Anormal Uterin Kanamalı Takayasu Arteriti Tanılı Hastada Uterin Arter Embolizasyonu
Özet
Uterin arter embolizasyonu (UAE), anormal uterin kanaması olan hastalarda cerrahiye alternatif etkili bir tedavi yöntemidir. Takayasu arteriti gibi otoimmün hastalıklar, embolizasyon sonrası komplikasyon riskini artırabilir. Bu olgu sunumunda, leiomyom nedeniyle dirençli anormal uterin kanaması olan ve cerrahi kontrendikasyonu bulunan Takayasu arteritli bir hastada başarılı UAE uygulanması anlatılmaktadır. Preoperatif görüntüleme, dikkatli multidisipliner yaklaşım ve uygun perioperatif yönetim ile komplikasyonlar önlenmiş, hastada semptomatik iyileşme sağlanmıştır.
Referanslar
ACOG Practice Bulletin No. 96: Alternatives to Hysterectomy in the Management of Leiomyomas. Obstet Gynecol. 2008 Aug;112(2):387–400.
Spies JB. Current Evidence on Uterine Embolization for Fibroids. Semin Interv Radiol. 2013 Dec;30(4):340–6.
Bruijn AM de, Ankum WM, Reekers JA, Birnie E, Kooij SM van der, Volkers NA, et al. Uterine artery embolization vs hysterectomy in the treatment of symptomatic uterine fibroids: 10-year outcomes from the randomized EMMY trial. Am J Obstet Gynecol. 2016 Dec 1;215(6):745.e1-745.e12.
Spies JB. Current Role of Uterine Artery Embolization in the Management of Uterine Fibroids. Clin Obstet Gynecol. 2016 Mar;59(1):93–102.
Czeyda-Pommersheim F, Magee ST, Cooper C, Hahn WY, Spies JB. Venous Thromboembolism After Uterine Fibroid Embolization. Cardiovasc Intervent Radiol. 2006 Dec 1;29(6):1136–40.
Xu J, Lupu F, Esmon CT. Inflammation, innate immunity and blood coagulation. Hämostaseologie. 2010;30(01):5–9.
Brøchner AC, Mygil B, Elle B, Toft P. Inflammatory response in patients undergoing uterine artery embolization as compared to patients undergoing conventional hysterectomy. Acta Radiol. 2009 Dec;50(10):1193–7.
Ganguli S, Faintuch S, Salazar GM, Rabkin DJ. Postembolization syndrome: changes in white blood cell counts immediately after uterine artery embolization. J Vasc Interv Radiol JVIR. 2008 Mar;19(3):443–5.
Jonathan G Moss, Kevin G Cooper, Aradhana Khaund, Lilian S Murray, Gordon D Murray, Olivia Wu, Louise Craig, Mary Ann Lumsden. Randomised comparison of uterine artery embolisation (UAE) with surgical treatment in patients with symptomatic uterine fibroids (REST trial): 5-year results. [cited 2025 Apr 26]; Available from: https://core.ac.uk/reader/9391452?utm_source=linkout
Hirst A, Dutton S, Wu O, Briggs A, Edwards C, Waldenmaier L, et al. A multi-centre retrospective cohort study comparing the efficacy, safety and cost-effectiveness of hysterectomy and uterine artery embolisation for the treatment of symptomatic uterine fibroids. The HOPEFUL study. Health Technol Assess Winch Engl. 2008 Mar;12(5):1–248, iii.
Han K, Kim MD, Shin W, Song JJ, Kwon JH, Kim GM, et al. Uterine Artery Embolization in Patients With Autoimmune Disease: A Matched Case-Control Study. Am J Roentgenol. 2019 May;212(5):1148–53.
Maciel C, Tang YZ, Sahdev A, Madureira AM, Vilares Morgado P. Preprocedural MRI and MRA in planning fibroid embolization. Diagn Interv Radiol Ank Turk. 2017;23(2):163–71.
Aksu K, Donmez A, Keser G. Inflammation-induced thrombosis: mechanisms, disease associations and management. Curr Pharm Des. 2012;18(11):1478–93.
Li D, Hao M, Li X. Gynecological surgeries in patients with rheumatic diseases: A matched case control study of perioperative characteristics. Biomed Res [Internet]. 2014 [cited 2025 Apr 24];25(1). Available from: https://www.alliedacademies.org/abstract/gynecological-surgeries-in-patients-with-rheumatic-diseases-a-matchedrncase-control-study-of-perioperative-characteristics-892.html
