Document Detail


Pelvic artery embolization in the management of obstetric hemorrhage.
MedLine Citation:
PMID:  20397757     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We studied the role of pelvic artery embolization in management of obstetric hemorrhage by retrospective analysis of 50 cases of obstetric hemorrhage in a tertiary care referral hospital where this procedure was used. Uterine and or internal iliac artery embolization was performed for the management of postpartum hemorrhage (39 cases; 78%), post abortal bleeding (6 cases; 12%) and gestational trophoblastic disease (4 cases; 8%). In one case of postpartum hemorrhage procedure could not be performed due to arterial spasm (2%). Prophylactic embolization was carried out in one case of placenta accreta. The mean age of the women was 27 years and 54% were primiparas. In six women embolization was done after hysterectomy failed to control pelvic hemorrhage. One fourth of women had coagulopathy at the time of presentation. There were five cases of pelvic hematoma and three cases of arteriovenous malformations. The success rate of the procedure was 94% and the procedure was unsuccessful for controlling bleeding in three women. There were no major procedure related complications. Thus, pelvic artery embolization is an effective alternative to surgery in controlling obstetric hemorrhage and as a fertility and life-saving procedure.
Authors:
Harpreet Kaur Sidhu; Grv Prasad; Vanita Jain; Jaswinder Kalra; Vivek Gupta; Niranjan Khandelwal
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  89     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  England    
Other Details:
Languages:  eng     Pagination:  1096-9     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. drharpreet_sidhu@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteriovenous Malformations / complications
Embolization, Therapeutic*
Female
Hematoma / complications
Humans
Iliac Artery*
Placenta Accreta / therapy
Postpartum Hemorrhage / therapy*
Pregnancy
Retrospective Studies
Uterine Artery*

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


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