Clinical recommendations on the use of uterine artery embolisation in the management of fibroids

Arterial embolisation has been used during the last three decades as a method of treating haemorrhage in a variety of clinical situations, including postpartum haemorrhage, bleeding after caesarean section and bleeding following gynaecological surgery. The technique was extended in later years to include its use in the management of arteriovenous malformations of the genital tract and in gestational trophoblastic disease. Ravina et al first used arterial embolisation to treat fibroids in 1991, publishing his first series in 1995.