Risk factors for the formation of aberrant artery collaterals in the uterus with scar in pregnancy womenunderwent cesarean.
10.11817/j.issn.1672-7347.2015.11.010
- Author:
Bin YE
1
;
Tingting TIAN
1
;
Qi LIANG
1
;
Mingjie SHAO
1
;
Shanshan ZHAO
1
;
Chunmei MI
2
Author Information
1. Department of Radiology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
2. Department of Obstetrics and Gynecology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
- Publication Type:Journal Article
- MeSH:
Arteries;
pathology;
Cesarean Section;
adverse effects;
Cicatrix;
pathology;
Female;
Humans;
Pregnancy;
Retrospective Studies;
Risk Factors;
Uterine Artery Embolization;
Uterus;
blood supply;
pathology
- From:
Journal of Central South University(Medical Sciences)
2015;40(11):1223-1228
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the prevalence and risk factors for the formation of aberrant artery collaterals in the uterus during uterine artery embolization (UAE).
METHODS:The data of 144 women with scar in the uterus due to cesarean were retrospectively analyzed. They underwent UAE in the period of 2009-2014 and were divided into two groups according to a standard with or without the aberrant artery collaterals in the uterus. The risk factors were analyzed.
RESULTS:Aberrant artery collaterals were found in thirty-four patients. According to multiple logistic regression analysis, the presence of placenta previa (RR=78.556, 95% CI: 2.869-2 150.651, P=0.010), pelvic inflammatory disease (RR=6.633, 95% CI: 1.595-27.592, P=0.009), pregnancy complications (RR=7.264, 95% CI: 1.622-32.531, P=0.010), abortions (RR=18.381, 95% CI: 1.683-200.752, P=0.017) and uterine fibroids or adenomyosis (RR=12.580, 95% CI: 1.004-157.550, P=0.050) were the factors for the presence of aberrant artery collaterals.
CONCLUSION:Aberrant artery collaterals were more frequent in patients with pelvic inflammatory disease, pregnancy complications, abortions and uterine fibroids or adenomyosis.