P15.11: Subsequent pregnancy outcome after embolisation of uterine arteriovenous malformation

Abstract

To identify if ultrasound measurement of endometrial thickness is predictor of retained products of conception in women with clinical suspicion of incomplete miscarriage. Methods: This was a prospective study of 100 women with a diagnosis of incomplete miscarriage who were referred for surgical evacuation. All women had a positive pregnancy test and ultrasound findings suggestive of retained product of conception. The indication for intervention was heavy vaginal bleeding or the endometrial thickness above 15 mm on antero-posterior diameter. The final diagnosis of incomplete miscarriage was based on histopathologic evidence of chorionic villi in the surgical specimen. Results: 90 (90%) women with endometrial thickness above 15 mm had evidence of chorionic villi on histology and decidua was only found in the remaining 10 (10%) women. Conclusion: Considering 90% positive predictive value, the measurement of endometrial thickness is good predictor of retained product of conception.

Uterine arteriovenous fistula after perforation during the placement of an intrauterine device – Minimally invasive treatment using uterine artery embolization

“…In the systematic review of Peitsidis et al [10], 17 pregnancies were reported after uterine artery embolizations (17%). All pregnancies resulted in viable healthy neonates, except in one case in which total abdominal hysterectomy was performed in a uterus at 7.4 weeks of gestation due to uncontrolled heavy bleeding [27]. The mean time of delay from treatment to subsequent pregnancy was 15.7 ± 11.7 months with range (2 to 36) months.…”