지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 367 - 373 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: To evaluate the technical feasibility and clinical outcome of bilateral uterineartery embolization (UAE) as a first-line therapeutic option for bleeding uterine arteriovenous malformation (AVM). Materials and Methods: Between 2002 and 2012, 19 patients were diagnosed with acquired uterine AVM clinically and through imaging studies. The clinical characteristics, angiographic features, technical success rate of embolization, procedure-related complications, imaging, and clinical follow-up data were assessed. Clinical success was defined as immediate symptomatic resolutionwith disappearance of vascular abnormality on subsequent imaging studies. Results: A total of 20 bilateral UAE, with or without embolization of extra-uterine feeders, were performed as the first-line treatment. Technical and clinical success rate was 90.0% (18/20) and 89.5% (17/19), respectively. Embolization was incompletein two patients who had residual extra-uterine fine feeders to the AVM or a procedure-related complication (ruptured uterine artery); the former showed slow regressionof the vascular malformation during the observation period, while the latter underwent a successful second bilateral UAE. Immediate clinical success was achieved in the remaining 17 patients after a single session and no recurrence of bleeding was found. Recovery to normal menstrual cycle was seen in all 17 patients with clinical success within one or two months, two of whom subsequently had uneventfulintrauterine pregnancies carried to term. Conclusion: Bilateral UAE is a safe and effective first-line therapeutic option for the management of bleeding uterineAVMs. However, incomplete embolization due to unembolizable feeders or difficultaccess into the uterine artery may lead to suboptimal treatment.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Amagada JO / 2004 / Successful pregnancy following two uterine artery embolisation procedures for arteriovenous malformation / J Obstet Gynaecol 24 : 86 ~ 87
Arora R / 2004 / Arteriovenous malformations of the uterus / N Z Med J 117 : U1182 ~
Aziz N / 2004 / Postpartum uterine arteriovenous fistula / Obstet Gynecol 103 (5 Pt 2) : 1076 ~ 1078
Brown JV 3rd / 2008 / Contemporary diagnosis and management of a uterine arteriovenous malformation / Obstet Gynecol 112 (2 Pt 2) : 467 ~ 470
Chia YN / 2003 / Pregnancy following embolisation of uterine arteriovenous malformation--a case report / Ann Acad Med Singapore 32 : 658 ~ 660
Arora R / 2004 / Arteriovenous malformations of the uterus / N Z Med J 117 : U1182 ~
Aziz N / 2004 / Postpartum uterine arteriovenous fistula / Obstet Gynecol 103 (5 Pt 2) : 1076 ~ 1078
Brown JV 3rd / 2008 / Contemporary diagnosis and management of a uterine arteriovenous malformation / Obstet Gynecol 112 (2 Pt 2) : 467 ~ 470
Chia YN / 2003 / Pregnancy following embolisation of uterine arteriovenous malformation--a case report / Ann Acad Med Singapore 32 : 658 ~ 660
이 논문의 저자 정보
최근 본 자료
댓글(0)
0