Intractable Postpartum Hemorrhage Resulting from Uterine Artery Pseudoaneurysm: Superselective Arteriographic Embolization via the Collateral Route

被引：0
作者：
Halil Dönmez
M. Halil Öztürk
Fatma Gürgen
Serra Ö. Soylu
Baki Hekimoglu
机构：
[1] S.B. Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi,Department of Radiology
来源：
CardioVascular and Interventional Radiology | 2007年 / 30卷
关键词：
Arterial embolization; Postpartum hemorrhage; Pseudoaneurysm; Uterine artery;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
We present a patient with intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm despite bilateral hypogastric artery ligation who was successfully treated by an endovascular approach via the collateral route. Although there is a good argument for postponing surgery until transcatheter embolization has been attempted, this case shows that embolization can still be successful even if the iliac vessels have been ligated.
引用
收藏
相关论文
共 61 条
[1]  
Combs CA(1991)Factors associated with postpartum haemorrhage with vaginal birth Obstet Gynecol 77 69-76
[2]  
Murphy EL(1991)Factors associated with haemorrhage in cesarean deliveries Obstet Gynecol 77 77-82
[3]  
Laros RK(1984)Management of post-partum haemorrhage Clin Obstet Gynecol 27 139-147
[4]  
Combs CA(1997)Ten years experience of caesarean and post-partum hysterotomy in a teaching hospital in Hong Kong Eur J Obstet Gynecol Reprod Biol 73 133-137
[5]  
Murphy EL(1987)Obstetric and nonmalignant gynecologic bleeding: Treatment with angiographic embolization Radiology 164 155-159
[6]  
Laros RK(1979)Uncontrollable postpartum bleeding: A new approach to hemostasis through angiographic arterial embolization Obstet Gynecol 54 361-365
[7]  
Herbert WP(1995)Pelvic arterial embolization following hysterectomy and bilateral internal iliac artery ligation for intractable primary post partum haemorrhage Clin Radiol 50 710-714
[8]  
Cefalo RC(1994)Embolisation of massive bleeding following hysterectomy, despite internal iliac artery ligation Br J Obstet Gynaecol 101 908-909
[9]  
Lau WC(2005)Successful embolization of ovarian artery pseudoaneurysm complicating obstetric hysterectomy Cardiovasc Intervent Radiol 28 113-116
[10]  
Fung HY(1987)Post-partum haemorrhage: A continuing problem Br J Obstet Gynecol 94 67-71
1234567