Saldívar-Rodea C, Guerrero-Avendaño GML, Enríquez-García R

Language: Spanish
References: 11
Page: 10-19
PDF size: 532.54 Kb.

ABSTRACT

Introduction: In the published literature, there is a void in anatomic knowledge of vascular variants and their anastomotic arcades evidenced by angiography in patients taken for embolization.
Objective: Describe our experience with anatomical variants and anastomotic arcades identified by means of angiography during embolization of the uterine arteries.
Methods: A retrospective, observational study of transverse series of cases. We reviewed 100 cases of patients who underwent embolization of uterine arteries for fibromas at the interventionist radiology service in the period 2012 to 2017.
Results: In the period 2012 to 2017, 100 patients were included, finding eight cases, of which five showed some form of anatomical variant related to the emergence of visceral branches of the internal iliac artery and three cases, in two of which we found anastigmatic arcades of the uterine artery with the ovarian artery and one of the pudendal artery with the inferior mesenteric artery.
Conclusion: One should always consider the possibility of vascular anatomical variants and anastomotic arcades to anticipate undesired embolization to other organs and reduce the rate of therapeutic failure.

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