School of Medicine and Health Sciences Poster Presentations

Title

A Case Report of an Endovascular Technique for Uterine Arteriovenous Malformations

Poster Number

191

Document Type

Poster

Publication Date

3-2016

Abstract

Purpose:

The purpose of this case study is to illustrate an interventional radiologic technique that can be used to temporarily reduce blood flow in a rare case of a large uterine arteriovenous malformations requiring hysterectomy.

Case report:

A 36 year-old female with a history of two second-trimester spontaneous abortions presented for a pre-op appointment for planned hysterectomy after a pelvic MRI showed significant uterine AVM. Due to concern for hemorrhage during the surgery, bilateral iliac and bilateral ovarian arterial balloon catheters were placed under fluoroscopic guidance prior to surgery. After placement of balloon catheters under conscious sedation, the patient was transferred to the operating room. The patient was induced under general anesthesia. On diagnostic hysteroscopy, the patient had intrauterine scarring consistent with prior dilations and curettages. Balloons were inflated during surgical removal of the uterus and fallopian tubes. After hysterectomy and salpingectomies, the intra-arterial balloon catheters were deflated. The patient was hemodynamically stable and catheters were removed. She was discharged after a few days.

Conclusion:

As this clinical case illustrates, percutaneous minimally invasive image-guided interventional techniques may be used in complex OB/GYN patients. It is important to recognize the importance of the multidisciplinary approach to the treatment of such patients.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Open Access

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Presented at: GW Research Days 2016

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A Case Report of an Endovascular Technique for Uterine Arteriovenous Malformations

Purpose:

The purpose of this case study is to illustrate an interventional radiologic technique that can be used to temporarily reduce blood flow in a rare case of a large uterine arteriovenous malformations requiring hysterectomy.

Case report:

A 36 year-old female with a history of two second-trimester spontaneous abortions presented for a pre-op appointment for planned hysterectomy after a pelvic MRI showed significant uterine AVM. Due to concern for hemorrhage during the surgery, bilateral iliac and bilateral ovarian arterial balloon catheters were placed under fluoroscopic guidance prior to surgery. After placement of balloon catheters under conscious sedation, the patient was transferred to the operating room. The patient was induced under general anesthesia. On diagnostic hysteroscopy, the patient had intrauterine scarring consistent with prior dilations and curettages. Balloons were inflated during surgical removal of the uterus and fallopian tubes. After hysterectomy and salpingectomies, the intra-arterial balloon catheters were deflated. The patient was hemodynamically stable and catheters were removed. She was discharged after a few days.

Conclusion:

As this clinical case illustrates, percutaneous minimally invasive image-guided interventional techniques may be used in complex OB/GYN patients. It is important to recognize the importance of the multidisciplinary approach to the treatment of such patients.