Uterine artery embolization

Badawy, Shawky Z.A.; Etman, Amr; Singh, Manvinder; Murphy, Kenneth D.; Mayelli, Thomas; Philadelphia, Melissa

doi:10.1016/s0899-7071(01)00307-2

Cited by 155 publications

(28 citation statements)

References 49 publications

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“…Before transarterial embolization (TAE) developed and became a gold standard, hysterectomy was the most common method to treat UAP [12]. Other less radical procedures, including removal of the pseudoaneurysm, laparoscopic coagulation of the uterine artery, and unilateral ligation of the uterine artery, have been seldom reported [5, 9, 10]. …”

Section: Discussionmentioning

confidence: 99%

“…In our case, the woman refused embolization due to the fear of complications she had witnessed when her father underwent coronary angiography. We believe that laparoscopic surgery can be an alternative to embolization – pending a successful case series with a long-term follow-up [5, 6, 9, 12]. During laparoscopy, a surgeon can either close the feeding vessel or excise the pathological tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Embolization of the uterine arteries is an effective and safe way of controlling the clinical symptoms of UAP in centers experienced in intravascular therapy. Hysterectomy is recommended for postmenopausal patients [3, 6, 8, 9]. Laparoscopic methods are reported rarely [10].…”

Section: Introductionmentioning

confidence: 99%

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Management of uterine artery pseudoaneurysm: advanced ultrasonography imaging and laparoscopic surgery as an alternative method to angio-computed tomography and transarterial embolization

Ciebiera

Słabuszewska-Jóźwiak

Zaręba

et al. 2017

wiitm

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Uterine artery pseudoaneurysms (UAP) are rare but potentially life-threatening lesions. They may occur after traumatic deliveries, cesarean sections, and other interventions. We present a case of a 39-year-old woman with a UAP. The patient was accurately diagnosed using ultrasound imaging, with subsequent diagnostic hysteroscopy and laparoscopic excision of the UAP. In the present case, a ligation of the artery branch was performed to provide accurate hemostasis during UAP dissection. The vascular lesion was partially enucleated and removed, followed by recreation of the previous uterine shape. Power Doppler with HD flow and 3D ultrasound are accurate methods in the diagnosis of UAP. We are of the opinion that laparoscopic surgery can be on a par with transarterial embolization. During laparoscopy, the surgeon can either close the feeding vessel or remove the pathological tissue. In our opinion, this method solves the problem permanently and, after a successful case series with long-term follow-up, might be applied in other centers as well.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Management of uterine artery pseudoaneurysm: advanced ultrasonography imaging and laparoscopic surgery as an alternative method to angio-computed tomography and transarterial embolization

Ciebiera

Słabuszewska-Jóźwiak

Zaręba

et al. 2017

wiitm

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“…TAE is now generally accepted as the optimal treatment modality for symptomatic uterine AVM [35] and the clinical success rate of TAE is greater than 90% [910]. Badawy et al [11] reviewed all 25 cases published between 1982 and 1999 and found a success rate after one or two TAE of 96%. Its advantages include excellent success rates, low complication rates, avoidance of surgical risks, and preservation of reproductive function.…”

Section: Discussionmentioning

confidence: 99%

Uterine arteriovenous malformation with positive serum beta-human chorionic gonadotropin: Embolization of both uterine arteries and extra-uterine feeding arteries

et al. 2016

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The incidence of uterine arteriovenous malformation (AVM) is rare. However, it is clinically significant in that it can cause life-threatening vaginal bleeding. We report a case of a large uterine AVM with positive serum beta-human chorionic gonadotropin. A presumptive diagnosis was made; a uterine AVM accompanied by, early pregnancy or retained product of conception. Because this uterine AVM was extensive, transcatheter arterial embolization of both uterine arteries and extra-uterine feeding arteries was performed. Three months after undergoing transcatheter arterial embolization, complete resolution of the uterine AVM was confirmed without major complication.

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“…Selective catheterisation and subsequent embolization of the pelvic blood vessels was introduced in the early 1980’s in gynecological practice. The main indication was massive pelvic hemorrhage (eg, in certain cases of advanced, bulky cervical cancers) [8]. …”

Section: Discussionmentioning

confidence: 99%

Successful operative management of an intact second trimester abdominal pregnancy with additional preoperative selective catheter embolization and postoperative methotrexate therapy

et al. 2011

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SummaryBackgroundAbdominal pregnancy is a rare condition that may lead to severe complications.Case ReportThe authors report the case of a 17-week intact abdominal pregnancy diagnosed in the course of an investigation of lower abdominal pain. Ultrasonography and MR examination revealed an intact abdominal pregnancy. Subsequent angiography was performed to occlude the supportive artery of the pregnancy by selective embolization. The pregnancy was terminated safely by laparotomy a day later. The placenta was left in the abdominal cavity because of the high risk of massive and often uncontrollable bleeding, and treatment with methotrexate was applied postoperatively.ConclusionsPreoperative embolization and the postoperative methotrexate therapy facilitate the safe surgical treatment of abdominal pregnancy.

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Uterine artery embolization

Cited by 155 publications

References 49 publications

Management of uterine artery pseudoaneurysm: advanced ultrasonography imaging and laparoscopic surgery as an alternative method to angio-computed tomography and transarterial embolization

Management of uterine artery pseudoaneurysm: advanced ultrasonography imaging and laparoscopic surgery as an alternative method to angio-computed tomography and transarterial embolization

Uterine arteriovenous malformation with positive serum beta-human chorionic gonadotropin: Embolization of both uterine arteries and extra-uterine feeding arteries

Successful operative management of an intact second trimester abdominal pregnancy with additional preoperative selective catheter embolization and postoperative methotrexate therapy

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