Successful treatment of acquired uterine arterial venous malformation using N-butyl-2-cyanoacrylate under balloon occlusion.

Acta Radiologica Short Reports Pub Date : 2014-09-02 eCollection Date: 2014-09-01 DOI:10.1177/2047981614545910

Reiko Woodhams, Go Ogasawara, Kenichiro Ishida, Kaoru Fujii, Takuro Yamane, Hiroshi Nishimaki, Keiji Matsunaga, Yusuke Inoue

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引用次数: 5

Abstract

We present two cases of acquired uterine arterial venous malformation (AVM) which was diagnosed because of massive genital bleeding successfully treated with transcatheter arterial embolization (TAE), using N-butyl-2-cyanoacrylate (NBCA) under balloon occlusion. Balloon occlusion at the uterine artery was performed in both patients for diffuse distribution of NBCA in multiple feeding branches, as well as to the pseudoaneurysm, and for the prevention of NBCA reflux. In one of our patients, balloon occlusion of the draining vein was simultaneously performed to prevent NBCA migration through accompanying high-flow arteriovenous fistula (AVF). Doppler ultrasound at 6 months of both patients documented persistent complete occlusion of AVM. Complete and safe obliteration of acquired uterine AVM was accomplished using NBCA as embolic agent, under balloon occlusion at the communicating vessels of acquired uterine AVM.

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球囊闭塞下应用n -丁基-2-氰基丙烯酸酯成功治疗获得性子宫动静脉畸形。

我们报告了两例获得性子宫动脉静脉畸形(AVM)，诊断为大量生殖器出血，成功治疗经导管动脉栓塞(TAE)，使用n -丁基-2-氰基丙烯酸酯(NBCA)在球囊阻塞下。两例患者均在子宫动脉处行球囊封堵，以防止NBCA在多个喂养分支及假性动脉瘤中弥漫性分布，并防止NBCA反流。在我们的一名患者中，同时对引流静脉进行球囊封堵，以防止NBCA通过伴随的高流量动静脉瘘(AVF)迁移。6个月时，两名患者的多普勒超声均显示AVM持续完全闭塞。以NBCA为栓剂，球囊闭塞后发性子宫AVM交通血管，完成了后发性子宫AVM的完全、安全闭塞。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Acta Radiologica Short Reports

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0.00%

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审稿时长

12 weeks

期刊介绍： Under the editorial leadership of Professor Arnulf Skjennald MD and a distinguished editorial board, Acta Radiologica Open, formerly Acta Radiologica Short Reports, aims for the prompt publication of original case reports, short reports, review articles, pictorial reviews, research articles on diagnostic and interventional radiology, clinical radiology, experimental investigations in animals, and all other research related to imaging procedures. Acta Radiologica Open provides a complete update on all radiological specialties and technical utilities, as well as physiology and physics related to imaging, including ultrasonography, computed tomography, radionuclide and magnetic resonance imaging. Acta Radiologica Open publishes articles on diagnostic and interventional procedures in radiology based on all medical imaging techniques, as well as works in physiology and physics when related to radiology. The journal is an online-only, peer reviewed, open access journal.