Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
| Autor: | Alvin Yu-Hon Wan, Sangik Park, Ji Hoon Shin, Chang-Jin Yoon, Hyun-Ki Yoon, N. Seong, Gi-Young Ko |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Digital subtraction angiography Embolization procedure Intervention Postoperative Hemorrhage Hysterectomy Pseudoaneurysm Uterine artery embolization medicine.artery medicine Humans Radiology Nuclear Medicine and imaging Embolization Uterine artery Retrospective Studies Leiomyoma medicine.diagnostic_test Uterine myomectomy business.industry Uterus Uterine myoma Middle Aged medicine.disease Treatment Outcome Uterine Neoplasms Original Article Female Radiology business |
| Zdroj: | Korean Journal of Radiology |
| ISSN: | 2005-8330 1229-6929 |
| DOI: | 10.3348/kjr.2014.15.3.356 |
| Popis: | Objective To evaluate the safety and clinical efficacy of transcatheter uterine artery embolization (UAE) for post-myomectomy hemorrhage. Materials and methods We identified eight female patients (age ranged from 29 to 51 years and with a median age of 37) in two regional hospitals who suffered from post-myomectomy hemorrhage requiring UAE during the time period from 2004 to 2012. A retrospective review of the patients' clinical data, uterine artery angiographic findings, embolization details, and clinical outcomes was conducted. Results The pelvic angiography findings were as follows: hypervascular staining without bleeding focus (n = 5); active contrast extravasation from the uterine artery (n = 2); and pseudoaneurysm in the uterus (n = 1). Gelatin sponge particle was used in bilateral uterine arteries of all eight patients, acting as an empirical or therapeutic embolization agent for the various angiographic findings. N-butyl-2-cyanoacrylate was administered to the target bleeding uterine arteries in the two patients with active contrast extravasation. Technical and clinical success were achieved in all patients (100%) with bleeding cessation and no further related surgical intervention or embolization procedure was required for hemorrhage control. Uterine artery dissection occurred in one patient as a minor complication. Normal menstrual cycles were restored in all patients. Conclusion Uterine artery embolization is a safe, minimally invasive, and effective management option for controlling post-myomectomy hemorrhage without the need for hysterectomy. |
| Databáze: | OpenAIRE |
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