Uterine Arteriovenous Malformations: Primary Treatment with Therapeutic Embolization

Vogelzang, Robert L.; Nemcek, Albert A.; Skrtic, Zeke; Gorrell, Jan; Lurain, John R.

doi:10.1016/s1051-0443(91)72234-3

Cited by 104 publications

(66 citation statements)

References 25 publications

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“…Hysterectomy has traditionally been the treatment of choice, but transcatheter embolization, first reported by Forssman et al, in 1982 and described in a number of single case reports since then, appears to allow successful treatment while sparing uterine childbearing capacity [9]. Other authors report successful pregnancies after uterine arteriovenous malformations embolizations [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Case Report: Post Traumatic Uterine Arteriovenous Fistula Embolization

Neto¹

2018

SCTI

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Section: Discussionmentioning

confidence: 99%

Case Report: Post Traumatic Uterine Arteriovenous Fistula Embolization

Neto¹

2018

SCTI

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“…Uterine AVM can be classified as congenital or acquired (Vogelzang et al 1991). Causes of acquired uterine AVM are usually traumatic, resulting from prior dilation and curettage, therapeutic abortion, uterine surgery, and direct uterine trauma, or less commonly retained products of conception, trophoblastic disease, choriocarcinoma, or other gynecologic malignancies (Delaloye et al 1998).…”

Section: Discussionmentioning

confidence: 99%

Uterine Arteriovenous Malformation Formed in a Large Uterine Cervical Myoma

Soeda

Ushijima

Furukawa

et al. 2012

Tohoku J. Exp. Med.

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Arteriovenous malformation (AVM) can arise in various organs, particularly the brain, but it is rare in the uterus. Uterine AVM is potentially lethal and is generally associated with uterine trauma, such as dilatation and curettage, therapeutic abortion or uterine surgery. On the other hand, uterine myoma is the most common benign gynecological tumor, but uterine cervical myoma is rare and grows in the extraperitoneal space, with development of complex capillary networks within the tumor. Cervical myoma surgery is therefore a difficult operation with a risk of massive bleeding. We report herein a patient with uterine AVM formed within a large cervical myoma in a postmenopausal woman. The patient was a 55-year-old Japanese woman who complained of lower abdominal distension. Ultrasonography, computed tomography and magnetic resonance imaging showed an 18 × 20-cm uterine cervical tumor with dilatation of numerous vessels. Pelvic angiography was scheduled to provide accurate diagnosis and to minimize intraoperative blood loss. In fact, preoperative pelvic angiography allowed us to identify the true feeding artery and drainage veins. Occlusion of the feeding artery with a balloon device is effective in decreasing intraoperative bleeding. Abdominal total hysterectomy was performed as the surgical management of this uterine AVM. Prophylactic endovascular balloon occlusion of the ipsilateral internal iliac artery reduced the amount of hemorrhage during surgery, although blood transfusion was needed in our patient. In conclusion, preoperative embolosclerotherapy should be considered as a treatment option in patients with AVM present in a large uterine cervical myoma.

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“…Thus pregnancy seems to play an important role in their formation. 13 Postpartum iatrogenic acquired uterine AVMs have been reported. 12,14 FIGURE 4.…”

Section: Discussionmentioning

confidence: 99%

Retained products of conception mimicking a large endometrial AVM: Complete resolution following spontaneous abortion

Jain

Fogata

2006

J of Clinical Ultrasound

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ABSTRACT:We report an unusual appearance of retained products of conception that mimicked an arteriovenous malformation. A 38-year-old woman presented with persistent scant vaginal bleeding and declining levels of serum beta-HCG after therapeutic abortion. Sonographic examination revealed a highly vascular lobulated mass, which on spectral Doppler examination showed low resistance and high peak systolic velocity suggestive of arteriovenous shunting. The patient spontaneously passed tissue per vagina, after which the endometrial vascular mass completely disappeared, indicating that the sonographic abnormality was the retained products of conception. The pathologic basis for such a finding is discussed.

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Uterine Arteriovenous Malformations: Primary Treatment with Therapeutic Embolization

Cited by 104 publications

References 25 publications

Case Report: Post Traumatic Uterine Arteriovenous Fistula Embolization

Case Report: Post Traumatic Uterine Arteriovenous Fistula Embolization

Uterine Arteriovenous Malformation Formed in a Large Uterine Cervical Myoma

Retained products of conception mimicking a large endometrial AVM: Complete resolution following spontaneous abortion

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