Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series

作者全名："Li, Fang; Tao, Hua; Chen, Jing; Wang, Li; Wei, Yini; Wu, Xiajuan; Zhang, Yu; Zeng, Dingyuan"

作者地址："[Li, Fang; Tao, Hua; Chen, Jing; Wang, Li; Wu, Xiajuan; Zhang, Yu; Zeng, Dingyuan] Liuzhou Matern & Child Healthcare Hosp, Dept Gynecol, Liuzhou 545001, Guangxi, Peoples R China; [Li, Fang; Wei, Yini] Changzhi Med Coll, Jincheng Peoples Hosp, Jincheng Hosp, Changzhi, Shanxi, Peoples R China; [Tao, Hua; Chen, Jing; Wang, Li; Wei, Yini; Zhang, Yu] Chongqing Med Univ, Coll Biomed Engn, State Key Lab Ultrasound Med & Engn, Chongqing, Peoples R China"

通信作者："Zhang, Y; Zeng, DY (通讯作者)，Liuzhou Matern & Child Healthcare Hosp, Dept Gynecol, Liuzhou 545001, Guangxi, Peoples R China."

来源：INTERNATIONAL JOURNAL OF HYPERTHERMIA

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001184632700001

JCR分区：Q2

影响因子：3.1

年份：2024

卷号：41

期号：1

开始页：　

结束页：　

文献类型：Article

关键词：Ultrasound-guided high-intensity focused ultrasound; uterine arteriovenous fistula; ablation; treatment; efficacy; safety

摘要："PurposeTo evaluate the efficacy and safety of high-intensity focused ultrasound (HIFU) ablation in the treatment of uterine arteriovenous fistula (UAVF).Materials and methodsThis case series included three patients diagnosed with acquired UAVF. All patients underwent routine laboratory tests, electrocardiography (ECG), chest X-ray, ultrasound, and pelvic contrast-enhanced magnetic resonance imaging (MRI). HIFU treatment was performed under sedation and analgesia using a Model JC Focused Ultrasound Tumor Therapeutic System (made by Chongqing Haifu Medical Technology Co. Ltd., China) with a B mode ultrasound device for treatment guidance. The treatment time, sonication power, sonication time, and complications were recorded. Follow-up evaluations were scheduled at 1-, 3-, 6-, and 12-month to assess symptom improvement and evaluate the post-treatment imaging.ResultsAll patients completed HIFU treatment in a single session without any major complication. All patients complained of mild lower abdominal and sacrococcygeal pain. Typically, no special treatment is required. Following HIFU treatment, there was a significant relief in clinical symptoms, particularly abnormal uterine bleeding. Ultrasound examinations conducted one month after the treatment revealed a notable reduction in the volume of the lesion, ranging from 57% to 100%. Moreover, the efficacy and safety of HIFU treatment remained consistent during the 12-month follow-up period.ConclusionHIFU ablation appears to be an effective and safe treatment modality for UAVF. It provides a noninvasive approach with favorable clinical outcomes."

基金机构：Guangxi science and technology plan project (Guangxi Clinical Research Center for obstetrics and Gynecology) [AD22035223]; Liuzhou science and technology plan project [2020NBaB0825]; Foundation of state Key Laboratory of Ultrasound in Medicine and engineering [2021KFKt020]

基金资助正文："This work was funded by the Guangxi science and technology plan project (Guangxi Clinical Research Center for obstetrics and Gynecology), grant #GuiKe AD22035223, and Liuzhou science and technology plan project, grant #2020NBaB0825. also was supported by Foundation of state Key Laboratory of Ultrasound in Medicine and engineering [Grant No.2021KFKt020]"