Imperial College London
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Professor Mohamad Hamady

Faculty of Medicine, Department of Surgery & Cancer

Professor of Practice (Interventional Radiology)
 
 
 
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Contact

 

+44 (0)20 3312 2282 1m.hamady

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Mollier:2020:10.1007/s00270-020-02622-2,
author = {Mollier, J and Patel, NR and Amoah, A and Hamady, M and Quinn, SD},
doi = {10.1007/s00270-020-02622-2},
journal = {Cardiovasc Intervent Radiol},
pages = {1910--1917},
title = {Clinical, Imaging and Procedural Risk Factors for Intrauterine Infective Complications After Uterine Fibroid Embolisation: A Retrospective Case Control Study.},
url = {http://dx.doi.org/10.1007/s00270-020-02622-2},
volume = {43},
year = {2020}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - INTRODUCTION: This was a retrospective case-control study at a single tertiary centre investigating all UFE procedures between January 2013 and December 2018 for symptomatic fibroids. The aim was to determine the clinical, imaging and procedural risk factors which impact upon the risk of post-uterine fibroid embolisation (UFE) intrauterine infection. Cases were patients which developed intrauterine infection post-procedure, and controls were the background UFE population without infection. METHODS: Clinical demographics, presenting symptoms, uterine and fibroid characteristics on imaging and procedural variants were analysed. A p value of less than 0.05 was considered statistically significant. The main outcome measures were presence of infection and requirement of emergency hysterectomy. RESULTS: 333 technically successful UFE procedures were performed in 330 patients. Infection occurred after 25 procedures (7.5%). 3 of these patients progressed to overwhelming sepsis and required emergency hysterectomy. Clinical obesity (BMI > 30) (OR 1.53 [1.18-1.99]) and uterine volume > 1000cm3 (2.94 [1.15-7.54]) were found to increase the risk of infection CONCLUSIONS: UFE is generally safe in patients with symptomatic fibroids. Obese patients (BMI > 30) and those with large volume uteri (> 1000cm3) are at slight increased risk of developing infection and require appropriate pre-procedural counselling, as well as careful post-UFE follow-up. BMI and uterine volume may be useful to assess before the procedure to help to determine post-UFE infection risk.
AU  - Mollier,J
AU  - Patel,NR
AU  - Amoah,A
AU  - Hamady,M
AU  - Quinn,SD
DO  - 10.1007/s00270-020-02622-2
EP  - 1917
PY  - 2020///
SP  - 1910
TI  - Clinical, Imaging and Procedural Risk Factors for Intrauterine Infective Complications After Uterine Fibroid Embolisation: A Retrospective Case Control Study.
T2  - Cardiovasc Intervent Radiol
UR  - http://dx.doi.org/10.1007/s00270-020-02622-2
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32851424
VL  - 43
ER  -
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