| Transcatheter pelvic arterial embolisation for control of obstetric and gynaecological haemorrhage. | |
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MedLine Citation:
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PMID: 19003648 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a 5-year experience of pelvic arterial embolisation at two centres in the UK, and emphasise the role of interventional radiology in the treatment of obstetric and gynaecological haemorrhage. A total of 31 women underwent pelvic embolization:19 patients had complete medical records, and of these, two women had antepartum haemorrhage, 12 women had primary postpartum haemorrhage (PPH), four women had secondary PPH and one woman had a haemorrhage following termination of pregnancy (TOP). The source of the haemorrhage was only identified in four women (21.1%). All patients underwent selective embolisation of the uterine artery or anterior divisional branch of the internal iliac artery with successful haemorrhage control in 17 patients (89.4%) and no immediate complications. Haemorrhage continued despite embolisation in two patients; both proceeded to surgery. Selective pelvic embolisation is a safe and effective treatment for acute obstetric or gynaecological haemorrhage and should be part of the management algorithm for PPH. |
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Authors:
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L A Ratnam; M Gibson; C Sandhu; P Torrie; E Chandraharan; A M Belli |
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Publication Detail:
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Type: Journal Article; Multicenter Study |
Journal Detail:
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Title: Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology Volume: 28 ISSN: 1364-6893 ISO Abbreviation: J Obstet Gynaecol Publication Date: 2008 Aug |
Date Detail:
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Created Date: 2008-11-12 Completed Date: 2009-03-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309140 Medline TA: J Obstet Gynaecol Country: England |
Other Details:
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Languages: eng Pagination: 573-9 Citation Subset: IM |
Affiliation:
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Department of Radiology, Royal Berkshire Hospital, Reading, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, False / complications, diagnosis Female Gelatin Sponge, Absorbable / therapeutic use Hemostatics / therapeutic use Humans Postpartum Hemorrhage / etiology, prevention & control*, radiography Radiography, Interventional Uterine Artery Embolization* Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Hemostatics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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