Three-dimensional computerized tomographic angiography for diagnosis and management of intractable postpartum hemorrhage

Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

“…CT and MR imaging may also depict extra-uterine sources of bleeding including rectus sheath hematoma or direct arterial injuries. In general, CT and MR imaging are used when PPH does not respond favorably to standard treatment and when there is no hemodynamic instability [36,49,50]. CT has an important role when intra-abdominal bleeding is suspected, in case of recurrent bleeding after TAE or in secondary PPH, as well as for the evaluation of postsurgical complications, although its use may be restricted to specific situations depending on local policies or hemodynamical status [48][49][50].…”

Magnetic resonance imaging for diagnosis and management of unruptured interstitial pregnancy

“…When prominent vascular flow was detected around the interstitial gestational mass on color Doppler ultrasonography, 3‐D computed tomographic (CT) angiography was additionally performed to assess the degree of uteroplacental neovascularization . After the cooperative evaluation of images by diagnostic radiologists and gynecologists, the management strategy for each case was individually determined.…”

“…If prompt devascularization of interstitial gestational products was assessed as being necessary to prevent massive hemorrhage in cases with prominent neovascularization detected on 3‐D CT angiography, the offending branch of the uterine artery was selectively catheterized under fluoroscopic guidance . Transcatheter arterial chemoembolization (TACE) was performed by intra‐arterial infusion of dactinomycin (0.5 mg/body) (Cosmegen; Merck & Co., Inc.) and subsequent arterial embolization using porous gelatin sponge particles (Gelpart; Astellas Pharmaceutical Co.) …”

Conservative endovascular and hysteroscopic management of a cesarean scar pregnancy in a woman with previous history of uterine artery embolization for intractable hemorrhage after cesarean section for placenta previa

“…Digital subtraction angiography was performed as previously described . Seldinger puncture of the right femoral artery was performed for arterial access under local anesthesia.…”

“…Digital subtraction angiography was performed as previously described. 5 Seldinger puncture of the right femoral artery was performed for arterial access under local anesthesia. Under digital subtraction angiographic guidance, the feeding branches of the right (Figure 3A physiological saline.…”