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.
Literatur
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
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
Burchell RC (1968) Physiology of internal iliac artery ligation. J Obstet Gynecol Br Commonw 75: 642–651
Evans S, McShane P (1985) The efficacy of internal iliac artery ligation in obstetric hemorrhage. Surg Gynecol Obstet 160: 250–253
Fruhwirth J, Pascher O, Hauser H, Amann W (1996) Lokale Gefäßkomplikationen nach iatrogener Punktion der Femoralarterie. Wien Klin Wochenschr 108: 196–200
Goodwin SC, Walker WJ (1998) Uterine artery embolization for the treatment of uterine fibroids. Curr Opin Obstet Gynecol 10: 315–320
Greenwood LH, Glickman MG, Schawrtz PE (1987) Obstetric and nonmalignant gynecologic bleeding: treatment with angiographic embolization. Radiology 164: 155–159
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
Heffner LM, Mennuti MT, Rudoff JC (1985) Primary management of postpartum vulvovaginal hematomas by angiographic embolization. Am J Perinatol 2: 204–207
Hutchins FL, Worthington-Kirsch R (2000) Embolotherapy for myoma-induced menorrhagia. Obstet Gynecol Clin North Am 27: 397–405
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
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
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
Mihmanli I, Cantasdemir M, Kantarci F et al. (2001) Percutaneous embolization in the management of intractable vaginal bleeding. Arch Gynecol Obstet 264: 211–214
Mitty HA, Sterling KM, Alvaarez M, Gendler R (1993) Obstetric hemorrhage: prophylactic and emergency arterial catheterization and embolotherapy. Radiology 188: 183–187
Pais SO, Glickman M, Schwartz P et al. (1980) Embolization of pelvic arteries for control of postpartum hemorrhage. Obstet Gynecol 55: 754–758
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
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
Ravina JH, Herbreateau D, Ciraru-vigneron N (1995) Arterial embolization to treat uterine myomata. Lancet 346: 671–672
Smith DC, Wyatt JF (1977) Embolization of the hypogastric arteries in the control of massive vaginal hemorrhage. Obstet Gynecol 49: 317–318
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
Wilms GE, Favril A, Baert AL (1986) Transcatheter embolization of uterine arteriovenous malformations. Cardiovasc Interventional Radiol 9: 61–64
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
Yalvac S, Kayikcioglu F, Boran N et al. (2002) Embolization of uterine artery in terminal stage cervical cancers. Cancer Invest 20: 754–758
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
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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
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DOI: https://doi.org/10.1007/s00129-008-2105-0