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Tuesday, November 4, 2014

Robot-assisted fibroid embolization

Researchers from London, UK have recently published their early experience with the Magellan robotic catheter for use during uterine artery embolization. The 9-French outer diameter system has a multidirectional bending 6-F leading catheter that is used to catheterize vessels while the operator is seated in the control room, away from ionizing radiation. Where I trained we had something like this, but we were called “fellows” and not “robots.”

The system was used in 5 women with heavy bleeding during menstruation, four of which had fibroids and one that had adenomyosis. All procedures were technically successful and without major or access site complications. Median procedure time in this study was no different than previously published times, but median fluoroscopy time compared favorably to that in the literature for the conventional technique. Based on this early experience, the authors conclude that the use of the Magellan system in uterine artery embolization is feasible and safe.

However, don’t rush to throw your apron into the trash. Although the system can accept a microcatheter in place of a 0.035” wire, the wire manipulator is not currently compatible with microcatheters. So, if you get this system in your angiosuite sometime soon, you’ll still have get up and steer the microcatheter the old-fashioned way . . . or get your fellow to do it.


Click here to see the full abstract




The Magellan workstation




(a, b) The SmartMask function was employed to facilitate cannulation of the right internal iliac artery. Fine movements of the leader tip were then used to direct the microcatheter into the uterine artery.


Citation: Rolls, A. E. et al. Robot-Assisted Uterine Artery Embolization: A First-in-Woman Safety Evaluation of the Magellan System. Journal of Vascular and Interventional Radiology (2014). doi:doi: 10.1016/j.jvir.2014.05.022


Post author: Amish Patel, MD

14 comments:

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  4. I am excited to share this testimony, I was 3 years ago diagnosed of fibroid and complicated Endometriosis. My medical condition was heart broken because it was causing my menstrual cramps,bloating before menstrual periods,lower abdominal pressure which result to heavy periods. I was subjected to different medications by my doctor for treatment such as Coenzyme Q10,ibuprofen, Danazol and many more. Despite my visit to several doctors my health wasn't getting better, all they could say was surgery. At the verge of giving up, I went to the internet to search for a treatment at least. But I found a cure instead. In the internet, I read a testimony of a lady who had Fibroid. She shared an e-mail address of the Doctor. Luckily everything seemed to be okay after I took the Herbal Medicine. I wish I could say that’s the end of it because I haven't had any symptoms since then.
    Do not expose yourself to more danger, use a herbal remedy that is safe and effective. If interested contact him via email address drblainewalter@gmail.com.






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  5. I have large uterine fibroid and multiple fibroid all over my womb (womb measures 15cm). I had a uterine fibroid embolisation in April last year. Before this treatment my womb measured 23cm. I still suffer every month with period pain, large blood clots and heavy bleeding. I was wondering if i would ever be okay,i try medications on hospital,the fibriod stay remain the same,my husband how has been taking care of me before abandon me,because i was unable to get pregnant for him,i was praying to God to help me out,i was chatting on facebook i sure a link,of a testimony of a man,on how Dr Ebhota help him to cure her wife fibriod,with his herbal medication,for over 6 years,after dr Ebhota treatment her wife got conceive with in two months,that was how i make up my mind to contact him,when i contact him there was no respond for two days,i was waiting for his respond,the third day he respond to me,that was how i explain every thing to him,that was how we make am agreement on how to purchase the herb,the following week of it,he send the herb to me,he gave me instruction on how i am going to be drinking the herbal potion,for 21 day,after the herb got finish,i went to met my doctor in hospital,with the doctor report shows that the fibriod has finally reduces to 3cm,immediately i call Dr Ebhota with happiness and send the cope of the result test to him,after that he also send a fertility herb to me,i am so happy,i am 3 month pregnant now,for any one out there that is passing true this problem should call him,+2349035324155 or email ,drebhota123456@gmail.com,Dr Ebhota God we always empower you and bless you to do your good work to people

    ReplyDelete
  6. MY NAME IS NITA.

