Conservatively treated pelvic arteriovenous malformation: Noninvasive sonographic monitoring during subsequent pregnancy

Menses, fertility and pregnancy after arterial embolization for the control of postpartum haemorrhage

“…By extending our review of the literature to the pregnancies that occurred after uterine artery embolization for arteriovenous malformation (Forssman et al, 1982;Chapman et al, 1985;Poppe et al, 1987;Tacchi et al, 1988;Wilms et al, 1990;Abbas et al, 1994;Chow et al, 1995;Gaens et al, 1996;Zanetta et al, 1997), cervical ectopic pregnancy (Frates et al, 1994;Pattinson et al, 1994), trophoblastic disease (McIvor et al, 1996) and cervical biopsy (Greenwood et al, 1987) permitted us to enumerate 17 more reported cases of pregnancy that occurred after uterine embolization.…”

Color Doppler imaging is a valuable tool for the diagnosis and management of uterine vascular malformations

“…In recent years an increasing number of cases have been treated with transcatheter embolization of the uterine arteries11, 25–29. Subsequently the menstrual pattern is unaffected and pregnancy and normal vaginal delivery are possible11, 13, 24, 30–37. A few authors have described regression of the AVM with conservative therapy or spontaneous resolution7, 38–40.…”

A Multi-Disciplinary Approach of a Patient with Extensive Arterio-Venous Malformations Undergoing a C-Section

“…AVM usually develop slowly over a long period before becoming symptomatic; however, rapid growth may occur in response to a hormonal influence such as during pregnancy or trauma [5]. The dilation of vessels during pregnancy as a consequence of vasoactive hormones is well known [6]. As a result of vasoactive hormonal influence during pregnancy, AVMs also expand due to uterine stretching and enlargement.…”

“…Owing to the presence of innumerable intra and extra uterine microscopic shunts, hys-terectomy would be ineffective-potentially leading to a catastrophic life-threating hemorrhage [6]. In recent years, transcatheter uterine arterial embolization has been implicated as an alternative treatment option [6]. We understand uterine artery embolization should be performed before surgical treatment of nonmalignant pelvic bleeding.…”