the last five years, and 50 % within the last three years. The criteria for excluding sources were low information content and outdated data. Post-embolization syndrome (PES) after uterine artery embolization (UAE) in uterine myoma is an early postoperative complication that develops in the first 24-48 hours after the procedure and usually resolves spontaneously within 10-14 days. The frequency of PES has not been precisely established today, therefore it is in a wide range: from 0.2 % to 96 %. Prevention and treatment of PES consists of intraoperative and postoperative symptomatic treatment of the symptoms of the complication. Different strategies are used – intra-arterial intraoperative administration of anesthetics, the appointment of non-steroidal anti-inflammatory drugs, paracetamol and opioids. It should be noted that recommendations regarding the prevention and treatment of severe PES in UAE are based on low-quality studies with insufficient follow-up. In the strategy to combat PES, further large randomized clinical trials are needed to create unified approaches based on evidence-based medicine.

Keywords

постэмболизационный синдром, миома матки, RG1-991, Gynecology and obstetrics, Pediatrics, эмболизация маточных артерий, RJ1-570

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
gold