Iatrogenic uterine injury leading to uterine arteriovenous malformation

Chatra, Priyank S

doi:10.1016/j.radcr.2021.05.014

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…UAVMs are a rare condition that affects women of both reproductive and non-reproductive ages. Its incidence reportedly ranges from 0.1% to 2% but is expected to increase due to the rising rate of uterine manipulations, such as D&C, abortion, and C-sections [ 4 , 10 , 11 ]. UAVMs are typically identiﬁed in symptomatic, multiparous women of childbearing age and/or in nulliparous women after instrumentation.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Endovascular Management of Uterine Arteriovenous Malformations: A Single Center Experience and Case Series

Kourampi,

Jain,

Chaudhary

et al. 2024

Cureus

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Uterine arteriovenous malformations (UAVMs) are rare and abnormal entanglements of uterine arteries and veins that are potentially fatal, requiring blood transfusions in about a third of cases. Although the optimal management of the condition is not well established in the literature, surgical hysterectomy is believed to be the only definitive treatment for arteriovenous malformations. We present three cases of UAVMs treated by a minimally invasive endovascular approach. Chief complaints were heavy menstrual bleeding and sudden onset heavy bleeding. The diagnosis was confirmed by computed tomography imaging and angiography of the pelvic vessels. Uterine artery embolization (UAE) was performed in all patients. The follow-up period was uneventful. In our experience, the UAE provides satisfactory results in terms of success rates, complications, and short hospital stays.

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Section: Discussionmentioning

confidence: 99%

Minimally Invasive Endovascular Management of Uterine Arteriovenous Malformations: A Single Center Experience and Case Series

Kourampi,

Jain,

Chaudhary

et al. 2024

Cureus

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“…They are caused by reactive angiogenesis, which occurs secondary to dilatation and curettage (D&C), uterine surgery, therapeutic abortion, gestational trophoblastic neoplasia, infection, direct trauma, and gynecological malignancies most commonly. In recent years, the incidence has increased due to increased uterine instrumentation and cesarean sections [ 2 ]. The International Society for the Study of Vascular Anomalies (ISSVA) classifies these lesions as high-flow vascular malformations [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Uterine Artery Embolization of Uterine Arteriovenous Malformation: A Systematic Review of Success Rate, Complications, and Posterior Pregnancy Outcomes

Ruiz-Labarta

Recarte

Leyte

et al. 2022

JPM

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Uterine Arteriovenous Malformation (UAVM) is a rare but life-threating cause of uterine bleeding. The clinical management of this condition is challenging, and there is a need to describe the most adequate approach for these patients. Uterine artery embolization (UAE) is the most widely-published treatment in the literature in recent years, although there is a need to update the evidence on this treatment and to compare it with other available therapies. Thus, the objective of this systematic review is to quantify the efficacy of UAE of UAVM. In addition, we evaluated the clinical context of the patients included, the treatment complications, and the pregnancy outcomes after UAE. With this goal in mind, we finally included 371 patients spread over all continents who were included in 95 studies. Our results show that, similar to other medical therapies, the global success rate after embolization treatment was 88.4%, presenting a low risk of adverse outcomes (1.8%), even in women with later pregnancy (77% had no complications). To date, this is the largest systematic review conducted in this field, although there are still some points to address in future studies. The results obtained in our study should be outlined in UAE protocols and guidelines to aid in clinical decision-making in patients with UAVM.

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Letter to the Editor: Is It Time to Replace “Arteriovenous Malformation” with “Arteriovenous–Abnormal Communication”?

Darwish

Shawki

2023

Journal of Gynecologic Surgery

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Iatrogenic uterine injury leading to uterine arteriovenous malformation

Cited by 3 publications

References 10 publications

Minimally Invasive Endovascular Management of Uterine Arteriovenous Malformations: A Single Center Experience and Case Series

Minimally Invasive Endovascular Management of Uterine Arteriovenous Malformations: A Single Center Experience and Case Series

Uterine Artery Embolization of Uterine Arteriovenous Malformation: A Systematic Review of Success Rate, Complications, and Posterior Pregnancy Outcomes

Letter to the Editor: Is It Time to Replace “Arteriovenous Malformation” with “Arteriovenous–Abnormal Communication”?

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