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Archives of Gynecology and Obstetrics

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01-11-2019 | Angiography | Gynecologic Oncology

Transarterial embolisation for the treatment of acute gynecological cancer bleeding

Authors: Philipp Meyer-Wilmes, Maciej Powerski, Frank Fischbach, Jazan Omari, Robert Damm, Maciej Pech

Published in: Archives of Gynecology and Obstetrics | Issue 5/2019

Abstract

Purpose

Acute bleeding in patients with gynecological cancer may result in serious life-threatening complications. In these situations, immediate diagnostic and appropriate treatment is a challenge for attending physicians. Accordingly, transarterial embolisation (TAE) has been described as an increasing and effective treatment alternative to surgery and radiotherapy.

Methods

In the present retrospective study, 25 patients were included who underwent a TAE in the period from January 2006 to June 2013 due to acute gynecological cancer bleeding. The objective of this study was to assess the efficiency and outcome of TAE.

Results

The primary technical success rate was 92.0% (n = 23). 21 patients were analyzed in the 30-day follow-up. The clinical success rate was achieved in 90.5% (n = 19). A clinical failure due to rebleeding was observed in 9.5% (n = 2). No associations were revealed between rebleeding and technical/clinical factors. Within 30 days after the last TAE, the complication and mortality rates were 0.0% and 5.0% (n = 1), respectively.

Conclusion

TAE was found as an effective and safe treatment in the clinical setting of acute gynecological cancer bleeding. An important component of efficient management is an early and interdisciplinary care. Optimal treatment can be achieved by close cooperation between gynecologists, radiotherapists and interventional radiologists.

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Title: Transarterial embolisation for the treatment of acute gynecological cancer bleeding
Authors: Philipp Meyer-Wilmes
Maciej Powerski
Frank Fischbach
Jazan Omari
Robert Damm
Maciej Pech
Publication date: 01-11-2019
Publisher: Springer Berlin Heidelberg
Keywords: Angiography
Gynecologic Cancer
Published in: Archives of Gynecology and Obstetrics / Issue 5/2019
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-019-05316-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Transarterial embolisation for the treatment of acute gynecological cancer bleeding

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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