HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Bleeding after dilatation and curettage: the efficacy of transcatheter uterine artery embolisation.

AbstractAIM:
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.
AuthorsY Song, J H Shin, H-K Yoon, J W Kim, G-Y Ko, H-S Won
JournalClinical radiology (Clin Radiol) Vol. 70 Issue 12 Pg. 1388-92 (Dec 2015) ISSN: 1365-229X [Electronic] England
PMID26382745 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 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

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: