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Endovascular coil-embolization of an unruptured, true UAA during early pregnancy- a case report
Background True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk...
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| Published in: | CVIR endovascular 2023-10, Vol.6 (1), p.50-50, Article 50 |
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| container_end_page | 50 |
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| container_title | CVIR endovascular |
| container_volume | 6 |
| creator | Jannusch, Kai Steuwe, Andrea Schimmöller, Lars Dietzel, Frederic Wilms, Lena M. Weiss, Daniel Ziayee, Farid Fehm, Tanja Natascha Schlimgen, Charlotte Poth, Vanessa Ziegler, Reinhold Thomas Minko, Peter |
| description | Background
True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk of rupture, immediate interdisciplinary discussion and treatment planning in the best interests of both mother and child is crucial.
Case presentation
We present a 31-year-old pregnant woman with increasing pelvic pain and pressure. Diagnosis of an unruptured uterine artery aneurysm was confirmed by color-coded-sonography and magnetic resonance angiography. After interdisciplinary consultation, successful endovascular super-selective coil-embolization was performed by using X-ray fluoroscopy. Thus, fetal radiation dose during treatment with 4.33 mGy (VirtualDoseTM) was as low as possible with no immediate harm to the fetus.
Conclusions
Unruptured true uterine artery aneurysms can be successfully treated by endovascular super-selective coil-embolization during early pregnancy with no immediate harm to the fetus. |
| doi_str_mv | 10.1186/s42155-023-00398-3 |
| format | article |
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True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk of rupture, immediate interdisciplinary discussion and treatment planning in the best interests of both mother and child is crucial.
Case presentation
We present a 31-year-old pregnant woman with increasing pelvic pain and pressure. Diagnosis of an unruptured uterine artery aneurysm was confirmed by color-coded-sonography and magnetic resonance angiography. After interdisciplinary consultation, successful endovascular super-selective coil-embolization was performed by using X-ray fluoroscopy. Thus, fetal radiation dose during treatment with 4.33 mGy (VirtualDoseTM) was as low as possible with no immediate harm to the fetus.
Conclusions
Unruptured true uterine artery aneurysms can be successfully treated by endovascular super-selective coil-embolization during early pregnancy with no immediate harm to the fetus.</description><identifier>ISSN: 2520-8934</identifier><identifier>EISSN: 2520-8934</identifier><identifier>DOI: 10.1186/s42155-023-00398-3</identifier><identifier>PMID: 37870638</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aneurysms ; Case Report ; Case reports ; Coil-embolization ; Contrast agents ; Embolization ; Fetuses ; Gynecology ; Imaging ; Interdisciplinary aspects ; Interventional Radiology ; Magnetic resonance imaging ; Medical imaging ; Medicine ; Medicine & Public Health ; Pain ; Pregnancy ; Radiation ; Radiology ; Ultrasonic imaging ; Uterine aneurysm ; Veins & arteries</subject><ispartof>CVIR endovascular, 2023-10, Vol.6 (1), p.50-50, Article 50</ispartof><rights>The Author(s) 2023</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Cardiovascular and Interventional Radiological Society of Europe (CIRSE) and Springer International Publishing AG 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c536t-3a6041d13d6bc9bdf66318ec21d126a9fc138f6425f80416fb303e9cd10fda573</cites><orcidid>0000-0001-7285-3430</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10593720/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2880594312?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids></links><search><creatorcontrib>Jannusch, Kai</creatorcontrib><creatorcontrib>Steuwe, Andrea</creatorcontrib><creatorcontrib>Schimmöller, Lars</creatorcontrib><creatorcontrib>Dietzel, Frederic</creatorcontrib><creatorcontrib>Wilms, Lena M.</creatorcontrib><creatorcontrib>Weiss, Daniel</creatorcontrib><creatorcontrib>Ziayee, Farid</creatorcontrib><creatorcontrib>Fehm, Tanja Natascha</creatorcontrib><creatorcontrib>Schlimgen, Charlotte</creatorcontrib><creatorcontrib>Poth, Vanessa</creatorcontrib><creatorcontrib>Ziegler, Reinhold Thomas</creatorcontrib><creatorcontrib>Minko, Peter</creatorcontrib><title>Endovascular coil-embolization of an unruptured, true UAA during early pregnancy- a case report</title><title>CVIR endovascular</title><addtitle>CVIR Endovasc</addtitle><description>Background
True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk of rupture, immediate interdisciplinary discussion and treatment planning in the best interests of both mother and child is crucial.
