Computed tomographic angiography in diagnosis and management of placental polyp with neovascularization

Objective To evaluate the neovascularization in placental polyp tissue by computed tomographic angiography and to determine the need for uterine artery embolization before hysteroscopic resection. Study design Seventeen consecutive women with suspected placental polyp were enrolled in this retrospec...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2010-05, Vol.281 (5), p.823-828
Main Authors: Takeda, Akihiro, Koyama, Kazuyuki, Imoto, Sanae, Mori, Masahiko, Sakai, Kotaro, Nakamura, Hiromi
Format: Article
Language:English
Subjects:
Adult
Angiography
Endocrinology
Female
Gynecology
Human Genetics
Humans
Hysterectomy
Medical imaging
Medicine
Medicine & Public Health
Neovascularization, Pathologic - diagnostic imaging
Obstetrics/Perinatology/Midwifery
Original Article
Placenta - blood supply
Placenta Diseases - diagnostic imaging
Placenta Diseases - surgery
Polyps - diagnostic imaging
Polyps - surgery
Postpartum Period
Pregnancy
Retrospective Studies
Tomography, X-Ray Computed
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Summary:Objective To evaluate the neovascularization in placental polyp tissue by computed tomographic angiography and to determine the need for uterine artery embolization before hysteroscopic resection. Study design Seventeen consecutive women with suspected placental polyp were enrolled in this retrospective study. Neovascularization in placental polyp tissue was assessed by computed tomographic angiography. Cases with neovascularization were treated by hysteroscopic resection with preoperative uterine artery embolization, while cases without neovascularization were treated by hysteroscopic resection alone. Results Of 17 patients with suspected placental polyp after abortion or parturition, nine patients were diagnosed to have placental polyp with prominent neovascularization by computed tomographic angiography, and were treated by uterine artery embolization followed by hysteroscopic resection. Two patients subsequently conceived after conservative management. Conclusions After precise evaluation of neovascularization by computed tomographic angiography, hysteroscopic resection with preoperative uterine artery embolization is an effective minimally invasive procedure to conservatively treat placental polyp with prominent neovascularization.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-009-1161-6