Generic placeholder image

Current Women`s Health Reviews

Author(s): Nikolay Т. Vatutin, Gennadiy G. Taradin*, Ganna S. Smyrnova, Valery B. Kostogryz B. Kostogryz, Vadim S. Kolesnikov and Andrey V. Dmitriev

DOI: 10.2174/1573404814666180427110858

DownloadDownload PDF Flyer Cite As
The Successful Treatment of Pulmonary Embolism as a Complication after Uterine Fibroid Embolization (Case Report)

Page: [150 - 154] Pages: 5

  • * (Excluding Mailing and Handling)

Explore Articles
About Journal
For Authors
For Editors
For Reviewers

Abstract

Background: Uterine fibroid embolization (UFE) is as an effective alternative to hysterectomy and myomectomy. However, UFE is associated with a wide spectrum of complications including in rare instances thromboembolic events and even pulmonary embolism (PE).

Case Presentation: A case of a 36-year-old woman suffering from a symptomatic uterine fibroid is described as follows. The patient underwent UFE and overnight she suddenly collapsed with signs of massive PE. In consequence of cardiopulmonary resuscitation and urgent systemic thrombolytic therapy, cardiac activity was restored successfully.

Discussion & Conclusion: This constitutes another report of PE developed following UFE. In the case described here PE occurred 26 hours after the procedure was performed. Before UFE all patients should undergo complete examination for exclusion of pre-existing venous deep thrombosis and coagulopathies.

Keywords: Uterine fibroid embolization, hysterectomy, uterine fibroid, complications, venous thromboembolism, pulmonary embolism.

Graphical Abstract

[1]
Ravina JH, Bouret JM, Fried D, et al. Value of preoperative embolization of uterine fibroma: Report of a multicenter series of 31 cases. Contracept Fertil Sex 1995; 23: 45-9.
[2]
Goodwin SC, Spies JB, Worthington-Kirsch R, et al. Uterine artery embolization for treatment of leiomyomata: Long-term outcomes from the FIBROID Registry. Obstet Gynecol 2008; 111: 22-33.
[3]
Di Nisio M, van Es N, Büller HR. Deep vein thrombosis and pulmonary embolism. Lancet 2016; 388(10063): 3060-73.
[4]
Baig A, Mukherji R. Pulmonary embolism after uterine fibroid embolization: Case report. Cardiovasc Intervent Radiol 2011; 34: 1113-4.
[5]
Hamoda H, Tait P, Edmonds DK. Fatal pulmonary embolus after uterine artery fibroid embolisation. Cardiovasc Intervent Radiol 2009; 32: 1080-2.
[6]
Czeyda-Pommersheim F, Magee ST, Cooper C, Hahn WY, Spies JB. Venous thromboembolism after uterine fibroid embolization. Cardiovasc Intervent Radiol 2006; 29(6): 1136-40.
[7]
Tropeano G, Amoroso S, Di Stasi C, et al. Incidence and predictive factors for complications after uterine leiomyoma embolization. Hum Reprod 2014; 29(9): 1918-24.
[8]
Schirf BE, Vogelzang RL, Chrisman HB. Complications of uterine fibroid embolization. Semin Intervent Radiol 2006; 23: 143-9.
[9]
Memtsa M, Homer H. Complications associated with uterine artery embolisation for fibroids. Obstet Gynecol Int 2012; 2012: 290542.
[10]
Spies JB, Ascher SA, Roth AR, Kim J, Levy EB, Gomez-Jorge J. Uterine artery embolization for leiomyomata. Obstet Gynecol 2001; 98: 29-34.
[11]
Freed MM, Spies JB. Uterine artery embolization for fibroids: a review of current outcomes. Semin Reprod Med 2010; 28(3): 235-41.
[12]
Nikolic B, Kessler CM, Jacobs HM, et al. Changes in blood coagulation markers associated with uterine artery embolization for leiomyomata. J Vasc Interv Radiol 2003; 14: 1147-53.
[13]
Geerts WH, Bergqvist D, Pineo GF, et al. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 2008; 133: pp. (6 Suppl)381S-453S.
[14]
Gould MK, Garcia DA, Wren SM, et al. Prevention of VTE in nonorthopedic surgical patients: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 2012; 141: pp. (2 Suppl)e227S-77S.