McLucas Bruce
Department of Obstetrics and Gynecology, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, USA.
Minim Invasive Ther Allied Technol. 2009;18(2):106-8. doi: 10.1080/13645700902719201.
Uterine leiomyomata are most often supplied solely by the uterine arteries. However, myomata have been reported to recruit collateral supply, usually from the ovarian arteries, which may contribute to clinical failure of uterine artery embolization. This case report describes a patient in whom a uterine myoma developed collateral supply de novo. The aberrant vessel was identified using computed tomographic angiography (CTA) and was selectively occluded in a successful embolization procedure.
子宫平滑肌瘤通常仅由子宫动脉供血。然而,有报道称肌瘤会募集侧支供血,通常来自卵巢动脉,这可能导致子宫动脉栓塞术的临床失败。本病例报告描述了一名子宫肌瘤从头发展出侧支供血的患者。使用计算机断层血管造影(CTA)识别出异常血管,并在一次成功的栓塞手术中对其进行了选择性闭塞。