This paper describes a method of uterine artery embolisation (UAE) using bi
lateral femoral artery punctures and two separate catheters for selective c
atheterisation of the uterine arteries. Bilateral uterine artery catheteris
ation was performed from the contralateral common femoral arteries. The two
catheters are placed within the uterine arteries prior to arteriography. S
imultaneous arteriography was performed before and after embolisation. In s
ome cases, simultaneous embolisation was performed by separate physician op
erators. To date, 115 patients have been treated. The first four had unilat
eral femoral puncture. All the subsequent patients were treated with bilate
ral femoral puncture. The embolisation was successful bilaterally in 113 pa
tients. Unilateral embolisation was successful in one patient, with only on
e patent uterine vessel. The procedure failed in one patient, despite paten
t uterine arteries bilaterally. A total of 226 femoral punctures were used
in this group of patients. There were no puncture-site complications. We co
nclude that bilateral femoral puncture as a method of UAE is an effective a
lternative approach that may have distinct advantages over unilateral punct
ure.