Successful treatment for pulmonary embolism arising after uterine artery embolization in a patient with uterine fibroid
Background. Uterine artery embolization (UAE) as a treatment for uterine fibroids confers a risk of various complications, among which there is pulmonary embolism (PE).Vatutin N.T., Taradin G.G., Kostogryz V.B., Kostogryz A.I., Kolesnikov V.S., Stolika O.I., Bort D.V.
Case report. A 36-year-old female patient who had no cardiovascular disease at the time of admission underwent UAE for uterine fibroids. A day after the procedure, there was dyspnea, hypotension, and then complete cessation of cardiac activity in the patient. After resuscitation measures, heart rate and blood pressure recovered, PE was diagnosed, and stepwise systemic intravenous thrombolysis (urokinase, unfractionated heparin) was performed. The patient’s condition improved after treatment.
Conclusion. PE is a common and extremely menacing complication of UAE. To prevent this, prior to the procedure, patients should be thoroughly examined for latent thrombosis and, if the latter was present, undergo appropriate therapeutic measures.
Keywords
uterine fibroid
uterine artery embolization
complications
pulmonary embolism
thrombolytic therapy
Supplementary Materials
- Table. The most common complications after uterine artery embolization
- Figure 1. Electrocardiogram of the patient at admission.
- Figure 2. Electrocardiogram of the patient recorded at 15th April, 2016, 1430.
- Figure 3. Electrocardiogram of the patient recorded at 16th April, 2016, 1600.
References
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Received 16.06.2016
Accepted 02.09.2016
About the Authors
Vatutin Nikolay Tihonovich, MD, Professor, Head of the Hospital Therapy Department, M. Gorky Donetsk National Medical University,chief of the Division of Urgent Cardiology and Cardiosurgery, V.K. Gusak Institute of Urgent and Recovery Surgery.
83000, Ukraine, Donetsk, Leninsky av. 47. Tel.: +380505334384. E-mail: kafedra_vatutin@mail.ru
Taradin Gennadiy Gennadievich, PhD, Ass. Prof., the Hospital Therapy Department, M. Gorky Donetsk National Medical University,
Higher Senior Officer of the Division of Urgent Cardiology and Cardiosurgery, V.K. Gusak Institute of Urgent and Recovery Surgery.
83000, Ukraine, Donetsk, Leninsky av. 47. Tel.: +380500550805. E-mail: taradin@inbox.ru
Kostogryz Valerii Borisovich, doctor of the Department of Urgent Cardiology and Thrombolysis, V.K. Gusak Institute of Urgent and Recovery Surgery.
83000, Ukraine, Donetsk, Leninsky av. 47. Tel.: +380504789379. E-mail: kostvalerij@yandex.ru
Kostogryz Anzhela Ivanovna, cardiologist, City Hospital Four. 83000, Ukraine, Donetsk, Cheluskintsev str. 188А. Tel.: +380504789379. E-mail: anzhelakstgryz@rambler.ru
Stolika Oleg Igorevich, PhD, head of the Department of Urgent Cardiology and Thrombolysis, V.K. Gusak Institute of Urgent and Recovery Surgery.
83000, Ukraine, Donetsk, Leninsky av. 47. Tel.: +380504284306. E-mail: olegstolika@rambler.ru
Kolesnikov Vadim Sergeevich, head of the Department of Intensive Care, Anesthesia and Resuscitation, V.K. Gusak Institute of Urgent and Recovery Surgery.
83000, Ukraine, Donetsk, Leninsky av. 47. Tel.: +380668983462. E-mail: kolesnikovvs@mail.ru
Bort Dmitrii Vital’evich, internship doctor, M. Gorky Donetsk National Medical University.
83003, Ukraine, Donetsk, Ilijcha av. 14. Tel.: +380958440515. E-mail: bortdima2@mail.ru
For citations: Vatutin N.T., Taradin G.G., Kostogryz V.B., Kostogryz A.I., Kolesnikov V.S., Stolika O.I., Bort D.V. Successful treatment for pulmonary embolism arising after uterine artery embolization in a patient with uterine fibroid. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (1): 103-7. (in Russian)
http://dx.doi.org/10.18565/aig.2017.1.103-7
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