Skip to main content
Log in

Beckenarterienembolisation bei uteriner Karzinomblutung

Embolization of the internal iliac artery in hemorrhaging from uterine carcinomas

  • Leitthema
  • Published:
Der Gynäkologe Aims and scope

Zusammenfassung

Für uterine Blutungen auf dem Boden maligner gynäkologischer Tumoren stellt die superselektive Embolisation der Beckenarterien eine minimal-invasive Option dar, an die im klinischen Alltag häufiger gedacht werden sollte. Im Rahmen dieser Übersichtsarbeit werden die aktuellen Techniken, Indikationen, Komplikationen und Ergebnisse vorgestellt.

Abstract

Superselective embolization of the internal iliac artery for uterine hemorrhaging due to malignant obstetric tumors is an underused minimally invasive option in clinical practice. The aim of this article is to review the state of the art of embolization techniques, indications, complications and clinical results.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Abd Rabbo SA (1994) Stepwise uterine devascularization. A novel technique for management of uncontrollable postpartum hemorrhage with preservation of the uterus. Am J Obstet Gynecol 171: 694–700

    Google Scholar 

  2. Bakri YN, Linjawi T (1992) Angiographic embolization for control of pelvic genital tract hemorrhage. Report of 14 cases. Acta Obstet Gynecol Scand 71: 17–21

    Article  PubMed  CAS  Google Scholar 

  3. Burchell RC (1968) Physiology of internal iliac artery ligation. J Obstet Gynecol Br Commonw 75: 642–651

    CAS  Google Scholar 

  4. Evans S, McShane P (1985) The efficacy of internal iliac artery ligation in obstetric hemorrhage. Surg Gynecol Obstet 160: 250–253

    PubMed  CAS  Google Scholar 

  5. Fruhwirth J, Pascher O, Hauser H, Amann W (1996) Lokale Gefäßkomplikationen nach iatrogener Punktion der Femoralarterie. Wien Klin Wochenschr 108: 196–200

    PubMed  CAS  Google Scholar 

  6. Goodwin SC, Walker WJ (1998) Uterine artery embolization for the treatment of uterine fibroids. Curr Opin Obstet Gynecol 10: 315–320

    Article  PubMed  CAS  Google Scholar 

  7. Greenwood LH, Glickman MG, Schawrtz PE (1987) Obstetric and nonmalignant gynecologic bleeding: treatment with angiographic embolization. Radiology 164: 155–159

    PubMed  CAS  Google Scholar 

  8. Hansch E, Chitkara U, McAlpine J et al. (1999) Pelvic arterial embolization for control of obstetric hemorrhage: a five-year experience. Am J Obstet Gynecol 180:1454–1460

    Article  PubMed  CAS  Google Scholar 

  9. Heffner LM, Mennuti MT, Rudoff JC (1985) Primary management of postpartum vulvovaginal hematomas by angiographic embolization. Am J Perinatol 2: 204–207

    Article  PubMed  CAS  Google Scholar 

  10. Hutchins FL, Worthington-Kirsch R (2000) Embolotherapy for myoma-induced menorrhagia. Obstet Gynecol Clin North Am 27: 397–405

    Article  PubMed  Google Scholar 

  11. Khankan AA, Osuga K, Hori S et al. (2004) Embolic effects of superabsorbent polymer microspheres in rabbit renal model: comparison with tris-acryl gelatin microspheres and polyvinyl alcohol. Radiat Med 22: 384–390

    PubMed  Google Scholar 

  12. Lewis DR, Bullbulia RA, Murphy P et al. (1999) Vascular surgical intervention for complications of cardiovascular radiology: 13 years‘ experience in a single centre. Ann R Coll Surg Engl 81: 23–26

    PubMed  CAS  Google Scholar 

  13. Lin YC, Kudelka AP, Lawrence D et al. (1996) Transcatheter arterial embolization for the control of life-threatening pelvic hemorrhage in a patient with locally advanced cervix carcinoma. Eur J Gynaecol Oncol 17: 480–483

    PubMed  CAS  Google Scholar 

  14. Mihmanli I, Cantasdemir M, Kantarci F et al. (2001) Percutaneous embolization in the management of intractable vaginal bleeding. Arch Gynecol Obstet 264: 211–214

    Article  PubMed  CAS  Google Scholar 

  15. Mitty HA, Sterling KM, Alvaarez M, Gendler R (1993) Obstetric hemorrhage: prophylactic and emergency arterial catheterization and embolotherapy. Radiology 188: 183–187

    PubMed  CAS  Google Scholar 

  16. Pais SO, Glickman M, Schwartz P et al. (1980) Embolization of pelvic arteries for control of postpartum hemorrhage. Obstet Gynecol 55: 754–758

    PubMed  CAS  Google Scholar 

  17. Pelage JP, Laurent A, Wassef M et al. (2002) Uterine artery embolization in sheep: comparison of acute effects with polyvinyl alcohol particles and calibrated microspheres. Radiology 224: 436–445

    Article  PubMed  Google Scholar 

  18. Pelage JP, LeDref O, Soyer P (2000) Fibroid-related menorrhagia: treatment with superselective embolization of the uterine arteries and midterm follow up. Radiology 215: 428–431

    PubMed  CAS  Google Scholar 

  19. Ravina JH, Herbreateau D, Ciraru-vigneron N (1995) Arterial embolization to treat uterine myomata. Lancet 346: 671–672

    Article  PubMed  CAS  Google Scholar 

  20. Smith DC, Wyatt JF (1977) Embolization of the hypogastric arteries in the control of massive vaginal hemorrhage. Obstet Gynecol 49: 317–318

    PubMed  CAS  Google Scholar 

  21. Vedantham S, Goodwin SC, McLucas B, Mohr G (1997) Uterine artery embolization: an underused method of controlling pelvic hemorrhage. Am J Obstet Gynecol 176: 938–948

    Article  PubMed  CAS  Google Scholar 

  22. Wilms GE, Favril A, Baert AL (1986) Transcatheter embolization of uterine arteriovenous malformations. Cardiovasc Interventional Radiol 9: 61–64

    Article  CAS  Google Scholar 

  23. Worthington-Kirsch RL, Hutchins FL, Poply GL (1998) Uterine artery embolization for the management of leiomyomas: quality of life assessment and clinical response. Radiology 208: 625–629

    PubMed  CAS  Google Scholar 

  24. Yalvac S, Kayikcioglu F, Boran N et al. (2002) Embolization of uterine artery in terminal stage cervical cancers. Cancer Invest 20: 754–758

    Article  PubMed  Google Scholar 

  25. Yamashita Y, Takahashi M, Ito M, Okamura H (1991) Transcatheter arterial embolization in the management of postpartum hemorrhage due to genital tract injury. Obstet Gynecol 77: 160–163

    PubMed  CAS  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C. Stroszczynski.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stroszczynski, C., Gatzweiler, A., Werk, M. et al. Beckenarterienembolisation bei uteriner Karzinomblutung. Gynäkologe 41, 111–116 (2008). https://doi.org/10.1007/s00129-008-2105-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00129-008-2105-0

Schlüsselwörter

Keywords

Navigation