Abstract | OBJECTIVES: METHODS: RESULTS: Embolization was performed by transfemoral arterial catheterization. Pieces of absorbable gelatin sponge were used in all cases, with the addition of platinum coils in two cases for complete vessel occlusion. Optimal bleeding control was achieved in all cases but one--a patient who underwent hysterectomy due to embolization failure. No severe complications were observed. CONCLUSIONS: The high success rate, low morbidity rate, and possibility of preserving reproductive function have made superselective uterine artery embolization the technique of choice to control life-threatening, intractable postpartum hemorrhage in hemodynamically stable patients, provided multidisciplinary medical teams are promptly available.
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Authors | E Soncini, A Pelicelli, P Larini, C Marcato, D Monaco, A Grignaffini |
Journal | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
(Int J Gynaecol Obstet)
Vol. 96
Issue 3
Pg. 181-5
(Mar 2007)
ISSN: 0020-7292 [Print] United States |
PMID | 17286979
(Publication Type: Journal Article)
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Topics |
- Abortion, Legal
- Angiography, Digital Subtraction
- Arteries
- Embolization, Therapeutic
- Female
- Gelatin Sponge, Absorbable
- Humans
- Postpartum Hemorrhage
(prevention & control, therapy)
- Pregnancy
- Radiography, Interventional
- Retrospective Studies
- Treatment Outcome
- Uterus
(blood supply)
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