Bleeding after interstitial brachytherapy for cervical cancer requiring embolization

Cervical cancer is the third most common cancer among women worldwide and is usually managed with chemoradiation in advanced disease. This case presents a 41-year-old female with locally advanced cervical cancer who underwent combination intracavitary/interstitial brachytherapy after chemoradiation...

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Main Authors: Vanya Aggarwal, BS, Anthony Chuprin, BS, Abhimanyu Aggarwal, MD, MBA, Harlan Vingan, MD, Edwin Crandley, MD
Format: Article
Language:English
Published: Elsevier 2018-12-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043318302875
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author Vanya Aggarwal, BS
Anthony Chuprin, BS
Abhimanyu Aggarwal, MD, MBA
Harlan Vingan, MD
Edwin Crandley, MD
author_facet Vanya Aggarwal, BS
Anthony Chuprin, BS
Abhimanyu Aggarwal, MD, MBA
Harlan Vingan, MD
Edwin Crandley, MD
author_sort Vanya Aggarwal, BS
collection DOAJ
description Cervical cancer is the third most common cancer among women worldwide and is usually managed with chemoradiation in advanced disease. This case presents a 41-year-old female with locally advanced cervical cancer who underwent combination intracavitary/interstitial brachytherapy after chemoradiation for local disease control. At her fifth brachytherapy session, one of the interstitial needles was malpositioned and lead to vascular injury with significant blood loss. She subsequently underwent emergent embolization of a branch of the right obturator artery with immediate clinical improvement and no complications. This is the first reported case of vascular injury from an interstitial brachytherapy needle that required arterial embolization for hemostasis. Keywords: Interstitial brachytherapy, Cervical cancer, Bleeding, Embolization
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spelling doaj.art-616acca211d44a85912c8931c60b338a2022-12-21T23:40:55ZengElsevierRadiology Case Reports1930-04332018-12-0113611411145Bleeding after interstitial brachytherapy for cervical cancer requiring embolizationVanya Aggarwal, BS0Anthony Chuprin, BS1Abhimanyu Aggarwal, MD, MBA2Harlan Vingan, MD3Edwin Crandley, MD4George Washington University School of Medicine, 2300 I St NW, Washington, DC 20052, USAEastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USAEastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USA; Corresponding author.Eastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USAEastern Virginia Medical School, 825 Fairfax Ave, Norfolk, VA 23507, USACervical cancer is the third most common cancer among women worldwide and is usually managed with chemoradiation in advanced disease. This case presents a 41-year-old female with locally advanced cervical cancer who underwent combination intracavitary/interstitial brachytherapy after chemoradiation for local disease control. At her fifth brachytherapy session, one of the interstitial needles was malpositioned and lead to vascular injury with significant blood loss. She subsequently underwent emergent embolization of a branch of the right obturator artery with immediate clinical improvement and no complications. This is the first reported case of vascular injury from an interstitial brachytherapy needle that required arterial embolization for hemostasis. Keywords: Interstitial brachytherapy, Cervical cancer, Bleeding, Embolizationhttp://www.sciencedirect.com/science/article/pii/S1930043318302875
spellingShingle Vanya Aggarwal, BS
Anthony Chuprin, BS
Abhimanyu Aggarwal, MD, MBA
Harlan Vingan, MD
Edwin Crandley, MD
Bleeding after interstitial brachytherapy for cervical cancer requiring embolization
Radiology Case Reports
title Bleeding after interstitial brachytherapy for cervical cancer requiring embolization
title_full Bleeding after interstitial brachytherapy for cervical cancer requiring embolization
title_fullStr Bleeding after interstitial brachytherapy for cervical cancer requiring embolization
title_full_unstemmed Bleeding after interstitial brachytherapy for cervical cancer requiring embolization
title_short Bleeding after interstitial brachytherapy for cervical cancer requiring embolization
title_sort bleeding after interstitial brachytherapy for cervical cancer requiring embolization
url http://www.sciencedirect.com/science/article/pii/S1930043318302875
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