Pregnancy after uterine artery embolization to control haemorrhage from gestational trophoblastic tumour

British Journal of Radiology - Tập 69 Số 823 - Trang 624-629 - 1996
J. McIvor1, Evan Wm. Cameron1
1Charing Cross Hospital (Hammersmith Hospitals NHS Trust) , London W6 8RF, UK

Tóm tắt

Abstract Gestational trophoblastic tumour (GTT) of the uterus can cause severe and even life threatening haemorrhage in patients who may be contemplating future pregnancy. Three cases of successful pregnancy after uterine artery embolization to control severe haemorrhage from uterine GTT are reported. Both uterine arteries had been selectively catheterized and embolized in these patients. The areas of pathological circulation measured on the pre- and post-embolization films had been reduced by over 80%. Embolization failed to control haemorrhage in another four patients in whom the uterine arteries had not been selectively catheterized and embolized and where the embolization procedures had reduced the areas of pathological circulation by less than 65%. The conclusions are that control of severe haemorrhage from uterine GTT is likely if both uterine arteries are selectively catheterized and embolized. Patients thus treated can become pregnant.

Từ khóa


Tài liệu tham khảo

RING E J, 1973, Radiology, 109, 65, 10.1148/109.1.65

LANG E K, 1981, Radiology, 140, 331, 10.1148/radiology.140.2.7196055

LANG E K, 1989, J. Interven. Radiol, 4, 113

10.1111/j.1464-410X.1988.tb09160.x

10.1016/S0009-9260(82)80180-3

CARMIGNANI G, 1980, J. Urol, 124, 196, 10.1016/S0022-5347(17)55371-9

10.1016/0090-8258(89)90127-3

GREENWOOD L H, 1987, Radiology, 764, 155, 10.1148/radiology.164.1.3495816

10.2214/ajr.150.6.1337

10.1016/0002-9378(85)90102-4

10.1111/j.1471-0528.1988.tb06557.x

10.1007/BF02577903

PEARL M L, 1992, Obstet. Gynecol., 80, 571

10.1007/BF02577901

10.1016/0002-9378(86)90300-5

10.1016/0002-9378(87)90136-0

10.3109/00016348209156958

BELLI A M, 1989, J. Interven. Radiol., 4, 118

10.1016/S0950-3552(87)80056-1

10.1001/jama.258.3.309

10.1016/0090-4295(77)90319-3

HIETALA S O, 1978, Acta Radiol, 79, 316, 10.1177/028418517801900204

HARE S C, 1983, Radiology, 146, 47, 10.1148/radiology.146.1.6849068

Thông tin
Thông tin xuất bản

British Journal of Radiology

Tập 69 Số 823

624-629

Thông tin tác giả