Intraoperative microvascular assessment with contrast-enhanced ultrasound (CEUS) during uterine artery embolisation (UAE): a case report and literature review.

Journal of Ultrasound
Filippo PesapaneDean Y Huang

Abstract

The clinical success of uterine artery embolization is determined by its endpoint. An aggressive UAE could lead to endometritis and increases the risk of unintended embolization of other organs. Conversely, an incomplete procedure may result in a poor clinical outcome due to regrowth of the fibroids. We present a case with innovative use of intraoperative contrast-enhanced ultrasonography (CEUS) for the assessment of vascularity of the targeted fibroid to determine the endpoint of embolization perioperatively. We aim to report a case of the use of intraoperative CEUS during UAE to highlight the potential pitfall of its use and provide a review of its application in the literature. Our case affirms the reported usefulness and the practical feasibility to assess the vascularity of fibroids during UAE and highlights that caution should be made by operators in cases of multiple fibroids.

References

Jan 15, 2003·Journal of Vascular and Interventional Radiology : JVIR·James B Spies
Jan 15, 2003·Journal of Vascular and Interventional Radiology : JVIR·Jean-Pierre PelageRoland Rymer
Feb 19, 2004·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·H MarretD Herbreteau
Mar 3, 2004·Radiology·Jean-Pierre PelageJames B Spies
May 12, 2006·Journal of Vascular and Interventional Radiology : JVIR·Hyun S KimEdward E Wallach
Jan 26, 2007·The New England Journal of Medicine·Richard D EdwardsUNKNOWN Committee of the Randomized Trial of Embolization versus Surgical Treatment for Fibroids
Apr 24, 2007·Cardiovascular and Interventional Radiology·Eric J DorenbergHans-Jørgen Smith
Aug 20, 2014·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Marret HenriOuldamer Lobna
Feb 17, 2018·Abdominal Radiology·Dean Y HuangPaul S Sidhu
Oct 27, 2018·Journal of Ultrasound·Claudia Lucia PiccoloVittorio Miele

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Citations

Jun 14, 2021·Advances in Colloid and Interface Science·Marie Pierre Krafft, Jean G Riess

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