Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
Korean Journal of Radiology
; : 356-363, 2014.
Article
in En
| WPRIM
| ID: wpr-203184
Responsible library:
WPRO
ABSTRACT
OBJECTIVE: To evaluate the safety and clinical efficacy of transcatheter uterine artery embolization (UAE) for post-myomectomy hemorrhage. MATERIALS AND METHODS: We identified eight female patients (age ranged from 29 to 51 years and with a median age of 37) in two regional hospitals who suffered from post-myomectomy hemorrhage requiring UAE during the time period from 2004 to 2012. A retrospective review of the patients' clinical data, uterine artery angiographic findings, embolization details, and clinical outcomes was conducted. RESULTS: The pelvic angiography findings were as follows: hypervascular staining without bleeding focus (n = 5); active contrast extravasation from the uterine artery (n = 2); and pseudoaneurysm in the uterus (n = 1). Gelatin sponge particle was used in bilateral uterine arteries of all eight patients, acting as an empirical or therapeutic embolization agent for the various angiographic findings. N-butyl-2-cyanoacrylate was administered to the target bleeding uterine arteries in the two patients with active contrast extravasation. Technical and clinical success were achieved in all patients (100%) with bleeding cessation and no further related surgical intervention or embolization procedure was required for hemorrhage control. Uterine artery dissection occurred in one patient as a minor complication. Normal menstrual cycles were restored in all patients. CONCLUSION: Uterine artery embolization is a safe, minimally invasive, and effective management option for controlling post-myomectomy hemorrhage without the need for hysterectomy.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Uterine Neoplasms
/
Uterus
/
Retrospective Studies
/
Treatment Outcome
/
Postoperative Hemorrhage
/
Uterine Artery Embolization
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Hysterectomy
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Leiomyoma
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
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Female
/
Humans
Language:
En
Journal:
Korean Journal of Radiology
Year:
2014
Type:
Article