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Uterine Fibroid Embolization (UFE): Empowering Women with Effective Treatment Options

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Uterine fibroids are a common condition affecting many women worldwide, leading to symptoms like heavy menstrual bleeding, pelvic pain, urinary frequency and more. At EndoVascular Consultants, we're dedicated to providing advanced treatment options like Uterine Fibroid Embolization (UFE) that offer relief without the need for major surgery.

Understanding Uterine Fibroids

Uterine fibroids are benign tumors that form in or around the uterus. While they are not usually dangerous, they can cause significant discomfort and disrupt daily life. Symptoms may include unpredictable menstrual cycles, heavy bleeding, and pelvic pain.

The UFE Solution

UFE is a minimally invasive procedure performed by a skilled interventional radiologist. Through a tiny incision, a catheter delivers particles to block the blood vessels feeding the fibroids, causing them to shrink. UFE offers over a 90% patient satisfaction rate and is an effective alternative to hysterectomy.

Why Choose EndoVascular Consultants for Your UFE?

At EVC, your health and comfort are our utmost priorities. Our team, led by Dr. Mark Garcia, brings over two decades of specialized experience in interventional radiology to your care. We're committed to empowering women by enhancing their health options and providing comprehensive support through every step of their treatment journey.

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About Dr. Mark Garcia

Mark J. Garcia, MD, FSIR, FACR

Dr. Mark Garcia, founder and medical director of EndoVascular Consultants, is a world-renowned interventional radiologist with over 25 years of experience. His leadership roles have included Chief of Interventional Radiology, Medical Director of the Peripheral Labs at the Heart & Vascular Center, Medical Director of the Center for Comprehensive Venous Health at Christiana Care and Chief Medical Officer positions at Merit Medical Systems, Vesper Medical and American Vascular Associates. Dr. Garcia's expertise, reflected in his contribution to clinical trials and national/international speaking engagements, underscores EVC's commitment to delivering advanced vascular care. His dedication to enhancing patient well-being through innovative treatments makes Dr. Garcia a trusted figure in vascular health.

