Novel image-guided management of a uterine arteriovenous malformation.
The investigators present a novel image-guided embolization, not previously described, of a uterine arteriovenous malformation (AVM) resistant to endovascular management. The uterus was exposed surgically, and Histoacryl (Braun, Fulda, Germany) was injected directly into the nidus using ultrasound guidance and fluoroscopy. The patient had a successful full-term pregnancy after this procedure. This technique may be a useful alternative management strategy in patients with uterine AVM who fail traditional endovascular embolization and who still desire fertility.
Przybojewski
Stefan J
SJ
Diagnostic Imaging Department, Foothills Hospital, University of Calgary, Calgary, AB T2N 2T9, Canada. drstefanp@hotmail.com
Sadler
David J
DJ
D000792:Angiography; D001165:Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery*; D016461:Chemoembolization, Therapeutic; D004659:Enbucrilate / Q000008:administration & dosage*; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D008279:Magnetic Resonance Imaging; D025321:Surgery, Computer-Assisted; D014014:Tissue Adhesives / Q000008:administration & dosage*; D017211:Treatment Failure; D014463:Ultrasonography; D018084:Ultrasonography, Interventional; D014599:Uterus / Q000098:blood supply*; D055815:Young Adult
D014014:Tissue Adhesives; D004659:Enbucrilate