Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation

Dk, Heaston; Mineau, DE; Brown, B.; Miller, F J

doi:10.2214/ajr.133.1.152

Cited by 160 publications

(58 citation statements)

References 5 publications

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“…In case of failure, surgical techniques (arterial ligation/hysterectomy) can be undertaken without any hindrance. In contrast, if the surgical ligation procedures are performed without consideration of UAE, the application of latter becomes extremely challenging (as in the present case) should the ligation procedures fail [2]. Thus, there should be low threshold for UAE in the setting of severe refractory PPH.…”

Section: Introductionmentioning

confidence: 84%

Uterine Artery Embolization Following Internal Iliac Arteries Ligation in a Case of Post-Partum Hemorrhage: A Technical Challenge

Singhal

Gupta

Sikka

et al. 2014

J Obstet Gynecol India

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Section: Introductionmentioning

confidence: 84%

Uterine Artery Embolization Following Internal Iliac Arteries Ligation in a Case of Post-Partum Hemorrhage: A Technical Challenge

Singhal

Gupta

Sikka

et al. 2014

J Obstet Gynecol India

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“…Endovascular arterial embolization was introduced in 1979 and has proven to be a highly effective technique in controlling obstetric bleeding [4].…”

Section: Discussionmentioning

confidence: 99%

Buttock necrosis after hypogastric artery embolization for postpartum hemorrhage

Julve¹,

Meler²,

Murillo³

et al. 2013

Case Reports in Perinatal Medicine

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Background: Uterine or hypogastric artery embolization is a useful alternative to hysterectomy in the treatment of postpartum hemorrhage. Case: Puerpera requiring a bilateral hypogastric artery embolization for postpartum hemorrhage after cesarean section in a term twin pregnancy. Unexpected unilateral buttock necrosis appeared 5 days later. Treatment consisted of debridement, the use of vacuum-assisted closure therapy and skin grafting. Conclusion: Buttock necrosis is a rare complication after hypogastric artery embolization in the treatment of postpartum hemorrhage.

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“…The recurrence of bleeding is also a common problem due to the advanced pelvic collaterals and dysplastic arteries. Arterial access for approaching the distal arteries should always be maintained, but after an insufficient surgical ligation of the hypogastric arteries, no arterial access points for transarterial embolization could be identified, making an angiographic process impossible [11].…”

Section: Discussionmentioning

confidence: 99%

Transcatheter Embolization for the Treatment of Both Vaginal and Lower Intestinal Bleeding Due to Advanced Pelvic Malignancy

Karaman¹,

Ören²,

Andıç³

et al. 2010

EAJM

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We report a 31-year-old woman with end-stage cervical carcinoma who suff ers both lower intestinal and vaginal bleeding. A selective internal iliac arteriogram demonstrated pseudoaneurysm formation in the vaginal branch of the left internal iliac artery. There was also a fi stula between the pseudoaneurysm and the lower intestinal segments. Selective transcatheter coil embolization was performed, and the bleeding was treated successfully. We conclude that the internal iliac artery should be evaluated fi rst in patients with advanced pelvic malignancy when searching for the source of lower gastrointestinal (GI) bleeding. Additionally, transcatheter arterial embolization is a safe and eff ective treatment technique.Key Words: Angiography, Coil embolization, Hemorrhage, Lower gastrointestinal bleeding, Transcatheter ÖzetEş zamanlı vajinal ve alt intestinal kanamalı son dönem servikal kanseri bulunan 31 yaşındaki kadın hastanın transkateter koil embolizasyonunu sunuyoruz. Hastanın selektif iliak arteriogramında sol internal iliak arterinin vajinal dalında yalancı bir anevrizma formasyonu ve yalancı anevrizma ile alt intestinal segmentlerde fistül traktı gözlenmesi üzerine anjiografik girişim planlandı. Selektif koil embolizasyonu ile kanama başarılı olarak tedavi edildi.Olgudan çı-kardığımız sonuç ileri evre pelvik malignitesi olan hastalardaki alt intestinal kanamalarda öncelikle internal iliak arter çalışılmalıdır. Embolizasyon tedavileri de gelişen teknoloji ile birlikte oldukça başarılı hale gelmiştir.

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Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation

Cited by 160 publications

References 5 publications

Uterine Artery Embolization Following Internal Iliac Arteries Ligation in a Case of Post-Partum Hemorrhage: A Technical Challenge

Uterine Artery Embolization Following Internal Iliac Arteries Ligation in a Case of Post-Partum Hemorrhage: A Technical Challenge

Buttock necrosis after hypogastric artery embolization for postpartum hemorrhage

Transcatheter Embolization for the Treatment of Both Vaginal and Lower Intestinal Bleeding Due to Advanced Pelvic Malignancy

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