Fertility-Preserving Management of a Uterine Arteriovenons Malformation: A Case Report of Uterine Artery Embolization (UAE) Followed by Laparoscopic Resection

被引：12
|
作者：
Patton, Elizabeth W. [1 ,2 ]
Moy, Irene [3 ]
Milad, Magdy P. [4 ]
Vogezang, Robert [5 ]
机构：
[1] Univ Michigan, Robert Wood Johnson Clin Scholar Program, Dept Obstet & Gynecol, Ann Arbor, MI 48109 USA
[2] Ann Arbor VA Healthcare Syst, Dept Vet Affairs, VA Ctr Clin Management & Res, Ann Arbor, MI USA
[3] Kaiser Permanente, Dept Womens Hlth Reprod Endocrinol, San Francisco, CA USA
[4] Northwestern Univ, Feinberg Sch Med, Dept Obstet & Gynecol, Div Reprod Endocrinol & Infertil, Chicago, IL 60611 USA
[5] Northwestern Univ, Feinberg Sch Med, Dept Radiol, Sect Intervent Radiol, Chicago, IL 60611 USA
来源：
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY | 2015年 / 22卷 / 01期
关键词：
Laparoscopy; Uterine arteriovenous malformation; Uterine artery embolization; VASCULAR MALFORMATIONS; POSTPARTUM HEMORRHAGE; DIAGNOSIS; EFFICACY; OUTCOMES; UTERUS;
D O I：
10.1016/j.jmig.2014.07.016
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Herein is presented a fertility-preserving approach in the management of a uterine arteriovenous malformation (AVM) resistant to endovascular management. The patient had a documented AVM and underwent 2 uterine artery embolization procedures, with subsequent recurrence of symptoms. Doppler ultrasound demonstrated recanalization of the AVM. Ultimately, laparoscopic resection of the AVM was performed after laparoscopic ligation of the uterine arteries. Postoperatively, the patient has remained asymptomatic. Laparoscopic resection of a uterine AVM may offer a fertility-preserving alternative to hysterectomy in patients in whom endovascular management has failed. Published by Elsevier Inc. on behalf of AAGL.
引用
收藏
页码：137 / 141
页数：5
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