Case Reports
doi: 10.25005/2074-0581-2019-21-4-683-688
PERSISTENT UTERINE ARTERY VASOSPASM DURING UTERINE FIBROIDS EMBOLIZATION FOR LEIOMYOMA

F.R. RAKHIMOV1, A.K. BARATOV2, G.T. RASULOVA3

1Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
3Tajik Scientific Research Institute of Obstetrics, Gynecology, and Perinatology, Dushanbe, Republic of Tajikistan

Uterine artery embolization (UAE) has been widely used for a number of years as an alternative mini-invasive method of treatment of symptomatic uterine fibroids. The technical aspects of the UFE are described in sufficient detail in various guidelines, recommendations and scientific articles. Along with low trauma and other benefits, UAE, like any other treatment, can be accompanied by some intra- and postinterventional complications. One of the intraoperative complications is uterine artery spasm. In most cases the spasm is eliminated medically and is considered to be a temporary and reverse phenomenon. Persistent spasm of the uterine artery can really prevent the adequate embolization of perifibroid arteries and subsequently cause ineffective treatment. The article provides a case of persistent spasm of the uterine artery at the final stage of its embolization for uterine leiomyoma. A set of intraoperative measures to eliminate this complication is described, which, in the end, allowed to properly complete the intervention.

Keywords: Uterine fibroids, uterine artery embolization, complications, spasm of the uterine artery.

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Authors' information:

Rakhimov Farshed Rustamovich
Postgraduate Student, Department of Surgical Diseases № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-7418-1383
E-mail: frrahimov@mail.ru

Baratov Alisher Kendzhaevich
Candidate of Medical Sciences, Associate Professor, Endovascular Surgeon, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: AAE-6818-2019
Scopus ID: 8249648700
ORCID ID: 0000-0002-8072-5751
Author ID: 268956
SPIN: 6576-1680
E-mail: alishbar@rambler.ru

Rasulova Gulnora Tairdzhanovna
Candidate of Medical Sciences, Associate Professor, Head of the Department of Pregnancy Pathology № 2, Tajik Scientific Research Institute of Obstetrics, Gynecology, and Perinatology
ORCID ID: 0000-0002-5527-5699
E-mail: g_rasulova@list.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Baratov Alisher Kendzhaevich
Candidate of Medical Sciences, Associate Professor, Endovascular Surgeon, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, Sanoi str., 33

Tel.: +992 (907) 978815

E-mail: alishbar@rambler.ru

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