Enhanced myometrial vascularity: tailored superselective flow-reduction uterine artery embolization for fertility preservation

Vinicius Adami Vayego Fornazari; Gloria Maria Salazar; Gustavo Henrique Vieira Andrade; Thiago Franchi Nunes; Joaquim Mauricio Motta-Leal-Filho; Renato Abu Hana; Dherraj Reddy Goppireddy; Grit Armstrong Adler

doi:10.1186/s42155-026-00679-7

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Enhanced myometrial vascularity: tailored superselective flow-reduction uterine artery embolization for fertility preservation

Journal article

Open access

Peer reviewed

Enhanced myometrial vascularity: tailored superselective flow-reduction uterine artery embolization for fertility preservation

Vinicius Adami Vayego Fornazari, Gloria Maria Salazar, Gustavo Henrique Vieira Andrade, Thiago Franchi Nunes, Joaquim Mauricio Motta-Leal-Filho, Renato Abu Hana, Dherraj Reddy Goppireddy and Grit Armstrong Adler

CVIR endovascular, Vol.9(1), 44

04/20/2026

DOI: 10.1186/s42155-026-00679-7

PMID: 42008086

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Abstract

Enhanced myometrial vascularity (EMV) is a rare, pregnancy-related hypervascular condition that can cause persistent uterine bleeding and is frequently misinterpreted as an arteriovenous malformation. Women undergoing assisted reproduction who developed symptomatic EMV after miscarriage or uterine instrumentation. Superselective flow-reduction uterine artery embolization (UAE) was performed using 2.0-2.4 F microcatheters with individualized embolic selection, microspheres for diffuse thin-walled vessels and coils or NBCA for discrete feeders. The goal was targeted flow reduction while preserving global uterine perfusion. All patients experienced complete bleeding resolution, preserved uterine morphology, and subsequently achieved successful conception through assisted reproduction. These findings support tailored, fertilitypreserving UAE as a safe and effective management strategy for symptomatic EMV.

Fertility preservation

Abnormal uterine

Embolization

Enhanced myometrial vascularity

Reproductive-age women

Superselective

Uterine artery embolization

Bleeding

Details

Title: Subtitle: Enhanced myometrial vascularity: tailored superselective flow-reduction uterine artery embolization for fertility preservation
Creators: Vinicius Adami Vayego Fornazari - Jacksonville University
Gloria Maria Salazar - University of North Carolina at Chapel Hill
Gustavo Henrique Vieira Andrade - University of Iowa
Thiago Franchi Nunes - Society of Interventional Radiology
Joaquim Mauricio Motta-Leal-Filho - Universidade de São Paulo
Renato Abu Hana - University of Florida
Dherraj Reddy Goppireddy - Jacksonville University
Grit Armstrong Adler - Jacksonville University
Resource Type: Journal article
Publication Details: CVIR endovascular, Vol.9(1), 44
DOI: 10.1186/s42155-026-00679-7
PMID: 42008086
ISSN: 2520-8934
eISSN: 2520-8934
Publisher: Springer Nature
Language: English
Date published: 04/20/2026
Academic Unit: Radiology
Record Identifier: 9985154892102771

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