Case presentation
We present a 31-year-old pregnant woman with increasing pelvic pain and pressure. Diagnosis of an unruptured uterine artery aneurysm was confirmed by color-coded-sonography and magnetic resonance angiography. After interdisciplinary consultation, successful endovascular super-selective coil-embolization was performed by using X-ray fluoroscopy. Thus, fetal radiation dose during treatment with 4.33 mGy (VirtualDoseTM) was as low as possible with no immediate harm to the fetus.
Conclusions
Unruptured true uterine artery aneurysms can be successfully treated by endovascular super-selective coil-embolization during early pregnancy with no immediate harm to the fetus.</description><subject>Aneurysms</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Coil-embolization</subject><subject>Contrast agents</subject><subject>Embolization</subject><subject>Fetuses</subject><subject>Gynecology</subject><subject>Imaging</subject><subject>Interdisciplinary aspects</subject><subject>Interventional Radiology</subject><subject>Magnetic resonance imaging</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pain</subject><subject>Pregnancy</subject><subject>Radiation</subject><subject>Radiology</subject><subject>Ultrasonic imaging</subject><subject>Uterine aneurysm</subject><subject>Veins & arteries</subject><issn>2520-8934</issn><issn>2520-8934</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9kkFvFCEYhidGY5vaP-CJxIsHR4FvYOFkNk3VJk282DNh4Jt1NrMwwtBk_fXSnUatB0-Qj-d9QuBtmteMvmdMyQ-540yIlnJoKQWtWnjWnHPBaas0dM__2p81lznvKaWcdXQD_GVzBhu1oRLUeWOug4_3Nrsy2URcHKcWD32cxp92GWMgcSA2kBJSmZeS0L8jSypI7rZb4ksaw46gTdORzAl3wQZ3bIklzmYkCeeYllfNi8FOGS8f14vm7tP1t6sv7e3XzzdX29vWCZBLC1bSjnkGXvZO936QEphCx-uMS6sHx0ANsuNiUBWUQw8UUDvP6OCt2MBFc7N6fbR7M6fxYNPRRDua0yCmnbFpGd2EhmMPrEdwgkLXgdZWgOdSik4zK5moro-ray79Ab3DsCQ7PZE-PQnjd7OL94ZRoWHDaTW8fTSk-KNgXsxhzA6nyQaMJRuuFFWV46qib_5B97GkUN_qRAndAeOV4ivlUsw54fD7Noyahz6YtQ-m9sGc-mCghmAN5fnhpzD9Uf8n9Qu_crXF</recordid><startdate>20231023</startdate><enddate>20231023</enddate><creator>Jannusch, Kai</creator><creator>Steuwe, Andrea</creator><creator>Schimmöller, Lars</creator><creator>Dietzel, Frederic</creator><creator>Wilms, Lena M.</creator><creator>Weiss, Daniel</creator><creator>Ziayee, Farid</creator><creator>Fehm, Tanja Natascha</creator><creator>Schlimgen, Charlotte</creator><creator>Poth, Vanessa</creator><creator>Ziegler, Reinhold Thomas</creator><creator>Minko, Peter</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-7285-3430</orcidid></search><sort><creationdate>20231023</creationdate><title>Endovascular coil-embolization of an unruptured, true UAA during early pregnancy- a case report</title><author>Jannusch, Kai ; Steuwe, Andrea ; Schimmöller, Lars ; Dietzel, Frederic ; Wilms, Lena M. ; Weiss, Daniel ; Ziayee, Farid ; Fehm, Tanja Natascha ; Schlimgen, Charlotte ; Poth, Vanessa ; Ziegler, Reinhold Thomas ; Minko, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c536t-3a6041d13d6bc9bdf66318ec21d126a9fc138f6425f80416fb303e9cd10fda573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Aneurysms</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Coil-embolization</topic><topic>Contrast agents</topic><topic>Embolization</topic><topic>Fetuses</topic><topic>Gynecology</topic><topic>Imaging</topic><topic>Interdisciplinary aspects</topic><topic>Interventional Radiology</topic><topic>Magnetic resonance imaging</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pain</topic><topic>Pregnancy</topic><topic>Radiation</topic><topic>Radiology</topic><topic>Ultrasonic imaging</topic><topic>Uterine aneurysm</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jannusch, Kai</creatorcontrib><creatorcontrib>Steuwe, Andrea</creatorcontrib><creatorcontrib>Schimmöller, Lars</creatorcontrib><creatorcontrib>Dietzel, Frederic</creatorcontrib><creatorcontrib>Wilms, Lena M.</creatorcontrib><creatorcontrib>Weiss, Daniel</creatorcontrib><creatorcontrib>Ziayee, Farid</creatorcontrib><creatorcontrib>Fehm, Tanja Natascha</creatorcontrib><creatorcontrib>Schlimgen, Charlotte</creatorcontrib><creatorcontrib>Poth, Vanessa</creatorcontrib><creatorcontrib>Ziegler, Reinhold Thomas</creatorcontrib><creatorcontrib>Minko, Peter</creatorcontrib><collection>SpringerOpen</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>CVIR endovascular</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jannusch, Kai</au><au>Steuwe, Andrea</au><au>Schimmöller, Lars</au><au>Dietzel, Frederic</au><au>Wilms, Lena M.</au><au>Weiss, Daniel</au><au>Ziayee, Farid</au><au>Fehm, Tanja Natascha</au><au>Schlimgen, Charlotte</au><au>Poth, Vanessa</au><au>Ziegler, Reinhold Thomas</au><au>Minko, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endovascular coil-embolization of an unruptured, true UAA during early pregnancy- a case report</atitle><jtitle>CVIR endovascular</jtitle><stitle>CVIR Endovasc</stitle><date>2023-10-23</date><risdate>2023</risdate><volume>6</volume><issue>1</issue><spage>50</spage><epage>50</epage><pages>50-50</pages><artnum>50</artnum><issn>2520-8934</issn><eissn>2520-8934</eissn><abstract>Background
True uterine artery aneurysms, especially during pregnancy, are a rare entity and not well understood. Clinical symptoms are unspecific pelvic pain and pressure. Diagnosis can be confirmed by transvaginal color-coded-sonography and/or magnetic resonance imaging. Because of potential risk of rupture, immediate interdisciplinary discussion and treatment planning in the best interests of both mother and child is crucial.
Case presentation
We present a 31-year-old pregnant woman with increasing pelvic pain and pressure. Diagnosis of an unruptured uterine artery aneurysm was confirmed by color-coded-sonography and magnetic resonance angiography. After interdisciplinary consultation, successful endovascular super-selective coil-embolization was performed by using X-ray fluoroscopy. Thus, fetal radiation dose during treatment with 4.33 mGy (VirtualDoseTM) was as low as possible with no immediate harm to the fetus.
Conclusions
Unruptured true uterine artery aneurysms can be successfully treated by endovascular super-selective coil-embolization during early pregnancy with no immediate harm to the fetus.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37870638</pmid><doi>10.1186/s42155-023-00398-3</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-7285-3430</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Open Access: PubMed Central; Springer Nature - SpringerLink Journals - Fully Open Access ; Publicly Available Content (ProQuest) |
| subjects | Aneurysms Case Report Case reports Coil-embolization Contrast agents Embolization Fetuses Gynecology Imaging Interdisciplinary aspects Interventional Radiology Magnetic resonance imaging Medical imaging Medicine Medicine & Public Health Pain Pregnancy Radiation Radiology Ultrasonic imaging Uterine aneurysm Veins & arteries |
| title | Endovascular coil-embolization of an unruptured, true UAA during early pregnancy- a case report |
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