Use of uterine artery embolization to prevent peripartum hemorrhage of placental abruption with fetal demise & severe DIC.

Autor: Latif, E., Adam, S., Rungruang, B., Al-Hendy, A., Diamond, M. P., Rotem, E., Cannell, J., Browne, P. C.
Předmět:
Zdroj: Journal of Neonatal - Perinatal Medicine; 2016, Vol. 9 Issue 3, p325-331, 7p, 2 Black and White Photographs
Abstrakt: Uterine artery embolization (UAE) is typically not indicated in the pre-operative management of pregnancies with a live fetus, because risk of fetal death from reduced uteroplacental blood flow. However, pre-operativeUAE in pregnancies with a fetal demise poses no fetal risk, and may offer maternal benefits. Patients with placental abruption resulting in fetal demise are at high-risk for developing disseminated intravascular coagulation (DIC), which could have devastating complications such as peri-operative hemorrhage and death. This case report describes the first successful execution of a pre-operative UAE that effectively prevented antepartum and postpartum hemorrhage in a patient with DIC secondary to a placental abruption and recent fetal demise. [ABSTRACT FROM AUTHOR]
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