Uterine Artery Embolization: A boon for Uterine Arteriovenous Malformation

Gadre, Sandhya; Chaudhary, Gunjan; Goyal, Pankaj; Ahirwar, Chandraprakash

doi:10.1007/s13224-023-01762-y

Cited by 1 publication

(2 citation statements)

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“…The follow-up abdominal CTA at 8 weeks after the procedure showed no residual AVM, and the patient was healthy with no longer abnormal bleeding at 3-year follow-up. or therapeutic intervention, as focused on in several studies [11][12][13][14][15][16][17]. This is due to the fact that the effectiveness of diagnosis leading to definitive treatment is primarily based on the first significant clues obtained from routine ultrasound in actual practice.…”

Section: Case 1 (Figure 1)mentioning

confidence: 99%

“…Several non-invasive diagnostic modalities have been used to diagnose uterine AVM, such as computed tomography angiography (CTA), magnetic resonance imaging (MRI), color flow Doppler ultrasound, three-dimensional (3D) ultrasound, power Doppler angiography, and amplitude-mode color Doppler ultrasound. Nevertheless, this study exclusively emphasizes its sonographic features as essential primary tools for the diagnosis of uterine AVM, instead of back-up tools, like computed tomography angiography (CTA), or therapeutic intervention, as focused on in several studies [11][12][13][14][15][16][17]. This is due to the fact that the effectiveness of diagnosis leading to definitive treatment is primarily based on the first significant clues obtained from routine ultrasound in actual practice.…”

Section: Introductionmentioning

confidence: 99%

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Sonographic Features of Uterine Arteriovenous Malformation: A Case Series

Jeerakornpassawat,

Tantipalakorn,

Sirilert

et al. 2024

Diagnostics

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Uterine arteriovenous malformation (AVM) is very rare but potentially life-threatening. Early and accurate diagnosis is the cornerstone of its management. The objective of this study is to encourage sonographers to become familiar with a variety of grayscale sonographic features, facilitating rapid recognition of the patterns and prompting them to apply color flow Doppler for a diagnosis of uterine AVM and possible further investigations or interventions. We present six cases of uterine AVM presenting with abnormal uterine bleeding at varying degrees of severity, from abnormal menstruation to life-threatening bleeding following curettage. All initially provided some clues of uterine AVM upon grayscale ultrasound, leading to the application of color Doppler flow to support a diagnosis, with confirmation using abdominal computer tomography angiography (CTA) in most cases, resulting in definitive treatment using uterine artery embolization or other interventions. Most importantly, this study provides various sonographic features of uterine AVM, such as appearances of small tubular structures, spongy patterns, a conceptive-product-like appearance, and spaghetti-like patterns. Hopefully, familiarity with these sonographic features can facilitate practitioners to make an early diagnosis, leading to proper further investigation and intervention, and to prevent serious complications from potentially being caused by this subtle but very serious disorder.

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