  • Can you fix varicose veins on your own?
    While lifestyle changes, such as exercise and wearing compression stockings, can help manage symptoms, they cannot fix varicose veins. Professional medical treatments are necessary to effectively treat varicose veins.
  • Does massage help varicose veins?
    Gentle massage can help alleviate discomfort from varicose veins by improving circulation, but it's important to avoid direct pressure on the veins. Professional guidance is recommended.
  • What not to eat for varicose veins?
    Foods high in salt and sodium can exacerbate swelling associated with varicose veins. It's best to limit these and focus on a balanced diet rich in fiber, antioxidants, and flavonoids.
  • Is it worth getting varicose veins removed?
    Yes, treating and potentially removing varicose veins is worth considering to prevent complications, relieve symptoms, and improve the cosmetic appearance of your legs.
  • What's the best treatment for varicose veins?
    The best treatment for varicose veins varies depending on the severity of the condition, but commonly includes minimally invasive procedures like sclerotherapy, laser ablation, and radiofrequency ablation. These treatments are effective, require minimal downtime, and can significantly improve symptoms and appearance.
  • Is walking a lot good for varicose veins?
    Yes, walking is beneficial for varicose veins. It improves blood circulation in the legs, helping to reduce symptoms and prevent worsening of the condition.
  • Does drinking water help varicose veins?
    Staying hydrated can help with blood circulation, which is beneficial for overall vein health. However, it's not a cure for varicose veins but part of a healthy lifestyle to manage symptoms.
  • Is it OK to leave varicose veins untreated?
    Leaving varicose veins untreated can lead to complications like pain, swelling, and skin changes. In severe cases, it can cause ulcers or blood clots. Seeking treatment can prevent these complications.
  • What not to do with varicose veins?
    Avoid prolonged standing or sitting, wearing high heels, and crossing your legs, as these can worsen varicose vein symptoms. Also, avoid self-treating with supplements or creams without consulting a healthcare provider.
  • How do I heal my varicose veins naturally?
    While natural remedies, such as maintaining a healthy weight, exercising, and using compression stockings, can help alleviate symptoms of varicose veins, they do not heal varicose veins. Medical treatments are necessary for significant improvement.
  • What is the quickest way to get rid of varicose veins?
    Minimally invasive procedures like sclerotherapy and laser treatments are among the quickest ways to get rid of varicose veins, offering rapid results and recovery compared to surgical options.
  • Do varicose veins in legs go away?
    Varicose veins do not go away on their own. While symptoms can be managed with conservative measures, medical treatments are required to remove or significantly reduce varicose veins.
  • What lifestyle changes are important for PAD patients?
    Avoiding smoking, staying active, and managing underlying health conditions such as diabetic sugar control are crucial. Our Delaware team is here to support you with personalized advice and care plans.
  • Can you describe the progression of PAD?
    PAD progresses through four stages, from being asymptomatic to experiencing pain during physical activities, pain at rest, and eventually, critical limb ischemia. Our Delaware team is dedicated to early detection and management to keep you moving comfortably at every stage.
  • What is the rate of PAD progression?
    The progression rate of PAD varies, but lifestyle changes and treatment plans, including those offered by our Delaware team, can slow its advance, helping you maintain an active and fulfilling life.
  • Is it possible to manage PAD symptoms through exercise?
    Yes, exercise is usually the initial phase of treatment and a key component of managing PAD. In Delaware, we support our patients with supervised exercise programs tailored to improve circulation and reduce discomfort.
  • How does PAD affect the appearance of legs?
    PAD can lead to changes like paler or bluish skin, shiny or thinning skin, loss of leg hair, reduced hair growth, and in more advanced stages, ulcers or gangrene. Our Delaware care team is here to offer treatments that can help manage these symptoms and improve your leg health.
  • How should PAD patients adjust their sleeping positions?
    Finding a comfortable sleeping position that promotes circulation in your legs, can help. Our team in Delaware can offer personalized recommendations to improve your rest and overall well-being.
  • What is the main risk for PAD patients?
    Cardiovascular disease is a significant risk for individuals with PAD, emphasizing the importance of comprehensive care and monitoring, which our Delaware specialists are uniquely positioned to provide.
  • What does the end stage of peripheral artery disease look like?
    In its most severe form, PAD can lead to critical limb ischemia (CLI), where reduced blood flow causes severe pain, non-healing wounds, and even the risk of gangrene and losing a limb. In Delaware, our specialists are equipped with the latest advancements to prevent reaching this stage, focusing on early intervention and personalized care plans.
  • What are early signs of PAD?
    Early signs include leg pain or cramps during activity that resolve with rest, numbness, or a noticeable temperature difference between legs. Recognizing these signs early and consulting with our Delaware PAD specialists can make a significant difference in your treatment outcome.
  • What is the life expectancy of a person with PAD in Delaware?
    The life expectancy for someone with PAD in Delaware can vary, influenced by factors like disease management, lifestyle, and the quality of care. With the right approach, including the expert care available in Delaware, individuals can manage their PAD effectively, leading to a significantly improved quality of life.
  • Can Delaware residents with PAD lead long lives?
    Absolutely. With early detection, proper management, and the supportive care available in Delaware, individuals with PAD can enjoy a long, active life. Our team at EndoVascular Consultants is here to walk with you on this journey, providing the care and connection you need. We understand the concerns and fears that come with PAD and possible limb-loss. Our Delaware-based team is not just focused on treatments but on building real, caring relationships with our patients, ensuring you feel supported, informed, and cared for every step of the way.
  • What are urgent signs of PAD to look out for?
    If you notice persistent leg pain, wounds that won't heal, or a significant temperature difference in your legs, it's crucial to seek care immediately without delay from our Delaware vascular care team at EVC. These signs can indicate advancing PAD, requiring prompt attention.
  • How quickly do fibroids shrink after UFE?
    Fibroids typically begin to shrink within the first few weeks to a month after UFE, with significant improvement often observed within 3 months.
  • What not to do after embolization?
    After UFE, it's recommended to avoid strenuous activities and heavy lifting for a short period, usually 7-14 days, to allow for proper healing.
  • Why does UFE cause early menopause in some cases?
    In rare instances, UFE may disrupt the ovarian function leading to early menopause, most commonly in women closer to menopausal age.
  • Does UFE affect hormones?
    UFE targets the fibroids specifically and does not typically affect the overall hormonal balance of the body.
  • Can UFE cause depression?