    Dr Williams,herbal treatment is the best to shrink fibroid naturally.

    Four months ago, I was scheduled an operation to remove a fairly large uterine fibroid (approx. 8 cm), which had caused me a great deal of pelvic pain and pressure on my bladder. My doctor insisted that there was no other choice but to go under the knife and I had reluctantly agreed (after trying several medications to decrease the size of the fibroid to no avail). It was approx. 2 months prior to the surgery when my husband comes across dr williams herbal remedies which my husband found and ordered for me online. With the help of my loving husband, I followed the step and procedure on how i should be taking it. and one months later I was scheduled for an ultrasound check: it was shocking. The fibroid had completely gone, I had consulted my doctor and cancelled the surgery and with your dedicated counseling guidance I managed to completely treat the fibroid from my uterus, along with the pain and anxiety that this condition had inflicted on me. Thank you so much for your kind help,any body with similar problem should contact him on his email address drwilliams098675@gmail.com his a good man

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  7. What a great and inspiring story! I was married for seven years without any child, because of this my husband start acting strange, coming home lately and not spending time with me any more and he divorced me. So i became very sad and lost in life because my doctor told me there is no way for me to get pregnant this really make life miserable for me. until i came across a friend who told me about Baba Alika from the Internet, how he has helped a lot of women with this similar problems that i am going through so i contacted him on: (babaalikahealinghome@yahoo.com) and explained to him. he told me all what to provide before he could cast a reunite spell to bring back my husband which i did and he sent a powerful prayer which i had to say at mid night while he cast the love spell. It was a miracle, 24 hours later my one and only husband came back to me and apologize for all he has done and told me he is fully ready to support me in any thing i want,i quickly call Baba Alika and told him what was going on at that moment, and he also prepared and sent me a herbal medicine which he said it will cure every unwanted diseases or infections that has been stopping me from conceiving then instructed me on how to use it before meeting with my husband. Behold after using this native herbs and root, few weeks later i started feeling pregnancy signs all over me, truly i was pregnant i just gave birth to twins (boys) on the 1st of this month. I Vow to let the whole world know about Baba Alika for saving my relationship and for also giving me children i can proudly call my own today. For any woman who think it impossible, here is an opportunity for you to smile and bring happiness to your family kindly contact Baba Alika via Email on: (babaalikahealinghome@yahoo.com). Indeed, he is a God sent to bring back lost lovers and bring you happiness...

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  8. Searching for natural ways to get rid of my fibroid was not easy. I saw several advertisements of all kinds of treatments to shrink fibroid. I was a little skeptical but I was desperate to get rid of the fibroid so I tried one in particular which didn’t work. I was still having heavy painful bleeding with lots of clots. I noticed that the soreness in my breast was gone, but after going for another scan, I was told that my fibroid were still there. I was so discouraged that I scheduled an appointment with my doctor to discuss other possibilities for removing the fibroid. About two months later, while surfing on the internet I saw a post on Facebook talking about how to get rid of fibroid naturally without surgery with the help of (Dr Ebhota Herbal Medicine). I was very skeptical about it. I didn’t even bother to contact the Dr Email that was written below the comment in the post. Two days later, as I sat alone in the sitting room feeling hopeless about my fibroid, I decided to go on Facebook and see if I can still access the post I saw two days earlier so i can get the Email and contact the Dr because i felt this is my only hope, thank God I was able to get it. I reluctantly gave the Dr Natural product a try and contacted him via Email ( drebhota123456@gmail.com ) …it just made sense after one week of using the herbal medicine it was like a miracle i could not hold my joy i immediately ran to the hospital for text and behold my Doctor said its no more. On September 13 of 2017, so since then I began to share Dr Ebhota testimonies and i promise to drop his Email: Drebhota123456@gmail.com and WhatsApp +2349035324155 so others can benefit from his herbal medicine.

