Term Pregnancy after Unilateral Uterine Artery Embolization for Aggressive Uterine Arteriovenous Malformation

Abstract

This work is licensed under Creative Commons Attribution 4.0 License AJBSR.MS.ID.001255.

Successful Pregnancy and Live Birth after Uterine Artery Embolization for Uterine AV Malformation—A Rare Entity: A Case Report

“…Many studies claim that UAE is safe and effective for women desiring fertility but certain case series describes placental abnormality, such as placenta previa, morbidly adherent placenta, and abruption placenta. 2 But no such complications were present in our case. The fertility concern after UAE for UAVM is a less explored topic in modern gynecology and no robust evidence comparing the fertility, pregnancy, and perinatal issues is present.…”

“…The UAE for UAVM was first described by Forssmann et al back in 1982. 2 Burbank et al proposed that the stasis of blood flow caused by UAE induces clot formation in the uterus. 3 Fibrinolysis occurs in the normal myometrial vasculature followed by reperfusion.…”

“…Of these, 30% of women require massive blood transfusions. 2 Transvaginal ultrasonography with color and spectral Doppler is the preferred primary investigation in patients with suspected UAVM. Magnetic resonance imaging (MRI) is also used to assess the extent of AVM, arterial feeders, and their relationship with the myometrium.…”