Korean Journal of Radiology

  • 제15권3호
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  • Pages.356-363
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  • 2014
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization

  • Wan, Alvin Yu-Hon (Department of Radiology, Pamela Youde Nethersole Eastern Hospital) ;
  • Shin, Ji Hoon (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Yoon, Hyun-Ki (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Ko, Gi-Young (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Sangik (Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Seong, Nak-Jong (Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine) ;
  • Yoon, Chang-Jin (Department of Radiology, Seoul National University Bundang Hospital, Seoul National University College of Medicine)
  • 투고 : 2013.12.03
  • 심사 : 2014.03.17
  • 발행 : 2014.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

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  1. A comparative study on the effects of MRI- and CT-guided interventional therapies on uterine fibroids vol.32, pp.5, 2014, https://doi.org/10.12669/pjms.325.10234
  2. Postpartum hemorrhage from non-uterine arteries: clinical importance of their detection and the results of selective embolization vol.59, pp.8, 2014, https://doi.org/10.1177/0284185117738547
  3. Anatomic variations of the Uterine Artery. Review of the literature and their clinical significance vol.17, pp.1, 2020, https://doi.org/10.4274/tjod.galenos.2020.33427
  4. Anatomic variations of the Uterine Artery. Review of the literature and their clinical significance vol.17, pp.1, 2020, https://doi.org/10.4274/tjod.galenos.2020.33427
  5. Pregnancy outcome after emergency uterine artery embolisation for management of intractable haemorrhage associated with laparoscopic-assisted myomectomy vol.40, pp.8, 2014, https://doi.org/10.1080/01443615.2019.1706156