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Archives of Gynecology and Obstetrics

Published in:

01-05-2010 | Original Article

Computed tomographic angiography in diagnosis and management of placental polyp with neovascularization

Authors: Akihiro Takeda, Kazuyuki Koyama, Sanae Imoto, Masahiko Mori, Kotaro Sakai, Hiromi Nakamura

Published in: Archives of Gynecology and Obstetrics | Issue 5/2010

Abstract

Objective

To evaluate the neovascularization in placental polyp tissue by computed tomographic angiography and to determine the need for uterine artery embolization before hysteroscopic resection.

Study design

Seventeen consecutive women with suspected placental polyp were enrolled in this retrospective study. Neovascularization in placental polyp tissue was assessed by computed tomographic angiography. Cases with neovascularization were treated by hysteroscopic resection with preoperative uterine artery embolization, while cases without neovascularization were treated by hysteroscopic resection alone.

Results

Of 17 patients with suspected placental polyp after abortion or parturition, nine patients were diagnosed to have placental polyp with prominent neovascularization by computed tomographic angiography, and were treated by uterine artery embolization followed by hysteroscopic resection. Two patients subsequently conceived after conservative management.

Conclusions

After precise evaluation of neovascularization by computed tomographic angiography, hysteroscopic resection with preoperative uterine artery embolization is an effective minimally invasive procedure to conservatively treat placental polyp with prominent neovascularization.

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Title: Computed tomographic angiography in diagnosis and management of placental polyp with neovascularization
Authors: Akihiro Takeda
Kazuyuki Koyama
Sanae Imoto
Masahiko Mori
Kotaro Sakai
Hiromi Nakamura
Publication date: 01-05-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 5/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1161-6

At a glance: The STEP trials

Springer Medicine

Computed tomographic angiography in diagnosis and management of placental polyp with neovascularization

Abstract

Objective

Study design

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Objective

Study design

Results

Conclusions

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