    There's no direct link between UFE and depression; however, changes in physical health and the stress of medical procedures can affect mental well-being.
  • Who is an ideal candidate for UFE?
    Ideal candidates are women experiencing symptoms from uterine fibroids who prefer a non-surgical treatment option or are seeking alternatives to hysterectomy.
  • What is Uterine Fibroid Embolization (UFE)?
    UFE is a minimally invasive procedure aimed at treating uterine fibroids by blocking the blood vessels that feed them, leading to their shrinkage and symptom relief.
  • When is UFE not recommended?
    UFE may not be recommended for women who are pregnant, planning to become pregnant, or have certain pelvic infections or malignancies.
  • Do fibroids fall out after UFE?
    Fibroids do not "fall out" but rather shrink and may be reabsorbed by the body over time after their blood supply is cut off through UFE.
  • What happens to the beads after UFE?
    The embolic particles used in UFE remain in the uterine arteries to ensure the fibroids do not receive blood flow, causing them to shrink and symptoms to alleviate. These particles typically dissolve after 6 months.
  • What are the 5 warning signs of a blood clot?
    The five warning signs include swelling, pain or tenderness, skin that is warm to the touch, redness or discoloration, and difficulty breathing if the clot has moved to the lungs.
  • What not to do with deep vein thrombosis?
    If you have DVT, avoid sitting or standing still for long periods, wearing restrictive clothing, and smoking. Also, consult your doctor before taking any new medications, including over-the-counter drugs.
  • What are 3 signs of DVT?
    Three common signs of DVT include swelling, pain or tenderness in the leg, often described as a cramp or soreness, and red or discolored skin on the affected leg.
  • What is the best treatment for deep vein thrombosis?
    The most effective treatment for DVT usually involves anticoagulant medications, also known as blood thinners, which prevent the clot from growing and reduce the risk of further clotting. In certain cases, more invasive treatments, such as clot-busting drugs, filters, or even minimally-invasive surgery, might be necessary. Treatment plans are tailored to each individual's specific circumstances and health needs.
  • How can I check if I have DVT at home?
    While you can't diagnose DVT with certainty at home, you can look for symptoms such as swelling, pain, redness, or warmth in one leg. If these symptoms are present, it's crucial to seek medical evaluation promptly.
  • What is the first line treatment for deep vein thrombosis?
    Anticoagulant therapy is the first line of treatment for DVT. These medications, which include warfarin, heparin, and newer oral anticoagulants such as Xarelto or Eliquis, work by thinning the blood to prevent clots from enlarging and new clots from forming.
  • What is the best sleeping position to prevent blood clots?
    Sleeping with your legs slightly elevated can help improve blood flow out of the leg and back to the heart, thus reducing the risk of clotting. Use pillows under your legs to achieve a comfortable position that elevates your legs above the level of your heart.
  • How long can you have a DVT in your leg without knowing?
    It's possible to have DVT without noticing any symptoms for days, weeks, or even longer. Silent DVTs, where symptoms are minimal or absent, can still pose significant risks if left untreated.
  • Should I sleep with my leg elevated with a DVT?
    Yes, sleeping with the affected leg elevated can help reduce swelling and improve blood circulation, which is beneficial for those with DVT. Use pillows to comfortably elevate your leg while sleeping.
  • Can deep vein thrombosis go away on its own?
    While clots can sometimes dissolve on their own, larger clots may require medical treatment to prevent serious complications. It's essential to seek professional advice if DVT is suspected.
  • Should you walk if you have a DVT in your leg?
    Walking is not only safe but recommended for most people with DVT, as it can help circulate blood and reduce swelling and discomfort. However, always follow the guidance of your healthcare provider.
  • What does the beginning of a DVT feel like?
    The onset of DVT may feel like a muscle pull or soreness in the calf or thigh, often accompanied by swelling or warmth in the area. Some individuals might also notice a reddish or bluish tint to the skin.
  • Should I take aspirin if I think I have a blood clot?
    Aspirin is not typically recommended as a treatment for DVT without professional advice. If you suspect a blood clot, consult a healthcare provider for an appropriate evaluation and treatment plan.
  • How long does deep vein thrombosis take to heal?
    The healing time for DVT varies from person to person, depending on the size of the clot, location, treatment method, and overall health. While symptoms may improve within days to weeks of starting treatment, the clot itself may take months to completely resolve.
  • What are the silent signs of DVT?
    Silent signs of DVT might include minor swelling, slight pain or discomfort, or even just a feeling of warmth in the leg. Because these symptoms can be easily overlooked, regular check-ups are important, especially for those at higher risk.
  • How can I find out if GAE is right for me?
    To determine if you're a candidate for GAE, contact EndoVascular Consultants at 302-760-9002 to schedule a consultation..
  • What conditions may disqualify someone from receiving GAE?
    Disqualifying conditions include advanced arthritis visible on x-ray, infection or malignancy in the knee, or being a suitable candidate for knee replacement surgery.
  • What does the GAE procedure involve?
    Performed under moderate sedation, GAE involves inserting a small catheter into the arteries supplying the knee's lining and injecting tiny particles to reduce the abnormal blood supply, thus alleviating pain. The procedure usually takes less than an hour and is an outpatient service.
  • What is GAE and how does it help with knee pain?
    Ideal candidates are individuals aged 40 to 80 with moderate to severe knee pain due to osteoarthritis, who have not seen improvement with conservative therapies like NSAIDs, physical therapy, or knee injections, and are seeking alternatives to knee replacement surgery.
  • What are the success rates of GAE?
    Patients typically experience significant pain relief, with average pain scores reducing from eight out of ten to three within the first week post-procedure, indicating a high success rate in symptom management. The technical success of the procedure is greater than 95%.
  • How long does the relief from GAE last?
    The duration of relief varies, with many patients experiencing reduced pain for several months to years, depending on individual health factors and the severity of osteoarthritis.
  • Does insurance cover the GAE procedure?
    Coverage varies by provider. Patients should consult their insurance to determine if GAE is covered under their plan.
  • Can GAE treat the underlying cause of knee osteoarthritis?
    While GAE effectively reduces inflammation and pain associated with osteoarthritis, it does not treat the underlying cartilage destruction. It is primarily a symptom management treatment.
  • Are there any risks or side effects associated with GAE?
    While GAE is generally safe, risks may include minor site infection, bruising, skin ulcer or allergic reactions to the embolic material. Serious complications are rare.
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Contact Us

Ready to explore how UFE can improve your quality of life? Contact EndoVascular Consultants today to schedule your consultation. Let us help you take the first step towards relief and empowerment

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