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Uterine Artery Embolization

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Low (10-50 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : No
Blocks : Superior Hypogastric Plexus
Considerations : Off-site, Fluoroscopy / Xray, PONV

Anesthetic Approaches

1MAC, Conscious Sedation
2MAC, Propofol Drip
3Local Anesthetic
The Surgery

Femoral or radial access - a sheath is placed and a catheter advanced into the aorta, then down into the internal iliac artery on one side. Selective uterine catheterization - the uterine artery is...

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