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Assessing the effectiveness of endovascular intervention in treating cervical cancer with acute bleeding complications
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Abstract
Abstract: The study evaluated the effectiveness of emergency endovascular embolization technique in patients with cervical cancer (CC) complicated by acute bleeding.
Methods: A retrospective study was conducted at the Radiology Department of Hanoi Oncology Hospital, assessing CC patients with acute bleeding complications who underwent endovascular embolization from December 2022 to December 2023. Patients underwent contrast-enhanced computed tomography (CECT) and embolization intervention followed by efficacy assessment immediately post-procedure, at one month, and three months thereafter.
Results: The study included a total of 07 patients, all over Figo stage IIIa. The mean age was 49.4 ± 15.4 years. Three patients were embolized with Spongel+Lipiodol, and four with Spongel+Lipiodol+microspheres. 100% achieved hemostasis immediately post-procedure, and all patients experienced pain immediately post-procedure. Clinical improvement and significant increases in hemodynamic parameters at one and three months were statistically significant (p <0.001), with a causal relationship (Pearson <0.05).
Conclusion: Endovascular intervention in the treatment of CC with acute bleeding complications is an effective emergency hemostasis measure, facilitating rapid hemodynamic control, and demonstrating high efficacy with minimal invasiveness.
Article Details
Keywords
cervical cancer, endovascular intervention, acute bleeding
References
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