EURORAD ESR

Case 9890

Transvaginal embolisation of a uterine arteriovenous malformation

Author(s)
Slaba SG, al Rouhban RB, Sammour MS, Kesrouani AK

Hotel Dieu de France University Hospital
 
Patient
female, 30 year(s)
 
 
  • Figure 1
    The uterine AVM on ultrasound
     

    Endovaginal ultrasound, sagittal view of the uterus. Tortuous anechoic images in the uterine wall (arrows).

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;

    color doppler ultrasound showing the arteries and veins in the nidus (arrows)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Arteriovenous malformations;
     
     
  • Figure 2
    Catheterisation of the uterine AVM
     

    the coil used in the embolization of 2003 in the right uterine artery is shown (arrow)

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;

    early arterial phase showing the right uterine artery (arrow) in the catheterisation of the arteriovenous malformation.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;

    Right femoral catheterisation showing the arterial supply and the draining vein of the arteriovenous malformation.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Arterial access; Special Focus: Arteriovenous malformations;
     
     
  • Figure 3
    Transvaginal embolisation of the AVM

    Ultrasound probe in position with needle opacification of the AVM.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Ultrasound; Procedure: Embolisation; Special Focus: Arteriovenous malformations;
     
     
  • Figure 4
    The final result

    Opacification of the right uterine artery after the embolisation showing the glue material in the nidus.

     
    Area of Interest: Genital / Reproductive system female; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Arteriovenous malformations;
     
     
Endovaginal ultrasound, sagittal view of the uterus. Tortuous anechoic images in the uterine wall (arrows).
 
color doppler ultrasound showing the arteries and veins in the nidus (arrows)
 
the coil used in the embolization of 2003 in the right uterine artery is shown (arrow)
 
early arterial phase showing the right uterine artery (arrow) in the catheterisation of the arteriovenous malformation.
 
Right femoral catheterisation showing the arterial supply and the draining vein of the arteriovenous malformation.
 
Ultrasound probe in position with needle opacification of the AVM.
 
Opacification of the right uterine artery after the embolisation showing the glue material in the nidus.
 
 
 
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