Repeated pulmonary embolism with cardiac arrest after uterine artery embolization for uterine arteriovenous malformation: A case report and literature review

Imankulova, Balkenze; Terzić, Milan; Ukybassova, Talshyn; Bapayeva, Gauri; Lesbekov, Timur; Mustafinova, Gulnar; Смагулов, Н. К.; Shauyen, Fariza

doi:10.1016/j.tjog.2018.10.021

Cited by 8 publications

(4 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…About 77 studies were included in this review (Fig. 1) and were assessed for bias using Joanna Briggs Institute Critical Appraisal Checklist for Systematic Reviews and Research Syntheses (19–95). Our review considered articles to have a low risk of bias if all checklist criteria were met, moderate risk if greater than or equal to 75% of criteria were met, and high risk if less than 75% of criteria were met.…”

Section: Methodsmentioning

confidence: 99%

Venoarterial Extracorporeal Membrane Oxygenation in Massive Pulmonary Embolism-Related Cardiac Arrest: A Systematic Review*

Scott

Gordon

Vender

et al. 2021

Critical Care Medicine

View full text Add to dashboard Cite

OBJECTIVE: Management of patients experiencing massive pulmonary embolism-related cardiac arrest is controversial. Venoarterial extracorporeal membranous oxygenation has emerged as a potential therapeutic option for these patients. We performed a systematic review assessing survival and predictors of mortality in patients with massive PE-related cardiac arrest with venoarterial extracorporeal membranous oxygenation use. DATA SOURCES: A literature search was started on February 16, 2020, and completed on March 16, 2020, using PubMed, Embase, Cochrane Central, Cinahl, and Web of Science. STUDY SELECTION: We included all available literature that reported survival to discharge in patients managed with venoarterial extracorporeal membranous oxygenation for massive PE-related cardiac arrest. DATA EXTRACTION: We extracted patient characteristics, treatment details, and outcomes. DATA SYNTHESIS: About 301 patients were included in our systemic review from 77 selected articles (total screened, n = 1,115). About 183 out of 301 patients (61%) survived to discharge. Patients (n = 51) who received systemic thrombolysis prior to cannulation had similar survival compared with patients who did not (67% vs 61%, respectively; p = 0.48). There was no significant difference in risk of death if PE was the primary reason for admission or not (odds ratio, 1.62; p = 0.35) and if extracorporeal membranous oxygenation cannulation occurred in the emergency department versus other hospital locations (odds ratio, 2.52; p = 0.16). About 53 of 60 patients (88%) were neurologically intact at discharge or follow-up. Multivariate analysis demonstrated three-fold increase in the risk of death for patients greater than 65 years old (adjusted odds ratio, 3.08; p = 0.03) and six-fold increase if cannulation occurred during cardiopulmonary resuscitation (adjusted odds ratio, 5.67; p = 0.03). CONCLUSIONS: Venoarterial extracorporeal membranous oxygenation has an emerging role in the management of massive PE-related cardiac arrest with 61% survival. Systemic thrombolysis preceding venoarterial extracorporeal membranous oxygenation did not confer a statistically significant increase in risk of death, yet age greater than 65 and cannulation during cardiopulmonary resuscitation were associated with a three- and six-fold risks of death, respectively.

show abstract

Section: Methodsmentioning

confidence: 99%

Venoarterial Extracorporeal Membrane Oxygenation in Massive Pulmonary Embolism-Related Cardiac Arrest: A Systematic Review*

Scott

Gordon

Vender

et al. 2021

Critical Care Medicine

View full text Add to dashboard Cite

show abstract

“…In the past, the diagnosis of AVMs was often only histological after the discovery of arteriovenous fistula after hysterectomy [23] , [24] , [25] , but today, thanks to the advent of imaging modalities such as color Doppler ultrasound, magnetic resonance imaging, computed tomography and pelvic angiography, diagnosis is easier and possible earlier. Pelvic angiography remains the gold standard for the diagnosis of AVMs [26] , [27] , [28] , although it is not routinely used since ultrasound has a good detection [28] , [29] , [30] . In fact, ultrasound, in particular with the use of color Doppler, can allow the differential diagnosis between retained products of conception (RPCO), subinvolution of the placental bed, adenomyosis [31] , [32] , [33] , [34] , [35] and uterine AVMs that mainly involve only the myometrium showing serpiginous tubular vascular structures [36] , [37] , [38] .…”

Section: Discussionmentioning

confidence: 99%

Uterine venous malformations in the puerperium: 2 Atypical cases and literature review

Damiani,

Dellino,

Cascardi

et al. 2023

European Journal of Obstetrics & Gynecology and Reproductiv

View full text Add to dashboard Cite

“…Conversely, the most important complications are ischemic uterine injury, sepsis, pulmonary embolism, and even death, but all of these major complications are quite rare. [293031] Moreover, potential negative effect of UAE can be reduction in ovarian function, mostly in older patients in which menopause can occur earlier than expected, or in women who already had ovarian function impairment. [26] Still, ovarian failure after UAE seems to occur with the same incidence as after myomectomy[29] and so far, there is no diagnostic test to predict which patients are prone to UAE complications.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of uterine artery embolization on myoma shrinkage: Results from a large cohort analysis

Ukybassova

Terzić

Dotlić³

et al. 2019

Gynecol Minim Invasive Ther

Self Cite

View full text Add to dashboard Cite

Objective:There are still contradictory opinions on the success rates of uterine artery embolization (UAE) for the treatment of myomas. In this scenario, our study aims to assess the effect of UAE on myoma shrinkage.Materials and Methods:The study included 337 women in reproductive age affected by a single symptomatic intramural myoma and declined surgery, undergoing UAE. The uterus and myoma diameters and volumes were determined on ultrasonographic scans before and 3, 6, and 12 months after the procedure.Results:The mean uterine volume before intervention was 226.46 ± 307.67 mm3, whereas myoma volume was 51.53 ± 65.53 mm3. Further myoma progression was registered in only four patients. In remaining women, uterus volume in average decreased for 149.99 ± 156.63 mm3, whereas myomas decreased for 36.57 ± 47.96 mm3. The mean volume reduction rate of the uterus was 49.54 ± 35.62 and for myoma was 57.58 ± 30.71. A significant decrease in both uterine and myoma volume was registered in every stage of the follow-up. The highest average decrease in uterine volume was in the first 3 months and myoma volume between 3 and 6 months following UAE. After 12 months follow-up, successful outcome (volume regression >50% respect to the baseline) was registered for uterus in 97.4% and for myoma in 67.9% of investigated patients.Conclusion:UAE was proven to allow a good success rate and can be considered as an effective alternative procedure for myoma treatment.

show abstract

Repeated pulmonary embolism with cardiac arrest after uterine artery embolization for uterine arteriovenous malformation: A case report and literature review

Cited by 8 publications

References 14 publications

Venoarterial Extracorporeal Membrane Oxygenation in Massive Pulmonary Embolism-Related Cardiac Arrest: A Systematic Review*

Venoarterial Extracorporeal Membrane Oxygenation in Massive Pulmonary Embolism-Related Cardiac Arrest: A Systematic Review*

Uterine venous malformations in the puerperium: 2 Atypical cases and literature review

Evaluation of uterine artery embolization on myoma shrinkage: Results from a large cohort analysis

Contact Info

Product

Resources

About