Abstract:Uterine arteriovenous fistulas are rare and acquired causes of life-threatening vaginal bleeding. They usually present with intermittent menometrorrhagia in young patients in childbearing age with history of gynecological procedures on uterus. Traditional management is hysterectomy; endovascular embolization represents nowadays an alternative strategy for patients wishing to preserve fertility. Here, the endovascular approach to a 29-year-old woman affected by severe menometrorrhagia caused by a uterine arteri… Show more
“…Depending on the imaging findings, evaluation of potential extra-uterine feeding arteries may also be pertinent. The choice of embolic is operator dependent, but gelfoam, particles, coils and liquid embolic agents have all been described (Wang et al, 2012 ; Giurazza et al, 2017 ; Stiepel et al, 2021 ; Yoon et al, 2016 ) (Fig. 8 ).…”
Section: Approach To Vascular Injuries and Anomaliesmentioning
confidence: 99%
“…Our preference is to avoid particle embolics including gelfoam to reduce the theoretical risk of non-target embolization through the shunt. Embolization of uterine AVFs can yield durable long-term results with no evidence of recurrence or residual arteriovenous fistula (Wang et al, 2012 ; Giurazza et al, 2017 ; Stiepel et al, 2021 ; Yoon et al, 2016 ). Fig.…”
Section: Approach To Vascular Injuries and Anomaliesmentioning
Postpartum hemorrhage is a leading cause of maternal morbidity and mortality around the world and can be caused by multiple etiologies. Distinguishing between the various etiologies that lead to PPH and identifying high risk features are crucial to implementing effective clinical management. In this review, the diagnostic imaging features and management principles of some of the most important causes of postpartum hemorrhage are discussed, with an emphasis on the pearls and pitfalls when minimally invasive treatment via interventional radiologic techniques are employed.
“…Depending on the imaging findings, evaluation of potential extra-uterine feeding arteries may also be pertinent. The choice of embolic is operator dependent, but gelfoam, particles, coils and liquid embolic agents have all been described (Wang et al, 2012 ; Giurazza et al, 2017 ; Stiepel et al, 2021 ; Yoon et al, 2016 ) (Fig. 8 ).…”
Section: Approach To Vascular Injuries and Anomaliesmentioning
confidence: 99%
“…Our preference is to avoid particle embolics including gelfoam to reduce the theoretical risk of non-target embolization through the shunt. Embolization of uterine AVFs can yield durable long-term results with no evidence of recurrence or residual arteriovenous fistula (Wang et al, 2012 ; Giurazza et al, 2017 ; Stiepel et al, 2021 ; Yoon et al, 2016 ). Fig.…”
Section: Approach To Vascular Injuries and Anomaliesmentioning
Postpartum hemorrhage is a leading cause of maternal morbidity and mortality around the world and can be caused by multiple etiologies. Distinguishing between the various etiologies that lead to PPH and identifying high risk features are crucial to implementing effective clinical management. In this review, the diagnostic imaging features and management principles of some of the most important causes of postpartum hemorrhage are discussed, with an emphasis on the pearls and pitfalls when minimally invasive treatment via interventional radiologic techniques are employed.
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