Successful pregnancy following two uterine artery embolisation procedures for arteriovenous malformation

Amagada, J O; Karanjgaokar, V.; Wood, Andrew; Wiener, J. J.

doi:10.1080/01443610310001627164

Cited by 16 publications

(12 citation statements)

References 6 publications

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“…According to our study, the use of gelfoam pledgets without the complementary use of any other embolic material seems effective in the resolution of acquired uterine AVMs. In addition, a three- to five-week duration of occlusion after bilateral UAE using gelfoam pledgets seemed sufficient to prevent further bleeding while still permitting the slow development of various collateral vasculature, thereby preventing ischemia 6,13,14,29,30. Menstrual cycles were restored within two months in all patients with clinically successful outcome.…”

Section: Discussionmentioning

confidence: 88%

Management of Bleeding Uterine Arteriovenous Malformation with Bilateral Uterine Artery Embolization

et al. 2014

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PurposeTo evaluate the technical feasibility and clinical outcome of bilateral uterine artery embolization (UAE) as a first-line therapeutic option for bleeding uterine arteriovenous malformation (AVM).Materials and MethodsBetween 2002 and 2012, 19 patients were diagnosed with acquired uterine AVM clinically and through imaging studies. The clinical characteristics, angiographic features, technical success rate of embolization, procedure-related complications, imaging, and clinical follow-up data were assessed. Clinical success was defined as immediate symptomatic resolution with disappearance of vascular abnormality on subsequent imaging studies.ResultsA total of 20 bilateral UAE, with or without embolization of extra-uterine feeders, were performed as the first-line treatment. Technical and clinical success rate was 90.0% (18/20) and 89.5% (17/19), respectively. Embolization was incomplete in two patients who had residual extra-uterine fine feeders to the AVM or a procedure-related complication (ruptured uterine artery); the former showed slow regression of the vascular malformation during the observation period, while the latter underwent a successful second bilateral UAE. Immediate clinical success was achieved in the remaining 17 patients after a single session and no recurrence of bleeding was found. Recovery to normal menstrual cycle was seen in all 17 patients with clinical success within one or two months, two of whom subsequently had uneventful intrauterine pregnancies carried to term.ConclusionBilateral UAE is a safe and effective first-line therapeutic option for the management of bleeding uterine AVMs. However, incomplete embolization due to unembolizable feeders or difficult access into the uterine artery may lead to suboptimal treatment.

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Section: Discussionmentioning

confidence: 88%

Management of Bleeding Uterine Arteriovenous Malformation with Bilateral Uterine Artery Embolization

et al. 2014

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“…In a recent study, even after embolization of bilateral uterine arteries for the treatment of uterine leiomyoma, women are able to achieve pregnancies and most resulted in term deliveries and appropriately grown newborns (3) . To date, there are 11 reports regarding successful pregnancy following embolization of uterine AVM have been published (4–14) . These results further support the utilization of this treatment option to the patients with uterine AVMs who desire future fertility.…”

Section: Discussionmentioning

confidence: 87%

Successful term pregnancy after selective embolization of a large postmolar uterine arteriovenous malformation

Tsai

Cheng

Changchien

et al. 2006

International Journal of Gynecological Cancer

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Uterine arteriovenous malformations (AVM) are very uncommon disorders. Successful conservative treatment with subsequently conceived is rarely reported. We describe a 31-year-old woman with a complex and large postmolar AVM; she was successfully treated with transarterial selective embolization for a long history of repeated excessive vaginal bleeding and anemia. She resumed normal menstrual periods soon after treatment, and she subsequently conceived about 2 years later. A healthy male baby was delivered at 39 weeks of gestation via vaginal route. Selective embolization of a complex and large uterine AVM seems to be feasible for the treatment of uterine bleeding and preservation of reproductive capability.

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“…Another group has also reported placental abnormalities after gelatin sponge UAE for postpartum hemorrhage [125]. Successful pregnancy after internal iliac and uterine artery embolization for gynecologic bleeding has also been reported by many authors [115,[126][127][128][129][130].…”

Section: Effects Of Vascular Occlusion On Pregnancymentioning

confidence: 80%

History of Uterine Artery Occlusion and Subsequent Pregnancy

Burbank

2009

American Journal of Roentgenology

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Successful pregnancy following two uterine artery embolisation procedures for arteriovenous malformation

Cited by 16 publications

References 6 publications

Management of Bleeding Uterine Arteriovenous Malformation with Bilateral Uterine Artery Embolization

Management of Bleeding Uterine Arteriovenous Malformation with Bilateral Uterine Artery Embolization

Successful term pregnancy after selective embolization of a large postmolar uterine arteriovenous malformation

History of Uterine Artery Occlusion and Subsequent Pregnancy

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