Pregnancy after embolization therapy for uterine arteriovenous malformation

Delotte, J.; Chevallier, P.; Benoit, B.; Castillon, J M; Bongain, A.

doi:10.1016/j.fertnstert.2005.06.058

Cited by 57 publications

(63 citation statements)

References 14 publications

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“…On the other hand among the patients who underwent UAE for AVM, the evidences of pregnancy after UAE for AVM are much less than those after UAE for leiomyoma. Delotte et al 17) and Vilos et al 18) reviewed total 30 cases of pregnancies following UAE for AVM and they reported that one placental previa happened but case of abruption placenta and placenta increta or accreta did not happened among these cases. The mechanism of placental abnormalities has not been reported in detail but it may be due to damage of the endometrium by UAE for leiomyoma.…”

Section: Discussionmentioning

confidence: 99%

Uterine Artery Embolization for Uterine Arteriovenous Malformation Is Associated With Placental Abnormalities in the Subsequent Pregnancy: Two Cases Report

Soeda

Kyozuka

Suzuki

et al. 2014

Fukushima J. Med. Sci.

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: Uterine arteriovenous malformation (AVM) is generally associated with uterine trauma such as dilatation and curettage, therapeutic abortion, uterine surgery and uterine malignant tumors 1) . Uterine artery embolization (UAE) is performed on patients with uterine AVM who have desire for future pregnancy 2) . Some successful pregnancies were reported after UAE for uterine AVM 5,6) , however complication during pregnancy has not been described clearly. We herein for the first time report two cases of successful pregnancy and spontaneous delivery after UAE for uterine AVM who had placenta accreta and placental abruption respectively. Although successful pregnancy is possible after UAE for AVM, placenta abnormalities have to be considered during pregnancy and after delivery.

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Section: Discussionmentioning

confidence: 99%

Uterine Artery Embolization for Uterine Arteriovenous Malformation Is Associated With Placental Abnormalities in the Subsequent Pregnancy: Two Cases Report

Soeda

Kyozuka

Suzuki

et al. 2014

Fukushima J. Med. Sci.

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“…3 retained products of conception (RPOC) and gestational trophoblastic disease (GTD). 7 UAVM can also occur concurrently with or post resolution of a spontaneous incomplete miscarriage as well as trophoblastic disease. 7 Accurate diagnosis is critical, as the treatment for RPOC and GTD (generally dilation and curettage) is contraindicated in UAVM, as there is the risk of causing massive haemorrhage and death.…”

Section: Introductionmentioning

confidence: 99%

“…7 UAVM can also occur concurrently with or post resolution of a spontaneous incomplete miscarriage as well as trophoblastic disease. 7 Accurate diagnosis is critical, as the treatment for RPOC and GTD (generally dilation and curettage) is contraindicated in UAVM, as there is the risk of causing massive haemorrhage and death. 6 UAVM are characterised by a negative Beta Human Chorionic Gonadotrophin (BHCG) value, which is usually weakly elevated in RPOC and grossly elevated with GTD.…”

Section: Introductionmentioning

confidence: 99%

“…6 UAVM are characterised by a negative Beta Human Chorionic Gonadotrophin (BHCG) value, which is usually weakly elevated in RPOC and grossly elevated with GTD. 7 RPOC, GTD, UAVM and SPB can present with vaginal blood loss or haemorrhage. 1 with RPOC and SPB exclusively occurring post pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…3 RPOC are seen on ultrasound as a focal echogenic mass in the endometrium with low resistance flow. 7 while GTD has anechoic spaces and an absence of a fetus. 1 Standard of treatment for UAVM was previously hysterectomy, current fertility preserving techniques, mainly Uterine Artery Embolisation (UAE) are becoming more widely accepted.…”

Section: Introductionmentioning

confidence: 99%

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All Is Well That Ends Well in MTP

M¹,

Shavi²

2015

jemds

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This is an important and worthwhile case to write about because it demonstrates an unusual complication of surgical termination of pregnancy captured and shown here on direct high-quality hysteroscopic video, adding evidence to the light weight of literature that recognises an association between instrumentation of the uterine cavity and acquired arteriovenous malformations (AVMs). It highlights that reserving an index of suspicion for AVM of the uterus is very important, because through treatment such women can be relieved of the devastating physical, psychological, emotional and material impacts on their quality of life that may otherwise go undiagnosed for longer. It also exhibits the use of arterial embolisation in a young lady and follow-up of such patients may impart information about the effects of such treatments on future fertility.

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Interventional Management of Vascular Malformations

Rosen

Drury

2014

Urgent Interventional Therapies

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Pregnancy after embolization therapy for uterine arteriovenous malformation

Cited by 57 publications

References 14 publications

Uterine Artery Embolization for Uterine Arteriovenous Malformation Is Associated With Placental Abnormalities in the Subsequent Pregnancy: Two Cases Report

Uterine Artery Embolization for Uterine Arteriovenous Malformation Is Associated With Placental Abnormalities in the Subsequent Pregnancy: Two Cases Report

All Is Well That Ends Well in MTP

Interventional Management of Vascular Malformations

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