Abstract
Background: Uterine arteriovenous malformations are rare. However, they may present with life threatening bleeding. Traditionally hysterectomy is the mainstay therapy for these patients, however, increasing reports of successful control using endovascular techniques have recently surfaced using various embolic agents and techniques. Here we report two cases of acquired uterine arterio-venous malformations managed successfully using NBCA and PVA and their midterm follow up. Case Report: Two cases were refereed to our interventional radiology department diagnosed by Doppler US and MRI as having uterine AVMs. The first cases presented with menometrorrhagia and significant blood loss during menstruation which necessitated blood transfusion on two separate episodes and refused to undergo hysterectomy. The second case presented in a state of hemodynamic shock following an attack of bleeding and had failed surgery due to extensive pelvic adhesions. Using standard endovascular techniques both uterine arteries were catheterized; glue was injected into the dominant feeding side and PVA was injected in the contralateral side. Both patients returned to their normal menstrual cycle with good control of bleeding. Clinical and radiological follow up was maintained for 29 month and 14 month for the cases, respectively. Conclusions: Endovascular management is a viable alternative in the control of uterine arterio-venous malformations in patients not eligible for surgery. Publication Date: 26 April 2021 (online) © 2017. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/). Thieme Medical and Scientific Publishers Pvt. Ltd. A-12, 2nd Floor, Sector 2, Noida-201301 UP, India