Effect of Uterine Artery Embolization on Uterine and Leiomyoma Perfusion: Evidence of Transient Myometrial Ischemia on Magnetic Resonance Imaging

Limited bilateral UAE leads to transient uterine ischemia, particularly involving the endometrium and inner and middle zone of the myometrium of the uterine body and fundus. The cervix and subserosal layer are spared. Complete reperfusion of myometrial tissue is observed within 48-72 hours in most cases, whereas ischemic leiomyomas undergo irreversible infarction.