An evaluation of ureteral flow after doppler-guided uterine artery occlusion device placement during organ-preserving gynecologic procedures.
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.
Lichtinger
Moises
M
Department of Obstetrics and Gynecology, Holy Cross Hospital, Fort Lauderdale, Florida, USA. sandy_herbert@holy-cross.com
Rush
Michael
M
Calvo
Patricia
P
Adeboyejo
Ghea
G
Dalgleish
Frederick
F
Harper
Jennifer
J
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*