Angiographic findings and effect of superselective embolization for early and late postpartum bleeding / 대한산부인과학회지
Korean Journal of Obstetrics and Gynecology
; : 44-52, 2009.
Article
de Ko
| WPRIM
| ID: wpr-124412
Bibliothèque responsable:
WPRO
ABSTRACT
OBJECTIVE: Treatment of postpartum bleeding with uterine artery embolization has been well-described so far. However, angiographic differences between early and late postpartum bleeding has not been elucidated. The purpose of this study was to evaluate angiographic differences between early and late postpartum bleeding and therapeutic effect of superselective embolization. METHODS: Medical records and angiographic images of 12 patients (7 early and 5 late) with postpartum bleeding were evaluated. Timing of bleeding, mode of delivery, angiographic findings and treatment outcome were primary variables evaluated. RESULTS: Among 12 patients, 11 patients had been successfully treated with superselective embolization. One patient with amniotic fluid embolism and disseminated intravascular coagulation had expired. Among the early postpartum bleeding, uterine atony was found in every patients except post-cesarean hysterectomy cases. Pseudoaneurysm of uterine artery was found in all patients with late postpartum bleeding. CONCLUSION: Superselective embolization is an effective method to control postpartum bleeding. Pseudoaneurysm of uterine artery is a main cause of late postpartum bleeding.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Hémorragie utérine
/
Angiographie
/
Dossiers médicaux
/
Résultat thérapeutique
/
Faux anévrisme
/
Période du postpartum
/
Coagulation intravasculaire disséminée
/
Embolie amniotique
/
Embolisation thérapeutique
/
Embolisation d'artère utérine
Type d'étude:
Diagnostic_studies
Limites du sujet:
Female
/
Humans
/
Pregnancy
langue:
Ko
Texte intégral:
Korean Journal of Obstetrics and Gynecology
Année:
2009
Type:
Article