Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series
Purpose To evaluate the efficacy and safety of high-intensity focused ultrasound (HIFU) ablation in the treatment of uterine arteriovenous fistula (UAVF).Materials and methods This case series included three patients diagnosed with acquired UAVF. All patients underwent routine laboratory tests, elec...
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Taylor & Francis Group
2024-12-01
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| Series: | International Journal of Hyperthermia |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/02656736.2024.2325478 |
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| author | Fang Li Hua Tao Jing Chen Li Wang Yini Wei Xiajuan Wu Yu Zhang Dingyuan Zeng |
| author_facet | Fang Li Hua Tao Jing Chen Li Wang Yini Wei Xiajuan Wu Yu Zhang Dingyuan Zeng |
| author_sort | Fang Li |
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| description | Purpose To evaluate the efficacy and safety of high-intensity focused ultrasound (HIFU) ablation in the treatment of uterine arteriovenous fistula (UAVF).Materials and methods This 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.Results All 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.Conclusion HIFU ablation appears to be an effective and safe treatment modality for UAVF. It provides a noninvasive approach with favorable clinical outcomes. |
| format | Article |
| id | doaj-art-7668b7adf6c34897b1d08c1f77953934 |
| institution | Kabale University |
| issn | 0265-6736 1464-5157 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Taylor & Francis Group |
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| series | International Journal of Hyperthermia |
| spelling | doaj-art-7668b7adf6c34897b1d08c1f779539342025-01-03T09:30:27ZengTaylor & Francis GroupInternational Journal of Hyperthermia0265-67361464-51572024-12-0141110.1080/02656736.2024.2325478Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case seriesFang Li0Hua Tao1Jing Chen2Li Wang3Yini Wei4Xiajuan Wu5Yu Zhang6Dingyuan Zeng7Department of Gynecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou Guangxi, P. R. ChinaDepartment of Gynecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou Guangxi, P. R. ChinaDepartment of Gynecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou Guangxi, P. R. ChinaDepartment of Gynecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou Guangxi, P. R. ChinaJincheng Hospital Affiliated to Changzhi Medical College, Jincheng People’s Hospital, Shanxi, ChinaDepartment of Gynecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou Guangxi, P. R. ChinaDepartment of Gynecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou Guangxi, P. R. ChinaDepartment of Gynecology, Liuzhou Maternity and Child Healthcare Hospital, Liuzhou Guangxi, P. R. ChinaPurpose To evaluate the efficacy and safety of high-intensity focused ultrasound (HIFU) ablation in the treatment of uterine arteriovenous fistula (UAVF).Materials and methods This 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.Results All 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.Conclusion HIFU ablation appears to be an effective and safe treatment modality for UAVF. It provides a noninvasive approach with favorable clinical outcomes.https://www.tandfonline.com/doi/10.1080/02656736.2024.2325478Ultrasound-guided high-intensity focused ultrasounduterine arteriovenous fistulaablationtreatmentefficacysafety |
| spellingShingle | Fang Li Hua Tao Jing Chen Li Wang Yini Wei Xiajuan Wu Yu Zhang Dingyuan Zeng Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series International Journal of Hyperthermia Ultrasound-guided high-intensity focused ultrasound uterine arteriovenous fistula ablation treatment efficacy safety |
| title | Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series |
| title_full | Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series |
| title_fullStr | Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series |
| title_full_unstemmed | Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series |
| title_short | Ultrasound-guided high-intensity focused ultrasound ablation for uterine arteriovenous fistula: a case series |
| title_sort | ultrasound guided high intensity focused ultrasound ablation for uterine arteriovenous fistula a case series |
| topic | Ultrasound-guided high-intensity focused ultrasound uterine arteriovenous fistula ablation treatment efficacy safety |
| url | https://www.tandfonline.com/doi/10.1080/02656736.2024.2325478 |
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