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Obstetrics & Gynecology:
doi: 10.1097/AOG.0000000000000083
Case Report

Retrograde Transvenous Obliteration for Uterine Arteriovenous Malformation

Kishino, Mitsuhiro MD; Miyasaka, Naoyuki MD; Takeguchi, Yuko MD; Ohashi, Isamu MD

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BACKGROUND: Transarterial embolization is an established treatment for uterine arteriovenous malformation (AVM); however, in some cases, transarterial embolization is difficult. We present balloon-occluded retrograde transvenous obliteration as an alternative endovascular treatment for uterine AVM.

CASE: A 24-year-old woman was diagnosed with uterine AVM. Her medical treatments were ineffective, and selective embolization was abandoned because of the extremely tortuous feeders. We used balloon-occluded retrograde transvenous obliteration, in which balloon catheters were inserted into the draining vein to stop the outflow. Then, a sclerosant was retrogradely injected through the catheter into the nidus. The abnormal vessels were fully obliterated, and there was no recurrence after the treatment.

CONCLUSION: Balloon-occluded retrograde transvenous obliteration may be an alternative treatment for uterine AVMs with adequate vascular structures.

© 2014 by The American College of Obstetricians and Gynecologists.


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