Enhanced myometrial vascularity: tailored superselective flow-reduction uterine artery embolization for fertility preservation
Year: 2026
Type: article
Abstract: Enhanced myometrial vascularity (EMV) is a rare, pregnancy-related hypervascular condition that can cause persistent uterine bleeding and is frequently misinterpreted as an arteriovenous malformation. Women undergoing assisted reproduction who developed symptomatic EMV after miscarriage or uterine instrumentation. Superselective flow-reduction uterine artery embolization (UAE) was performed using 2.0-2.4 F microcatheters with individualized embolic selection, microspheres for diffuse thin-walled vessels and coils or NBCA for discrete feeders. The goal was targeted flow reduction while preserving global uterine perfusion. All patients experienced complete bleeding resolution, preserved uterine morphology, and subsequently achieved successful conception through assisted reproduction. These findings support tailored, fertilitypreserving UAE as a safe and effective management strategy for symptomatic EMV.
Source: CVIR Endovascular
Language: English
Subfield: Obstetrics and Gynecology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,590
Funders: National Bar Institute, Hungarian Research Network, Patient-Centered Outcomes Research Institute, Wellcome Trust, Graduate Innovative Special Fund Projects of Jiangxi Province, Sysmex Corporation, National Research Foundation of Ukraine, Korea Disease Control and Prevention Agency, National Institute for Health and Care Research, Leverhulme Trust, Diabetes UK, Deutsche Forschungsgemeinschaft, National Natural Science Foundation of China, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, King Saud University, Inje University, Bayerische Forschungsstiftung, Fondation pour la Recherche Médicale, Natural Science Foundation of Guangdong Province, Hungarian Scientific Research Fund, Korea Health Industry Development Institute, Natural Science Foundation of Hubei Province, Princess Nourah Bint Abdulrahman University, Senko Medical Instrument Manufacturing Company, Vetenskapsrådet, China Medical University Hospital, China Scholarship Council, Sichuan University, Kobayashi Foundation for Cancer Research, Ministry of Education and Science of Ukraine, Eva Luise und Horst Köhler Stiftung, Jeju National University Hospital, Interdisziplinäres Zentrum für Klinische Forschung, Universitätsklinikum Würzburg, Provincial Secretariat for Higher Education and Scientific Research, Autonomous Province of Vojvodina, Prince Charles Hospital Foundation, Natural Science Foundation for Young Scientists of Shanxi Province, Bayerisches Staatsministerium für Wissenschaft und Kunst, National Institutes of Health, University at Buffalo, Natural Sciences and Engineering Research Council of Canada, Social Sciences and Humanities Research Council of Canada, Engineering and Physical Sciences Research Council, Japan Society for the Promotion of Science, Natural Science Foundation of Shaanxi Provincial Department of Education, National Key Research and Development Program of China, Beijing Science and Technology Planning Project, National Science Fund for Distinguished Young Scholars, Shengjing Hospital, Office of Naval Research, National Institute of General Medical Sciences, National Institute of Diabetes and Digestive and Kidney Diseases, Leibniz-Institut für Pflanzengenetik und Kulturpflanzenforschung, H2020 European Research Council, Natural Science Foundation of Zhejiang Province, European Research Executive Agency, Intramural Research Program, Yellow Barn
OpenAlex ID: W7154957465