Successful transvenous embolization for type II uterine arteriovenous malformation: A case report

Ryo Morita, MD., Ph.D.; Daisuke Abo, M.D., Ph.D.; Naoya Kinota, M.D.; Takeshi Soyama, M.D., Ph.D.; Bunya Takahashi, M.D.; Yuki Yoshino, M.D.; Satonori Tsuneta, M.D.; Kohsuke Kudo, M.D., Ph.D.

Radiology Case Reports (Aug 2021)

Successful transvenous embolization for type II uterine arteriovenous malformation: A case report

Ryo Morita, MD., Ph.D.,
Daisuke Abo, M.D., Ph.D.,
Naoya Kinota, M.D.,
Takeshi Soyama, M.D., Ph.D.,
Bunya Takahashi, M.D.,
Yuki Yoshino, M.D.,
Satonori Tsuneta, M.D.,
Kohsuke Kudo, M.D., Ph.D.

Affiliations

Ryo Morita, MD., Ph.D.: Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan; Department of Diagnostic Imaging, Faculty of Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-0838, Japan; Corresponding author: R.Morita
Daisuke Abo, M.D., Ph.D.: Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
Naoya Kinota, M.D.: Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
Takeshi Soyama, M.D., Ph.D.: Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
Bunya Takahashi, M.D.: Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
Yuki Yoshino, M.D.: Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
Satonori Tsuneta, M.D.: Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Kita 14, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-8648, Japan
Kohsuke Kudo, M.D., Ph.D.: Department of Diagnostic Imaging, Faculty of Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-0838, Japan; Global Center for Biomedical Science and Engineering, Faculty of Medicine, Hokkaido University, Kita 8, Nishi 5, Kita-ku, Sapporo, Hokkaido 060-0848, Japan

Journal volume & issue: Vol. 16, no. 8
pp. 2007 – 2011

Abstract

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A 40-year-old female (gravida 3 para 1) presented with menstrual, urinary, and anal pain. Computed tomography revealed type II acquired uterine arteriovenous malformation, a common dilated venous sac with bilateral uterine arteries, and multiple branches of iliac arteries draining to the bilateral ovarian veins. Venous sac transvenous embolization via the left ovarian vein of dominant outflow was planned, since complete arteriovenous malformation occlusion was difficult with super-selective transarterial embolization of multiple feeders. Therefore, transarterial embolization of the minor feeder was performed before completing transvenous embolization using coils and 50% glue under left iliac artery flow control. Immediately thereafter, angiography confirmed the complete disappearance of the uterine arteriovenous malformation, and all pain symptoms remitted. In conclusion, transvenous embolization combined with adjunctive transarterial embolization can be an effective and radical treatment for type II uterine arteriovenous malformations.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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