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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

8 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

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  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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