Document Detail


A case of pregnancy and childbirth after uterine artery embolization with a permanent embolic agent.
MedLine Citation:
PMID:  20646691     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To report a case of full-term delivery after uterine artery embolization with N-butyl cyanoacrylate for abruptio placentae.
DESIGN: Case report.
SETTING: University hospital.
PATIENT(S): A 35-year old woman, gravida 2 para 0, at 32 weeks' and 4 days' gestation.
INTERVENTION(S): Transcatheter arterial embolization with N-butyl cyanoacrylate (NBCA).
RESULT(S): An emergency cesarean section was performed for abruptio placentae. The neonate died on day 0. After the cesarean section, a hematoma was found at the uterine incision that continued to increase. Therefore, pelvic angiography was performed, and extravasation was observed from the uterine arteries. NBCA was used for embolization, and the extravasation stopped rapidly. Total transfusion volume was 10,190 mL. Nine months after the cesarean section, the patient became pregnant naturally and delivered a boy by elective cesarean section.
CONCLUSION(S): For treatment of shock caused by perinatal hemorrhage, which is a major cause of perinatal mortality, even if clotting abnormalities are present, transcatheter arterial embolization using NBCA can provide effective hemostasis. Moreover, in patients who would otherwise require a hysterectomy, fertility can be preserved.
Authors:
Suguru Igarashi; Shinichirou Izuchi; Bunpei Ishizuka; Misako Yoshimatu; Kenji Takizawa
Publication Detail:
Type:  Journal Article     Date:  2010-06-20
Journal Detail:
Title:  Fertility and sterility     Volume:  95     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  290.e9-11     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
St. Marianna University School of Medicine, Obstetrics and Gynecology, Kawasaki, Japan. iganosuke-10@marianna-u.ac.jp
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