[Percutaneous embolization with spirals in bleeding uterine cancer]

Area of Science:

• Interventional Radiology
• Gynecologic Oncology
• Vascular Surgery

Background:

• Cervical cancer can cause severe, life-threatening hemorrhage.
• Traditional treatments may be insufficient for managing acute bleeding.
• Minimally invasive options are needed for palliative and preparatory care.

Purpose of the Study:

• To evaluate the efficacy and safety of percutaneous transcatheter embolization (PTE) for managing life-threatening bleeding in cervical cancer.
• To assess the role of PTE as a bridge to definitive therapy.

Main Methods:

• Retrospective analysis of patients with cervical cancer experiencing life-threatening bleeding.
• Percutaneous transcatheter embolization using stainless steel coils was performed.
• Complication rates and the need for subsequent treatments were recorded.

Main Results:

• PTE proved effective in controlling hemorrhage in patients with cervical cancer.
• A low incidence of local complications involving skin, nerves, or arteries was observed.
• In 50% of patients (n=13), embolization facilitated subsequent definitive cancer treatment.

Conclusions:

• Percutaneous transcatheter embolization is a safe and effective method for controlling hemorrhage in advanced cervical cancer.
• PTE serves as a crucial intervention, enabling further therapeutic management for a significant proportion of patients.