{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T06:20:47Z","timestamp":1772000447080,"version":"3.50.1"},"reference-count":43,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"06","license":[{"start":{"date-parts":[[2023,7,21]],"date-time":"2023-07-21T00:00:00Z","timestamp":1689897600000},"content-version":"vor","delay-in-days":50,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective:\u2003To determine the efficacy of Uterine Artery Embolization in patients with bleeding acquired uterine arteriovenous malformations (AVMs).<\/jats:p><jats:p>\n          Methods:\u2003A prospective review of all patients who underwent Uterine Artery Embolization at our institution between July 2015 and April 2022 was performed. 225 patients were diagnosed with a uterine vascular malformation on doppler and corresponding MRI imaging. All patients underwent transcatheter embolization of the uterine arteries. Embolic agents in the 375 procedures included Histoacryl glue only (n\u2009=\u2009326), polyvinyl alcohol (PVA) particles and Histoacryl glue (n\u2009=\u200929), PVA particles (n\u2009=\u20095), Gelfoam (n\u2009=\u20095), coils (n\u2009=\u20094), PVA particles and coils (n\u2009=\u20093), Histoacryl glue and Gelfoam (n\u2009=\u20092), and Histoacryl glue and coils (n\u2009=\u20091).<\/jats:p><jats:p>\n          Results:\u2003A total of 375 embolization procedures were performed in 225 patients. 90 patients required repeat embolization for recurrence of bleeding. The technical success rate of embolization was 100%. The clinical success rate was 92%: bleeding was controlled in 222 of 225 patients and three patients underwent a hysterectomy. 60 of the 225 patients had uneventful intrauterine pregnancies carried to term. The 210 patients who underwent successful embolization had no recurrence of bleeding at a median follow-up of 53 months (range, 5-122 months) after treatment. 15 patients were eventually lost to follow-up. One minor complication (0.4%) of non-flow-limiting dissection of the internal iliac artery occurred.<\/jats:p><jats:p>\n          Conclusion:\u2003Uterine Artery Embolization is a safe, effective, minimally invasive method to treat uterine AVMs with long-term efficacy, which can provide the preservation of fertility.<\/jats:p>","DOI":"10.1055\/s-0043-1770092","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T18:59:23Z","timestamp":1690397963000},"page":"325-332","source":"Crossref","is-referenced-by-count":2,"title":["Efficacy of Embolization in Acquired Uterine Vascular Malformations: An Experience in Tertiary Care Centre in India"],"prefix":"10.61622","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8075-7107","authenticated-orcid":false,"given":"Vineel","family":"Inampudi","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Sri Venkateswara Medical College, Tirupati, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8445-5314","authenticated-orcid":false,"given":"Sunanda","family":"Nimmalapudi","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, Sri Venkateswara Medical College, Tirupati, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2023,7,21]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1002\/uog.148","article-title":"Arteriovenous malformation of the uterus associated with secondary postpartum hemorrhage","volume":"21","author":"S M Kelly","year":"2003","journal-title":"Ultrasound Obstet Gynecol"},{"issue":"03","key":"ref2","doi-asserted-by":"publisher","first-page":"659","DOI":"10.1016\/0002-9378(86)90300-5","article-title":"Uterine arteriovenous malformation successfully embolized with a liquid polymer, isobutyl 2-cyanoacrylate","volume":"155","author":"G Markoff","year":"1986","journal-title":"Am J Obstet Gynecol"},{"issue":"04","key":"ref3","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1016\/j.jgyn.2010.03.009","article-title":"[Case study of a severe hemorrhage during a dilatation and curettage: Arteriovenous malformation or first trimester placenta accreta?]","volume":"39","author":"L Marcellin","year":"2010","journal-title":"J Gynecol Obstet Biol Reprod (Paris)"},{"issue":"02","key":"ref4","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1007\/s00330-005-2799-5","article-title":"Acquired uterine vascular malformations: radiological and clinical outcome after transcatheter embolotherapy","volume":"16","author":"G Maleux","year":"2006","journal-title":"Eur Radiol"},{"issue":"06","key":"ref5","doi-asserted-by":"publisher","first-page":"541","DOI":"10.1016\/j.crad.2011.11.002","article-title":"Efficacy and safety of embolization in iatrogenic traumatic uterine vascular malformations","volume":"67","author":"Z Wang","year":"2012","journal-title":"Clin Radiol"},{"issue":"04","key":"ref6","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1016\/s1051-0443(91)72234-3","article-title":"Uterine arteriovenous malformations: primary treatment with therapeutic embolization","volume":"2","author":"R L Vogelzang","year":"1991","journal-title":"J Vasc Interv Radiol"},{"issue":"02","key":"ref7","first-page":"209","article-title":"Arteriovenous malformations of the uterus","volume":"73","author":"H Fleming","year":"1989","journal-title":"Obstet Gynecol"},{"issue":"06","key":"ref8","doi-asserted-by":"publisher","first-page":"1713","DOI":"10.1148\/rg.326125524","article-title":"Beyond hemostasis: spectrum of gynecologic and obstetric indications for transcatheter embolization","volume":"32","author":"M D Katz","year":"2012","journal-title":"Radiographics"},{"issue":"02","key":"ref9","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/0002-9378(85)90102-4","article-title":"Report of a successful delivery after nonsurgical management of a choriocarcinoma-related pelvic arteriovenous fistula","volume":"153","author":"D R Chapman","year":"1985","journal-title":"Am J Obstet Gynecol"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1016\/S0221-0363(04)97644-5","article-title":"Fistule art\u00e9rio-veineuse ut\u00e9rine acquise: \u00e0 propos d'une observation","volume":"85","author":"T Batch","year":"2004","journal-title":"J Radiol"},{"issue":"04","key":"ref11","first-page":"239","article-title":"Uterine arteriovenous malformation in a patient with recurrent pregnancy loss and a bicornuate uterus. 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