Predictive factors for success in uterine fibroid embolisation

A search of patient and procedural variables is performed to better underst and the 10% failure rate of uterine fibroid embolisation (UFE) and what fac tors may contribute to decreased success in UFE. Statistical analysis of de mographic and procedural factors associated with UFE was performed at two s eparate centres. 300 women were treated in approximately equal numbers for menorrhagia or post menopausal bleeding at two Los Angeles hospitals, a uni versity centre and a community hospital. We did a comparison of success and failure groups by all demographic and procedural variables recorded. Both groups were statistically analysed. No demographic factors were predictive of success for UFE. Both centres had similar success rates. The pre-procedu ral total uterine volume was not associated with failure. However, pre-proc edural diameter of the largest fibroid > 8.5 cm was predicative of failure.