Obstetric and gynecologic vascular interventions

Man Deuk Kim, Jin Wook Chung

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The applicability of nonsurgical treatments for benign diseases continues to be the focus of investigations in obstetric and gynecologic diseases. An understanding of the pelvic vascular anatomy is mandatory for safe and effective vascular interventions. Massive vaginal bleeding resulting from postpartum hemorrhage, uterine arteriovenous malformation, and uterine cervical carcinoma can be managed by endovascular treatment. Uterine artery embolization (UAE) has emerged as a viable treatment option for patients with symptomatic fibroids. Recovery and time to return to work is weeks shorter than recovery from surgery. UAE is also effective in the management of symptomatic adenomyosis as the primary treatment and as an alternative to hysterectomy despite the possibility of symptom recurrence. Pelvic congestion syndrome as a source of chronic pelvic pain can be effectively treated with embolization of the ovarian vein using coils with or without sclerosing agents.

Original languageEnglish
Title of host publicationRadiology Illustrated
Subtitle of host publicationGynecologic Imaging: Second Edition
PublisherSpringer-Verlag Berlin Heidelberg
Pages1211-1280
Number of pages70
Volume9783642053252
ISBN (Electronic)9783642053252
ISBN (Print)3642053238, 9783642053238
DOIs
Publication statusPublished - 2012 Aug 1

All Science Journal Classification (ASJC) codes

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

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  • Cite this

    Kim, M. D., & Chung, J. W. (2012). Obstetric and gynecologic vascular interventions. In Radiology Illustrated: Gynecologic Imaging: Second Edition (Vol. 9783642053252, pp. 1211-1280). Springer-Verlag Berlin Heidelberg. https://doi.org/10.1007/978-3-642-05325-2_57