ArticleDiagnostics (Basel, Switzerland)2024
Uterine Arteriovenous Malformation: Diagnostic and Therapeutic Challenges.
Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- A reclassification and comprehensive examination of uterine arteriovenous malformation: insights derived from a case series.BMC women's health · 2025Article
- An unsuspected case of uterine arteriovenous malformation with nidus aneurysm following vaginal delivery: Diagnostic challenges and management.Radiology case reports · 2025Article
- Selective Conventional Approach for Management of Bleeding Uterine Arteriovenous Malformation: A Case Report.JNMA; journal of the Nepal Medical Association · 2025Article
- Uterine arteries embolization for cesarean scar pregnancy with uterine arteriovenous fistula.SAGE open medical case reports · 2025Article
- Case Report of Placenta Accreta Spectrum and Arteriovenous Malformations with Successful Preservation of Fertility After Birth.Diagnostics (Basel, Switzerland) · 2024Article
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Authors and funding
3 authors.
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Abstract
Uterine arteriovenous malformations are a rare cause of puerperal haemorrhage, but their incidence is increasing due to both improved diagnosis and the more frequent use of uterine surgery in recent years. The use of ultrasound, both B-mode and Doppler, is recommended for diagnosis and follow-up, as it has been shown to be the simplest and most cost-effective method. Endometrial thickening associated with an anechoic and vascular intramiometrial structure is very useful for diagnosis and can help to exclude other causes of dysfunctional bleeding. Pulsed Doppler shows low-resistance vessels and high pulsatility indices with a high peak systolic velocity (PSV). In a healthy myometrium, the vessels have a peak systolic velocity of 9-40 cm/s and a resistance index between 0.6 and 0.8, whereas in the case of AVMs, the systolic and diastolic velocities are 4-6 times higher (PSV 25-110 cm/s with a mean of 60 cm/s and a resistance index of 0.27-0.75 with a mean of 0.41). For treatment, we must individualise each case, taking into account haemodynamic stability, the patient's reproductive wishes, and the severity of the AVM as assessed by its size and PSV.
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