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Jannusch K, Steuwe A, Schimmöller L, Dietzel F, Wilms LM, Weiss D, Ziayee F, Fehm TN, Schlimgen C, Poth V, Ziegler RT, Minko P. Endovascular coil-embolization of an unruptured, true UAA during early pregnancy- a case report. CVIR Endovasc 2023; 6:50. [PMID: 37870638 PMCID: PMC10593720 DOI: 10.1186/s42155-023-00398-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2023] [Accepted: 10/11/2023] [Indexed: 10/24/2023] Open
Abstract
BACKGROUND True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk of rupture, immediate interdisciplinary discussion and treatment planning in the best interests of both mother and child is crucial. CASE PRESENTATION We present a 31-year-old pregnant woman with increasing pelvic pain and pressure. Diagnosis of an unruptured uterine artery aneurysm was confirmed by color-coded-sonography and magnetic resonance angiography. After interdisciplinary consultation, successful endovascular super-selective coil-embolization was performed by using X-ray fluoroscopy. Thus, fetal radiation dose during treatment with 4.33 mGy (VirtualDoseTM) was as low as possible with no immediate harm to the fetus. CONCLUSIONS Unruptured true uterine artery aneurysms can be successfully treated by endovascular super-selective coil-embolization during early pregnancy with no immediate harm to the fetus.
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Affiliation(s)
- Kai Jannusch
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany.
| | - Andrea Steuwe
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany
| | - Lars Schimmöller
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany
| | - Frederic Dietzel
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany
| | - Lena M Wilms
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany
| | - Daniel Weiss
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany
| | - Farid Ziayee
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany
| | - Tanja Natascha Fehm
- Medical Faculty, Department of Gynecology, University Dusseldorf, Dusseldorf, D-40225, Germany
| | - Charlotte Schlimgen
- Medical Faculty, Department of Gynecology, University Dusseldorf, Dusseldorf, D-40225, Germany
| | - Vanessa Poth
- Department of Gynecology, Hermann-Josef Hospital, Erkelenz, D-41812, Germany
| | - Reinhold Thomas Ziegler
- Medical Faculty, Department of Vascular and Endovascular Surgery, University Dusseldorf, Dusseldorf, D-40225, Germany
| | - Peter Minko
- Medical Faculty, Department of Diagnostic and Interventional Radiology, University Dusseldorf, Moorenstrasse 5, Dusseldorf, D-40225, Germany
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