RT Journal Article
T1 Uterine Artery Embolization of Uterine Arteriovenous Malformation: A Systematic Review of Success Rate, Complications, and Posterior Pregnancy Outcomes
A1 Ruiz Labarta, Francisco Javier
A1 Pintado Recarte, María Del Pilar
A1 González Leyte, Manuel
A1 Bravo Arribas, Coral
A1 Álvarez Luque, Arturo
A1 Cuñarro López, Yolanda
A1 García Montero, Cielo
A1 Fraile Martínez, Oscar
A1 Ortega, Miguel A.
A1 León Luis, Juan Antonio
AB Uterine Arteriovenous Malformation (UAVM) is a rare but life-threating cause of uterine bleeding. The clinical management of this condition is challenging, and there is a need to describe the most adequate approach for these patients. Uterine artery embolization (UAE) is the most widely-published treatment in the literature in recent years, although there is a need to update the evidence on this treatment and to compare it with other available therapies. Thus, the objective of this systematic review is to quantify the efficacy of UAE of UAVM. In addition, we evaluated the clinical context of the patients included, the treatment complications, and the pregnancy outcomes after UAE. With this goal in mind, we finally included 371 patients spread over all continents who were included in 95 studies. Our results show that, similar to other medical therapies, the global success rate after embolization treatment was 88.4%, presenting a low risk of adverse outcomes (1.8%), even in women with later pregnancy (77% had no complications). To date, this is the largest systematic review conducted in this field, although there are still some points to address in future studies. The results obtained in our study should be outlined in UAE protocols and guidelines to aid in clinical decision-making in patients with UAVM.
PB MDPI
SN 2075-4426
YR 2022
FD 2022-07-01
LK https://hdl.handle.net/20.500.14352/72187
UL https://hdl.handle.net/20.500.14352/72187
LA eng
NO Ruiz Labarta FJ, Pintado Recarte MP, González Leyte M, Arribas CB, Álvarez Luque A, Cuñarro López Y, et al. Uterine Artery Embolization of Uterine Arteriovenous Malformation: A Systematic Review of Success Rate, Complications, and Posterior Pregnancy Outcomes. JPM 2022;12:1098. https://doi.org/10.3390/jpm12071098.
NO Unión Europea
NO Comunidad de Madrid
NO Instituto de Salud Carlos III
DS Docta Complutense
RD 7 abr 2025