An Evaluation of Ureteral Flow after Doppler-guided Uterine Artery Occlusion Device Placement during Organ-preserving Gynecologic Procedures

作者：Lichtinger Moises^*; Rush Michael; Calvo Patricia; Adeboyejo Ghea; Dalgleish Fredefick; Harper Jennifer

来源：Journal of Minimally Invasive Gynecology, 2009, 16(1): 68-71.

DOI：10.1016/j.jmig.2008.08.018

• Doppler-guided uterine artery occlusion

We studied the use of color Doppler ultrasonography for ureteral patency after placement of a transvaginal Doppler-guided uterine artery occlusion device before organ-preserving surgery for leiomyomata uteri. Our case series involved 7 patients in whom ureteral flow was assessed using color Doppler sonography before and after placement of a Doppler-guided uterine artery occlusion device. Bilateral ureteral flow was assessed at the trigone using a grading system. Furosemide and additional intravenous hydration were administered if no flow was observed. Color Doppler ultrasonography can quantify ureteral flow before and after Doppler-guided uterine artery occlusion device placement during organ-preserving gynecologic procedures, facilitating safe placement and repositioning of the transvaginal device when necessary.

• 出版日期2009-2