The evaluation of the microcirculatory blood flow during uterine artery embolization by the method of capillaroscopy

This study describes the types of microcirculatory reaction in women with clinical manifestations of the postembolization syndrome after treatment of uterine fibromyoma by uterine artery embolization. A computerized capillaroscopy of the 3rd finger nail bed was conducted in 78 women with uterine myoma who were admitted to the gynecological department for treatment with the minimally invasive endovascular embolization of the uterine arteries. The study of the microvasculature of the nail bed was used as a method for assessing the microcirculatory blood flow in the body as a whole in patients in the postoperative period. The study of microcirculation was performed in dynamics before uterine artery embolization and after. In 96% of patients in the postoperative period, a postembolization syndrome of varying severity occurred, in which the patients were divided into 3 groups. According to capillaroscopy data, a preliminary conclusion can be made about the presence of certain changes in microcirculation indices in dynamics depending on the severity of the postembolization syndrome. The capillaroscopy method allows for the in vivo study of microcirculation, to investigate the reactivity of vascular units, depending on the severity of the development of symptoms in the postoperative period in patients.