title: An evaluation of ureteral flow after doppler-guided uterine artery occlusion device placement during organ-preserving gynecologic procedures.
abstract: We studied the use of color Doppler ultrasonography for ureteral patency after placement of a transvaginal Doppler-guided uterine artery occlusion device before organ-preserving surgery for leiomyomata uteri. Our case series involved 7 patients in whom ureteral flow was assessed using color Doppler sonography before and after placement of a Doppler-guided uterine artery occlusion device. Bilateral ureteral flow was assessed at the trigone using a grading system. Furosemide and additional intravenous hydration were administered if no flow was observed. Color Doppler ultrasonography can quantify ureteral flow before and after Doppler-guided uterine artery occlusion device placement during organ-preserving gynecologic procedures, facilitating safe placement and repositioning of the transvaginal device when necessary.
authors.affiliation: Department of Obstetrics and Gynecology, Holy Cross Hospital, Fort Lauderdale, Florida, USA. sandy_herbert@holy-cross.com
authors.forename: Moises
authors.initials: M
authors.lastname: Lichtinger
authors.forename: Michael
authors.initials: M
authors.lastname: Rush
authors.forename: Patricia
authors.initials: P
authors.lastname: Calvo
authors.forename: Ghea
authors.initials: G
authors.lastname: Adeboyejo
authors.forename: Frederick
authors.initials: F
authors.lastname: Dalgleish
authors.forename: Jennifer
authors.initials: J
authors.lastname: Harper
mesh_terms: D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D017697:Premenopause; D012039:Regional Blood Flow; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional / Q000379:methods*; D055357:Uterine Artery Embolization / Q000295:instrumentation* / Q000379:methods*