Vascular changes responsible for the reduced effectiveness of obliteration of uterine arteries in women with advanced cervical cancer

Grzegorz Raba; Kamil Szczupak; Piotr Stabiszewski; Wojciech Skibinski

doi:10.5114/wiitm.2015.52061

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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2/2015
vol. 10

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abstract:

Original paper

Vascular changes responsible for the reduced effectiveness of obliteration of uterine arteries in women with advanced cervical cancer

Grzegorz Raba

,

Kamil Szczupak

,

Piotr Stabiszewski

,

Wojciech Skibinski

Videosurgery Miniinv 2015; 10 (2): 229–232

DOI: https://doi.org/10.5114/wiitm.2015.52061

Online publish date: 2015/06/08

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Introduction: Haemorrhages from the genital tract remain a major threat to the life of patients with advanced cervical cancer. It is possible to achieve haemostasis by both surgical techniques and the procedure of endovascular uterine artery embolization. However, in some women with loco-regionally advanced cervical cancer the obliteration of the uterine arteries is not effective.

Aim: Evaluation of morphological changes in uterine arteries in patients with advanced cervical cancer and comparison of their changes with the achieved haemostatic effect of obliteration.

Material and methods: The prospective study included a group of 8 women with cervical cancer at a clinical stage of IIB to IIIC according to the FIGO classification. 3D quantitative coronary angiography (QCA) was performed before uterine embolization. The haemostatic effect of uterine artery embolization was compared with observed vascular changes.

Results: Mean uterine artery length in patients who achieved complete hemostasis: 39.5 mm – right uterine artery; 38.7 mm – left uterine artery. Mean uterine artery length in patients who achieved partial satisfactory haemostasis: 32 mm – right uterine artery; 30.5 mm – left uterine artery. Mean uterine artery length in patients who achieved unsatisfactory haemostasis: 10.5 mm – right uterine artery; 19 mm – left uterine artery.

Conclusions: Shortening of uterine arteries worsens prognosis of the haemostatic effect of their obliteration in patients with advanced cervical cancer.

keywords:

Vascular changes responsible for the reduced effectiveness of obliteration of uterine arteries in women with advanced cervical cancer

Grzegorz Raba , Kamil Szczupak , Piotr Stabiszewski , Wojciech Skibinski

cervical cancer, 3D angiography, uterine embolisation, quantitative coronary angiography (QCA)

Grzegorz Raba

,

Kamil Szczupak

,

Piotr Stabiszewski

,

Wojciech Skibinski