TITLE:
Uterine Arteriovenous Malformations: Therapeutic Strategies and the Place of Hysteroscopy
AUTHORS:
S. Haddout, A. Agman, P.-F. Ceccaldi
KEYWORDS:
Uterine Arteriovenous Malformation, Hysteroscopy and UAVM, Hysteroscopy and Trophoblastic Retention
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.11 No.11,
November
23,
2021
ABSTRACT: Uterine arteriovenous malformations (UAVMs) are not
common and are not well known. They are mainly manifested by hemorrhages that
can be life-threatening. Their diagnosis is based mainly on ultrasound coupled
with Doppler flow, as well as pelvic magnetic resonance imaging and angiography.
In the absence of a consensus, and based on our experience, we discuss the
place of hysteroscopy in the therapeutic strategy of UAVM. We reported 3 cases
of UAVM, and we performed a review of the literature concerning the diagnosis
and treatment of this pathology. We finally collected the advantages of the
embolization-hysteroscopy sequence. In fact, the data suggest that hysteroscopy
is a feasible and safe alternative treatment modality for UAVM. We believe that
the resection of UAVM can be done under optimal conditions with a reduced risk
of bleeding. Hysteroscopy would allow for optimal evaluation of the uterine
cavity after treatment as well as the possibility of applying an anti-adhesive
gel. In addition, the combination of hysteroscopy and embolization would
require less healing time and shorter follow-up than embolization alone. It
could also reduce the number of patients lost to follow-up.