    ReplyDelete
  9. Just wanted to say a huge thank you to Dr Williams for everything he have done in my life. I have been in tears for so many years now, having found a classic 7cm fibroid on my uterus, lesion after some years of being under extreme stress. After reading horror stories on forums I was terrified of telling my fiance, who I’ve been with for 5 years without a child of our own (great timing right?!). I was convinced will both, where thinking will can never have a child of our own without sugary which i was very afraid of, . I spent 24 hours freaking out and finally calmed down after reading some testimony on here about Dr Williams herbal medicine to fibroid. The moment came and I mumbled out to my husband about Dr Williams product (with a few tears) and he was AMAZING – . He was just worried about me been free from the heavy bleeding during my menstrual flow and the pain this fibroid have course me, after taking Dr Williams medicine for just within a period of one month. We went to the doc together who confirmed that i was fibroid free.
    Thank you again for being upfront, truthful and taking this pain away from me for more information about his product you can email him on drwilliams098675@gmail.com i hope you can also help other terrified people in a similar situation.

    ReplyDelete
  10. As a sign of gratitude for how my wife was saved from fibroid, i decided to reach out to those still suffering from this.
    My wife suffered from fibroid for more than 20 year of marriage after our first son and it was really tough and heartbreaking for me because she was my all and the symptoms were terrible, she had irregular and painful menstrual flow and the size of it was 5cm, and she always complain of stomach pain. we tried various therapies prescribed by our neurologist but none could cure her. I searched for a cure and i saw a testimony by someone who was cured and so many other with similar body problem, and she left the contact of the doctor who had the natural cure to fibroid. I never imagined fibroid has a natural cure if not surgery not until i contacted him and he assured me my wife will be fine. I got the herbal medication he recommended and my wife used it as instructed by Dr Williams, and in one months time we went to the hospital for scan and the doctor confirmed that there is no trace of fibroid and now she is fully okay, even up till this moment she is so full of life. fibroid has a cure and it is a herbal cure contact the doctor for more info on drwilliams098675@gmail.com on how to get his medication.

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  11. I am Shelley from Los Angeles,California, I want to testify on how i got cured from fibroid, I have suffered from fibroid since the year 2011 with so mush pain,that i have to spend so mush money getting pain relief in the hospital, and I have visited several doctor ,but all to no avail, my world was gradually coming to an end because of the pain during my menstrual period until i saw a post in a health forum about a herbal Dr Williams who use herbal portion in curing people from different kind of diseases including fibroid, at first i doubted if it we be able to shrink the 9cm large fibroid in my womb, but i decided to give it a try, when i contacted this herbal doctor via his email, he prepared a herbal portion and sent it to me via courier service, when i received this herbal medicine, he gave me step by step instructions on how to apply it, when i applied it as instructed, i was completely free from fibroid just for 1 months of usage,i we recommend this to all my friend family in the world today who still suffering from fibroid you can contact him through his email on drwilliams098675@gmail.com for help.

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  12. With Dr Williams herb i was completely free from fibroid.You are an amazing doctor.Matching diagnosises aside, I just want to be your friend. Lol You inspire me on a feminist level. On an intelligence level. you are a good man doing so much for mankind, level.Thank you for being you.For keeping a lot of us off the ledge of diving into sugary. For reminding us that we aren’t a fucking statistic or a status, we are still PEOPLE. With brains and personalities and jobs and lives.I’ve only been diagnosed for so many years now with fibroid, and the roller coaster of emotions is all too real.I’m sure I speak for everyone here when I say thank you. From the deepest part of my soul. THANK YOU.You give us all an indescribable level of comfort and absurdness in sharing our diagnoses and, almost a green light to continue to celebrate our lives,for you always been there.For every jerk who throws you hate, there are hundreds of us thanking the universe for you.for more information about Dr Williams product you can email him on drwillliams098675@gmail.com

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