caa a22 4500 445310782 CHVBK 20180317142629.0 cr unu---uuuuu 170323e20111101xx s 000 0 eng 10.1007/s00404-011-2067-7 doi (NATIONALLICENCE)springer-10.1007/s00404-011-2067-7 Uterine arteriovenous malformations induced after diagnostic curettage: a systematic review [Elektronische Daten] [Panagiotis Peitsidis, Emmanouil Manolakos, Vasiliki Tsekoura, Rolf Kreienberg, Lukas Schwentner] Purpose: To perform an extensive systematic review to examine all the available literature reporting iatrogenic acquired arteriovenous malformation (AVM) induced after diagnostic curettage and to describe a further case of a 34-year-old woman presenting with acute vaginal bleeding due to AVM induced after uterine curettage for termination of pregnancy. Methods: We searched the electronic databases: MEDLINE (1950-2011), Embase (1980-2011), Cochrane Library (2004-2011), Cinahl (1981-2011), Popline (2004-2011). Results: Initial search extracted 333 relevant articles. Final assessment resulted to the inclusion of 91 studies, 85 case reports and 6 observational studies. Studies are dated between 1954 and 2011. A metanalysis of the 85 case reports reporting 100 patients was performed. The mean age of the women diagnosed with AVM was 30±9.1years, range (16-72) years, 96 women were premenopausal (96%) and 4 were postmenopausal (4%). Ultrasound imaging was applied in 86 patients (86%), and ultrasound combined with angiography was performed in 51 patients (51%). Uterine artery embolization (UAE) was the most common treatment option performed in 59 patients (59%). Total abdominal hysterectomy was performed in 29 patients (29%). Spontaneous resolution of AVM occurred in six patients (6%). In 17 patients (17%), recurrence occurred after treatment with UAE. Twenty-four articles reported pregnancies in 27 patients (27%). Conclusion: Ultrasound imaging with appropriate knowledge of color Doppler features minimizes the use of inappropriate interventional procedures such as diagnostic curettage. UAE is effective in treatment, and rarely leads to complications. Springer-Verlag, 2011 Uterine arteriovenous malformations nationallicence Diagnostic curettage nationallicence Ultrasound nationallicence Hemorrhage nationallicence Uterine artery embolization nationallicence Systematic review nationallicence Peitsidis Panagiotis Department of Obstetrics and Gynaecology, Royal Free Hospital, University College Pond Street, NW3 2Q, London, UK aut Manolakos Emmanouil Bioiatriki laboratories, Athens, Greece aut Tsekoura Vasiliki Department of Anesthesiology, Alexandra Hospital, Athens, Greece aut Kreienberg Rolf Department of Gynecology and Obstetrics, University Hospital Ulm, Ulm, Germany aut Schwentner Lukas Department of Gynecology and Obstetrics, University Hospital Ulm, Ulm, Germany aut Archives of Gynecology and Obstetrics Springer-Verlag 284/5(2011-11-01), 1137-1151 0932-0067 284:5<1137 2011 284 404 https://doi.org/10.1007/s00404-011-2067-7 text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-2067-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Peitsidis Panagiotis Department of Obstetrics and Gynaecology, Royal Free Hospital, University College Pond Street, NW3 2Q, London, UK aut NATIONALLICENCE 700 1- Manolakos Emmanouil Bioiatriki laboratories, Athens, Greece aut NATIONALLICENCE 700 1- Tsekoura Vasiliki Department of Anesthesiology, Alexandra Hospital, Athens, Greece aut NATIONALLICENCE 700 1- Kreienberg Rolf Department of Gynecology and Obstetrics, University Hospital Ulm, Ulm, Germany aut NATIONALLICENCE 700 1- Schwentner Lukas Department of Gynecology and Obstetrics, University Hospital Ulm, Ulm, Germany aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/5(2011-11-01), 1137-1151 0932-0067 284:5<1137 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer