Abstract | AIM: To evaluate safety and clinical outcomes of uterine artery embolisation (UAE) for bleeding after dilatation and curettage (D&C) performed for abortion or termination. MATERIALS AND METHODS: The outcomes were analysed in 11 patients who underwent UAE for bleeding after D&C for missed abortions (n=8), caesarean scar pregnancies (n=2), or planned termination (n=1) between October 2001 and December 2013. Angiograms and medical records were retrospectively reviewed in order to obtain the patients' baseline characteristics, technical/clinical success rate, complications, and follow-up data regarding menstruation. RESULTS: Technical success, defined as successful catheterisation of both uterine arteries with embolisation to haemostasis, was 100%, whereas clinical success, defined as cessation of bleeding after the initial session of UAE and without the need for additional UAE or surgery for the purpose of haemostasis, was 81.8% (nine of 11). In the two patients with clinical failure due to recurrent vaginal bleeding after UAE, one patient underwent repeat UAE and showed a successful outcome, whilst the other patient required hysterectomy with pathological results of placenta increta. Two other patients underwent hysterectomy for placenta percreta or hydatidiform mole-mimicking remnant placenta. None of the patients included in the present series had procedure-related complications. Menstruation resumed in all eight patients with an intact uterus during the mean follow-up period. CONCLUSION: UAE may be a safe and effective treatment for bleeding after D&C, especially for women who wish to preserve their fertility; however, hysterectomy may be indicated for patients with a placental abnormality.
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Authors | Y Song, J H Shin, H-K Yoon, J W Kim, G-Y Ko, H-S Won |
Journal | Clinical radiology
(Clin Radiol)
Vol. 70
Issue 12
Pg. 1388-92
(Dec 2015)
ISSN: 1365-229X [Electronic] England |
PMID | 26382745
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved. |
Topics |
- Abortion, Induced
- Adult
- Dilatation and Curettage
(adverse effects)
- Female
- Humans
- Middle Aged
- Postoperative Hemorrhage
(etiology, therapy)
- Pregnancy
- Pregnancy, Ectopic
- Retrospective Studies
- Treatment Outcome
- Uterine Artery Embolization
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