BackTable Vascular & Interventional Ep. 490 Uterine Fibroid Embolization: My Algorithm with Dr. Gary Siskin
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Oct 22, 2024 Dr. Gary Siskin, an esteemed UFE practitioner and professor at Albany Med, shares his expertise on uterine fibroid embolization. He discusses the evolution of fibroid treatment and the importance of collaboration with gynecologists. The episode delves into procedural insights, such as embolic agent selection and accessing uterine arteries, emphasizing patient-specific considerations for treatment. Siskin also highlights pain management and post-operative care strategies, advocating for patient education to promote awareness of this minimally invasive option.
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Communicating UFE Success Rates
- Confidently inform patients that UFE has a 90% or higher success rate in improving bleeding symptoms.
- Use data from the literature to support your claims.
Fertility Preservation and UFE
- For young patients interested in fertility preservation, present myomectomy and UFE as comparable options (1A and 1B).
- Advise them to consult with infertility specialists or gynecologists to fully understand myomectomy.
UFE Access and Catheterization
- For UFE, prefer a right femoral approach with a 5-French sheath.
- Navigate to the left internal iliac, then use a Cobra glide catheter and a microcatheter to reach the uterine artery.