Alabdulghani F, O'Brien A, Brophy D
Department of Radiology, St. Vincent's University Hospital, Elm Park, 196 Merrion Rd, Dublin 4, Ireland.
Radiol Case Rep. 2017 Oct 27;13(1):130-134. doi: 10.1016/j.radcr.2017.09.027. eCollection 2018 Feb.
One of the main causes of failure in uterine fibroid embolization procedures is incomplete infarction of the fibroid due to alternate vascular supply to the fibroid which was not identified by the operator. Cone-beam computed tomography angiography was used in this case to avoid nontarget embolization via a uterine artery, as well as identify incomplete embolization of the fibroid. This prompted a search for variant vascular supply to the fibroid, which was found to be originating from the right ovarian artery. Therefore, the use of cone-beam computed tomography angiography led to a successful outcome, which otherwise may not have been achieved.
子宫肌瘤栓塞手术失败的主要原因之一是由于存在未被手术医生识别的肌瘤替代血管供应,导致肌瘤梗死不完全。在该病例中使用了锥形束计算机断层扫描血管造影,以避免通过子宫动脉进行非靶栓塞,同时识别肌瘤的不完全栓塞。这促使寻找肌瘤的变异血管供应,结果发现其起源于右卵巢动脉。因此,锥形束计算机断层扫描血管造影的使用带来了成功的结果,否则可能无法实现。