Document Detail


Arterial catheterization and embolization for management of emergent or anticipated massive obstetrical hemorrhage.
MedLine Citation:
PMID:  18509718     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The aim of this study was to evaluate the indications, efficacy, and safety of arterial catheterization and embolization for the management of emergent or anticipated massive obstetrical hemorrhage and its effects on menses and fertility. MATERIALS AND METHODS: Eighteen patients underwent arterial catheterization and embolization for intractable obstetrical hemorrhage between January 2001 and December 2005. Three groups of patients were identified: group 1 (n = 6) experienced postpartum hemorrhage; group 2 (n = 5) had anticipated severe postpartum hemorrhage; and group 3 (n = 7) had a risk factor for anticipated severe hemorrhage after dilation and evacuation. Gynecological information after embolization was obtained from medical records and telephone interviews. RESULTS: All patients in group 1 had a favorable outcome after treatment with a single embolization. All patients in group 2 had a placenta previa with an estimated blood loss of 1215-3250 ml. In group 3, bleeding was controlled in six patients; one patient had a hysterectomy because embolization was not possible. There were no short-or long - term complications, and normal menstruation resumed. Four patients became pregnant after embolization. CONCLUSION: Arterial catheterization and embolization is an effective, safe method for treating intractable obstetrical hemorrhage and might eliminate the need for hysterectomy and maintain reproductive ability.
Authors:
Daiji Uchiyama; Masamichi Koganemaru; Toshi Abe; Daizou Hori; Naofumi Hayabuchi
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Publication Detail:
Type:  Journal Article     Date:  2008-05-29
Journal Detail:
Title:  Radiation medicine     Volume:  26     ISSN:  0288-2043     ISO Abbreviation:  Radiat Med     Publication Date:  2008 May 
Date Detail:
Created Date:  2008-05-29     Completed Date:  2008-07-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412264     Medline TA:  Radiat Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  188-97     Citation Subset:  IM    
Affiliation:
Department of Radiology, Kurume University School of Medicine, 67 Asahi-machi, Kurume 830-0011, Japan. uchiyama_daiji@kurume-u.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography, Digital Subtraction
Arteries
Catheterization / methods
Embolization, Therapeutic / methods*
Female
Gelatin Sponge, Absorbable / administration & dosage
Hemostatics / administration & dosage
Humans
Middle Aged
Pelvis / blood supply
Postpartum Hemorrhage / prevention & control*,  therapy*
Pregnancy
Risk Factors
Treatment Outcome
Chemical
Reg. No./Substance:
0/Hemostatics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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