The experience of the Obstetrics-Gynecology Department of University Emergency Hospital Bucharest in haemostatic uterine artery embolization in patients diagnosed with advanced cervical cancer

G. Radu, N. Prună, R. Bohâlțea, I. Horhoianu, O. Bodean, D. Voicu, S. Prună, O. Munteanu, M.M. Cîrstoiu

Rezumat: Uterine arteries embolization is the most modern method in interventional treatment with haemostatic purpose for patients diagnosed with benign and malignant uterine tumors. This technique involves injecting particles of polyvinyl alchohol into the vessels that supply the tumor by brachial approach. After the intervention, tumor involution was observed, as well as a decrease in uterine bleeding, and a disappearance of intraabdominal pressure sensation. We conducted a retrospective observational study analyzing patients hospitalized in the Bucharest University Emergency Hospital, OBGYN department, in the period 1/01/2013 - 31/12/2015 diagnosed with uterine tumors, registering 457 patients. 16 patients of these, representing 3.5%, were diagnosed with inoperable cervical cancer, to whom we practiced uterine arteries embolization for haemostatic purpose. The average age of the patients in the evaluated group was 63 years old. Supraselective cervico-vaginal arteries embolization is an extremely effective method in reducing or even stoping cervical bleeding, in patients with inoperable cervical cancer, having an esential role in increasing the quality of life for these patients and in reducing complications caused by local invasion and haemorrhages.
Cuvinte cheie: cervical cancer, uterine arteries embolization, metrorrhagia.