History of Uterine Artery Occlusion and Subsequent Pregnancy

Burbank, Fred

doi:10.2214/ajr.08.2161

Cited by 9 publications

(7 citation statements)

References 122 publications

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“…Additionally, the influence of embolic material on the endometrium and uterine cavity has been postulated to adversely affect implantation and placentation. 23,24 Despite these concerns, none of them have been validated.…”

Section: Effects Of Embolization On Fertilitymentioning

confidence: 99%

Endovascular Treatment of Postpartum Hemorrhage

Lee

Shepherd

2010

Clinical Obstetrics &Amp; Gynecology

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Transcatheter arterial embolization is a minimally invasive intervention developed from diagnostic angiography. The evolution of endovascular techniques, including arterial embolization and the use of occlusion balloons, has established a role for the interventional radiologist in the setting of uncontrolled postpartum hemorrhage. Arterial embolization of the uterine arteries as an alternative to hysterectomy has the advantages of being a minimally invasive treatment that preserves uterus without eliminating the possibility of future surgical intervention if necessary. Although arterial embolization has progressively become a standard of care over the last 30 years, its impact on future fertility still remains controversial.

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Section: Effects Of Embolization On Fertilitymentioning

confidence: 99%

Endovascular Treatment of Postpartum Hemorrhage

Lee

Shepherd

2010

Clinical Obstetrics &Amp; Gynecology

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“…This deep invasion of EVT into uterine muscle wall is specific to primates, making it difficult to model in rodents for experimental use. However, occlusion of uterine artery induces PE-like symptoms in rodents [66]. Using this model, it has been reported that Tregs are decreased in this model, and injection of Tregs improves the PE-like symptoms [67], suggesting that Tregs may be useful for the treatment of PE.…”

Section: Immune Abnormalities In Pementioning

confidence: 85%

Pregnancy depends on a delicate balance of immune activation and regulation

et al. 2021

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It is well recognized that immune tolerance is important to prevent semiallografted fetuses from rejection by maternal immunocompetent cells; however, immune activation also plays an important role in placental development and fetal growth. Basic and clinical studies have shown that an imbalance between immune activation and regulation can lead to implantation failure, miscarriage, and preeclampsia. Here, the balance between immunostimulation and immunoregulation in reproduction will be reviewed.

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“…the blood supply to the uterus were mentioned over 120 years ago. In 1894, Kelly presented the ligation of internal iliac arteries during an oncological hysterectomy to control intractable pelvic bleeding, which at that time was a common complication after the surgical procedure 28 . Then, Sack (1973) described the effective use of the same technique in the treatment of massive postpartum hemorrhage after forceps delivery.…”

Section: Methods Of Therapeutic Vascular Occlusion and Blockingmentioning

confidence: 99%

The Lublin Protocol of the Uterine Arteries Embolization in the Treatment of Symptomatic Uterine Fibroids

Szkodziak

Pyra

Szkodziak

et al. 2020

JoVE

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Uterine fibroids are benign tumors originating from smooth muscle tissue, constituting uterine muscle stroma. Uterine fibroids are the most common benign tumors found in women. In 20%-50% of women, fibroids are asymptomatic and do not require any treatment. The main symptoms of uterine fibroids are profuse menstrual bleeding, abnormal uterine bleeding, and pressure symptoms. Pressure symptoms can cause pelvic pain syndrome, urination disorders, and constipation. The treatment methods that are currently used include surgical treatment, pharmacological therapy, and minimally invasive procedures. The most commonly applied minimally invasive method is the embolization of uterine arteries. This procedure is currently a widely accepted method of treatment for symptomatic uterine fibroids and has been recognized as such by the National Institute for Health and Clinical Excellence in the guidelines for heavy menstrual bleeding. This is a complicated procedure and requires close cooperation between gynecologists and interventional radiologists. We present a protocol applicable to uterine artery embolization in the treatment of symptomatic uterine fibroids. The protocol is divided into five section. The first two section are intended for gynecologists and interventional radiologists, explaining how to qualify and prepare a patient for embolization in a step-by-step manner. Section three, which is directed at interventional radiologists, explains how embolization should be done. Section four is directed at gynecologists or hospital ward doctors who look after the patients after embolization. This section of the protocol offers a method for treating postembolization pain using the Patient Controlled Analgesia (PCA) pump. Section five completes the procedure with an assessment of the effects and late complications of uterine artery embolization.

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History of Uterine Artery Occlusion and Subsequent Pregnancy

Abstract: In the long run, placental abnormalities may be the canary in the mine shaft to globally judge the effect of uterine artery embolization on pregnancy.

Cited by 9 publications

References 122 publications

Endovascular Treatment of Postpartum Hemorrhage

Endovascular Treatment of Postpartum Hemorrhage

Pregnancy depends on a delicate balance of immune activation and regulation

The Lublin Protocol of the Uterine Arteries Embolization in the Treatment of Symptomatic Uterine Fibroids

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