Breast Imaging Division, IEO-European Institute of Oncology IRCCS, Via Giuseppe Ripamonti, 435, 20141, Milan, MI, Italy.
Department of Radiology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.
J Ultrasound. 2021 Dec;24(4):529-533. doi: 10.1007/s40477-020-00441-2. Epub 2020 Mar 5.
The clinical success of uterine artery embolization is determined by its endpoint. An aggressive UAE could lead to endometritis and increases the risk of unintended embolization of other organs. Conversely, an incomplete procedure may result in a poor clinical outcome due to regrowth of the fibroids. We present a case with innovative use of intraoperative contrast-enhanced ultrasonography (CEUS) for the assessment of vascularity of the targeted fibroid to determine the endpoint of embolization perioperatively. We aim to report a case of the use of intraoperative CEUS during UAE to highlight the potential pitfall of its use and provide a review of its application in the literature. Our case affirms the reported usefulness and the practical feasibility to assess the vascularity of fibroids during UAE and highlights that caution should be made by operators in cases of multiple fibroids.
子宫动脉栓塞术的临床成功取决于其终点。积极的 UAE 可能导致子宫内膜炎，并增加意外栓塞其他器官的风险。相反，由于肌瘤的再生长，不完全的手术可能导致不良的临床结果。我们提出了一个创新性地使用术中增强型超声造影（CEUS）评估目标肌瘤血管生成以确定栓塞术终点的案例。我们旨在报告一个在 UAE 术中使用 CEUS 的案例，以强调其使用的潜在陷阱，并回顾其在文献中的应用。我们的案例证实了在 UAE 期间评估肌瘤血管生成方面报告的有用性和实际可行性，并强调在多个肌瘤的情况下，操作者应谨慎行事。
