In MC Erebouni for several years, by interventional surgeon of Department of Angiography and Interventional Cardiology Dr. Arsen Tsaturyan,MD the uterine arteries embolization for myoma and prostatic artery embolization for prostate adenoma, and hepatic arteries are carried out in case of benign and malignant tumors.
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Patient M.V., 1978 y/b., was admitted to MC Erebouni with significant symptomatology (infertility, heavy menstrual bleeding, urinary frequency, pelvic pain, abdominal distension), multiple myomatous nodules (more than 20 nodules) with uterine cavity deformation were detected during MRI examination. It should be noted that with such a presence of nodes, a hysterectomy is usually performed. As the patient in the future planned to become pregnant, so she was carried out uterine arteries embolization.
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6 months after the procedure, the symptoms completely disappeared, the volume of the uterus and nodes decreased by more than 55%, without deformation of the uterine cavity. In the following months (up to 1 year), the nodes are projected to decrease to 80%, and some of them may disappear.
In 2015 a patient E.A., 1963 y/b., was diagnosed submucous myoma with complicated bleeding accompanied by a severe cardiac pathology, the uterine artery embolization was performed.
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2 years after embolization the patient was carried out repeated US examination, which showed an absolutely normal uterus, without myomatous nodes. This process of disappearance of myomatous nodes is called expulsion or resorption of the myomatous node, which occurs after embolization of submucous myoma, and the uterus is completely "freed" from fibroids.
Patient A.L., 1971 y/b., with submucous myoma and bleeding in 20.09.2017 was admitted to MC Erebouni for uterine arteries embolization. After intervention the patient was discharged on the third day in satisfactory condition.
Patient V.A., 1954 y/b., with prostatic hyperplasia (prostate volume – 200 cm3) and chronic urinary retention, residual urine of 450 ml with PSA 42 ng/ml and significant symptomatology, in 24.08.2017 was admitted to MC Erebouni for prostate artery embolization, as an alternative to TUR. A few days after embolization, the patient had pronounced positive dynamics, and within a month the symptoms associated with prostate adenoma completely disappeared.
At repeated US examination, six months later, the prostate volume decreased to 80 cm3 (by 60%), without residual urine, the PSA decreased to 8 ng / ml. Uroflowmetry indications reached the age limit.
It is extremely important for men with prostatic hyperplasia (adenoma) who want to have children, prostate arteries embolization is an alternative treatment, after which there is no retrograde ejaculation, which happens after TUR.
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Patient M.M., 1994 y/b., who was admitted to MC Erebouni in 03.03.2018, was diagnosed very rare disease several years ago: infantile hemangioendothelioma- is a rare benign vascular tumor of the liver in infancy, in very rare cases, - in a more mature age, reaching a gigantic size.
Tumor of 25x14x28 cm occupied the entire abdominal cavity, the upper floor of the pelvic cavity, squeezing and displacing internal organs. The main treatment for this pathology is liver transplantation or artery embolization to reduce their size.
In 03.03. 2018. selective angiography of the celiac trunk and hepatic arteries was performed, followed by selective arterial embolization feeding the tumor with microparticles. In the postoperative period and subsequent weeks, there was a decrease in the volume and circumference of the stomach and liver size. Symptoms of compression in the patient for the next two weeks almost disappeared. The patient is recommended dynamic observation and CT scan with contrast after 6 months.
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It has been repeatedly noted that the described endovascular interventions are performed under local anesthesia (during the surgery the patients do not feel any discomfort), are carried out by thin catheters and with no signs of any kind of wounds. They are extremely effective and atraumatic. That is the reason for a short and easy postoperative period and ensures early recovery of patients, with a quick return to their daily activities.
