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Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization

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 fr...

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Autores principales: Wan, Alvin Yu-Hon, Shin, Ji Hoon, Yoon, Hyun-Ki, Ko, Gi-Young, Park, Sangik, Seong, Nak-Jong, Yoon, Chang-Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023054/
https://www.ncbi.nlm.nih.gov/pubmed/24843240
http://dx.doi.org/10.3348/kjr.2014.15.3.356
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author Wan, Alvin Yu-Hon
Shin, Ji Hoon
Yoon, Hyun-Ki
Ko, Gi-Young
Park, Sangik
Seong, Nak-Jong
Yoon, Chang-Jin
author_facet Wan, Alvin Yu-Hon
Shin, Ji Hoon
Yoon, Hyun-Ki
Ko, Gi-Young
Park, Sangik
Seong, Nak-Jong
Yoon, Chang-Jin
author_sort Wan, Alvin Yu-Hon
collection PubMed
description 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.
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spelling pubmed-40230542014-05-19 Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization Wan, Alvin Yu-Hon Shin, Ji Hoon Yoon, Hyun-Ki Ko, Gi-Young Park, Sangik Seong, Nak-Jong Yoon, Chang-Jin Korean J Radiol Intervention 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. The Korean Society of Radiology 2014 2014-04-29 /pmc/articles/PMC4023054/ /pubmed/24843240 http://dx.doi.org/10.3348/kjr.2014.15.3.356 Text en Copyright © 2014 The Korean Society of Radiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Intervention
Wan, Alvin Yu-Hon
Shin, Ji Hoon
Yoon, Hyun-Ki
Ko, Gi-Young
Park, Sangik
Seong, Nak-Jong
Yoon, Chang-Jin
Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
title Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
title_full Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
title_fullStr Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
title_full_unstemmed Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
title_short Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization
title_sort post-operative hemorrhage after myomectomy: safety and efficacy of transcatheter uterine artery embolization
topic Intervention
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023054/
https://www.ncbi.nlm.nih.gov/pubmed/24843240
http://dx.doi.org/10.3348/kjr.2014.15.3.356
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