Application of cone-beam computed tomography angiography in a uterine fibroid embolization procedure: A case report

• Main Authors: F. Alabdulghani, FFR-RCSI, FRCR, A. O'Brien, D. Brophy, FFR-RCSI, FRCR
• Format: Article
• Language: English
• Published: Elsevier 2018-02-01
• Series: Radiology Case Reports
• Subjects: Uterine fibroid embolization; CBCT angiography
• Online Access: http://www.sciencedirect.com/science/article/pii/S1930043317303825

One of the main causes of failure in uterine fibroid embolization procedures is incomplete infarction of the fibroid due to alternate vascular supply to the fibroid which was not identified by the operator. Cone-beam computed tomography angiography was used in this case to avoid nontarget embolization via a uterine artery, as well as identify incomplete embolization of the fibroid. This prompted a search for variant vascular supply to the fibroid, which was found to be originating from the right ovarian artery. Therefore, the use of cone-beam computed tomography angiography led to a successful outcome, which otherwise may not have been achieved.