Tushar Garg, MD Profile picture
Jul 30, 2020 8 tweets 4 min read Read on X
#FEMMEtrial @NEJM @SIRspecialists: Myomectomy resulted in a significantly better quality of life and lower symptom severity than uterine-artery embolization, although both procedures resulted in substantial improvement as compared with baseline. (1/n) Image
The mean scores on the health-related quality-of-life domain of the UFS-QOL questionnaire at 2 years were substantially higher than the baseline scores in both groups, but the magnitude of improvement was greater in the myomectomy group than in the UFE group (2/n) Image
The median length of hospital stay was 2 days (interquartile range, 2 to 3) for the uterine-artery embolization group and 4 days (interquartile range, 3 to 5) for the myomectomy group. (3/n) Image
The total number of complications in myomectomy group were 50 vs 29 in UFE group (4/n) Image
9 women (8%) in the uterine-artery embolization group and 5 women (4%) in the myomectomy group reported a pregnancy within 2 years after randomization; there were 6 live births in the uterine-artery embolization group and 4 live births in the myomectomy group. (5/n) Image
At 2 years, 93% women indicated that they would recommend myomectomy to a friend was 93% and 84% in indicated to recommend UFE, whereas the percentages of women who indicated that they would be willing to undergo the procedure again were 78% and 74%, respectively. (6/n) Image
Additional fibroid-related procedures were performed in 18 women (16%) in UFE group vs 8 women (7%) in myomectomy group (7/7) Image

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More from @gargtushark

Apr 16, 2022
What are the short-term effects of #vaping and #tobacco #smoke on lung ventilation and perfusion?

Inspired from a recent study in @radiology_rsna by Nyilas, Bauman et al. pubs.rsna.org/doi/10.1148/ra…

#tweetorial thread 👇
BACKGROUND:

Randomized control trials suggest that #vaping
can effectively support #smoking cessation.

What is the effect of #vaping on airway inflammation and airway resistance?
Answer: It has been shown that after 5 minutes of vaping the airway inflammation and airway resistance increases⬆️

physoc.onlinelibrary.wiley.com/doi/10.1113/JP…

sciencedirect.com/science/articl…
Read 17 tweets
Dec 25, 2019
Finally got the time to read this excellent study by @SandeepBaglaMD @RPiechowiakDO @AriIsaacsonMD in @JVIRmedia: "Genicular Artery Embolization for the Treatment of Knee Pain Secondary to Osteoarthritis" (jvir.org/article/S1051-…) (1/8)
Need for alternate to medical therapy: Long term complications, including liver dysfunction, renal dysfunction, gastrointestinal ulceration, and opiate addiction.

Why now? Recently discovered chronic inflammatory component causing synovial angiogenesis (2/8) https://www.ncbi.nlm.nih.go...
First description? Okuno et al. : Cumulative clinical success rates at 6 months and 3 years after embolization were 86.3% and 79.8% respectively.

Goal? Evaluate the safety and clinical outcomes of GAE using a permanent embolic agent in a U.S. population (3/8) Image
Read 8 tweets

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