Study Shows Uterine Artery Embolization Compares Favorably to Laparoscopic Bilateral Occlusion for Treating Uterine Fibroids
07 Octubre 2009 - 6:30AM
Business Wire
BioSphere Medical, Inc. (NASDAQ: BSMD) (“BioSphere” or the
“Company”) – the pioneer in the use of bioengineered
microspheres to treat uterine fibroids, hypervascularized tumors
and vascular malformations by a minimally invasive, image-guided
medical procedure called embolotherapy – reports the publication of
a study in the October 2009 issue of the Journal of Vascular
Interventional Radiology in which the authors conclude that uterine
artery embolization (UAE) compares favorably to laparoscopic
occlusion of uterine arteries in the treatment of uterine
leiomyomas (fibroids) in cases where hysterectomy or myomectomy are
not options.
The article, entitled Uterine Artery Embolization versus
Laparoscopic Occlusion of Uterine Arteries for Leiomyomas:
Long-term Results of a Randomized Comparative Trial, was authored
by Kirsten Hald, MD, Hans Jorgen Noreng, MD, Olav Istre, MD, PhD
and Nils-Einar Klow, MD, PhD of the Departments of Obstetrics and
Gynecology and Radiology, Ulleval, Oslo University Hospital,
Norway. In the trial, 66 women with uterine leiomyomas were
randomized to receive either UAE or laparoscopic occlusion of the
uterine artery, and 58 patients received treatment.
Contrast-enhanced magnetic resonance (MR) imaging was performed
before treatment and after six months. Median follow-up time was 48
months.
According to the study authors, “Recurrence rate was
significantly lower after UAE than after laparoscopic treatment.
Larger volume reduction and more complete devascularization of
leiomyomas were found after UAE treatment and among patients with
no recurrence.”
Clinical failure and symptom recurrence occurred in 14 patients
after laparoscopy (48%) and in five patients (17%) after UAE
(p=0.02). Hysterectomy was performed in two patients after UAE (7%)
and in eight patients (28%) after laparoscopy (p=0.041). Six-month
MR imaging results were available for 26 patients treated with UAE
and 22 treated with laparoscopy, and showed that mean uterine
volume was reduced by 51% after UAE treatment, compared with 33%
after laparoscopy (p=0.001). Complete leiomyoma infarction was seen
in all 26 patients in the UAE group and in only five patients in
the laparoscopy group (p
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