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Current issues of effectiveness and safety of uterine artery embolization in patients with uterine leiomyoma

Uterine artery embolization (UAE) is a highly effective minimally invasive method for treating patients with symptomatic uterine leiomyoma, which becomes more popular between those refusing hysterectomy and conservative myomectomy for a number of reasons, including unrealized fertility. Some issues of UAE effectiveness and safety are still being investigated: optimization of method in order to guarantee radiation safety, extension of indications for UAE, recurrence risk prediction, choice of tactics according to individual anatomy of local blood supply, fertility impact assessment. The results of investigations demonstrate safety and high efficacy of UAE in the treatment of symptomatic uterine leiomyoma on condition that modern techniques of procedure optimization and an individualized approach to the selection and treatment of patients are used.