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Failure of uterine artery embolization for controlling postpartum hemorrhage.
MedLine Citation:
PMID:  21463422     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  We evaluated the efficacy of uterine artery embolization (UAE) for controlling postpartum hemorrhage (PPH). Materials and Methods:  Between January 2008 and December 2009, 23 women with intractable PPH underwent UAE. Specific diagnoses included uterine atony (n = 10), placenta accreta (n = 8), puerperal hematoma (n = 2) and placental polyp (n = 3). Results:  Of 10 patients with uterine atony, treatment with UAE failed in two women with severe vasoconstriction. One patient developed lumbosacral plexopathy. All eight patients with placenta accreta were treated successfully with the placement of multiple sutures in the placental bed and UAE. Two of the three women with placental polyps were treated successfully with UAE and packing of the uterus. Conclusions:  Embolization should follow resuscitation for vascular collapse. In the case of an adherent placenta, embolization is more effective with the placement of multiple sutures in the placental bed or compression of the placental bed.
Authors:
Ji Kwon Park; Tae Bum Shin; Jong Chul Baek; Jeong Kyu Shin; Won Jun Choi; Soon Ae Lee; Jong Hak Lee; Won Young Paik
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-4-4
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  -     ISSN:  1341-8076     ISO Abbreviation:  -     Publication Date:  2011 Apr 
Date Detail:
Created Date:  2011-4-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology.
Affiliation:
Department of Obstetrics and Gynecology Institute of Health Sciences Department of Radiology, School of Medicine, Gyeongsang National University, JinJu, Korea.
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