Postpartum Hemorrhage in Coagulopathic Patients: Preliminary Experience with Uterine Arterial Embolization with N-Butyl Cyanoacrylate

被引：32

作者：

Kanematsu, Masayuki ^{[1
]}

Watanabe, Haruo ^{[1
]}

Kondo, Hiroshi ^{[1
]}

Goshima, Satoshi ^{[1
]}

Kato, Hiroki ^{[1
]}

Furui, Tatsuro ^{[2
]}

Toyoki, Hiroshi ^{[2
]}

Morishige, Ken-ichirou ^{[2
]}

机构：

[1] Gifu Univ Hosp, Dept Radiol, Gifu 5011194, Japan

[2] Gifu Univ Hosp, Dept Obstet & Gynecol, Gifu 5011194, Japan

来源：

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2011年 / 22卷 / 12期

关键词：

HYSTERECTOMY;

D O I：

10.1016/j.jvir.2011.08.016

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

The present report describes uterine artery embolization (UAE) with N-butyl cyanoacrylate (NBCA) in four patients with postpartum hemorrhage (PPH) in a coagulopathic condition. Initial UAE with gelatin sponge particles and/or fibered platinum microcoils had failed in these patients. Subsequently, a mixture of NBCA and iodinated poppy seed oil (Lipiodol) was used as embolic material, and hemostasis was achieved immediately in all patients. No vaginal bleeding recurred thereafter, and all patients were discharged within 3 weeks of UAE. One patient resumed menstruation in 6 months. NBCA may be a promising embolic material for emergent UAE in patients with PH, especially for patients with a coagulopathic condition.

引用

收藏

页码：1773 / 1776

页数：4

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