Then Doppler ultrasound examination of the uterine artery
(UA) was performed during 2nd trimester at 20 weeks using a color Doppler system, Philips Envisor C, with a 3.5MHz convex probe.
The search terms, which were combined using Boolean operators ("or" and "and"), included the following: uterine leiomyomas, leiomyoma, myoma, fibroma, fibromyoma, fibroleiomyoma, leiomyomata, uterine artery
embolization, apparent diffusion coefficient, diffusion-weighted magnetic resonance imaging, and diffusion-weighted imaging.
: The uterine artery
arises from the anterior trunk and goes medially through the broad ligament (lig.
In uterine artery
Doppler study, abnormal RI >0.6 was present in 11%, PI >1.1 in 25% and S/D ratio >2.6 in 24%.
In the eight patients who were not examined by color Doppler imaging and two (3.6%) patients in whom color Doppler imaging revealed no AVM, the results of selective uterine artery
angiography confirmed these cases to be uterine AVM.
If we consider the basics of an open hysterectomy, the uterine artery
is clamped first, then suture ligated.
embolisation for fibroids does not have adverse effects on ovarian reserve in regularly cycling women younger than 40 years.
Of the other procedures, 7% chose endometrial ablation, 6% chose uterine artery
embolization, less than 1% chose radiofrequency fibroid ablation or magnetic resonance-guided focused ultrasound, and none chose IUD.
Due to the hypervascularity of the cervical ectopic pregnancy, the obstetrics consultant recommended uterine artery
embolization (UAE) via interventional radiology.
In retrospect, recommending uterine artery
embolization (UAE) pretransplant would have been very beneficial for this patient, as studies have shown this procedure carries > 90% success rates in reducing the sizes of, and pain from, fibroids and menorrhagia .
Delivery-/abortion-associated uterine artery
pseudoaneurysm (UAP), when it ruptures, causes life-threatening hemorrhage.
Increased resistance in the uterine artery
measured by the pulsatility index indicates a decreased blood flow to the placenta and may be an early sign of placenta pathology and/or hypertensive disorder in pregnancy [1, 6, 7].
It is hypothesized that disrupted stem cell invasion may lead to poor spiral and uterine artery
remodeling with subsequent impaired placental development.
Amid the above mentioned investigations, suggesting hysteroscopic myomectomy as a culprit for the intrauterine adhesions, we find that pre-operative uterine artery
embolization can lead to only 18% of synechiae and prevent major fibrosis.
Background: The purpose of the study was to evaluate the role of uterine blood flow parameters measured by uterine artery
two-dimensional (2D)-power color doppler (PCD) ultrasound in predicting fertility outcomes in women undergoing IVF-ET cycles.