Selective arterial embolisation in the management of severe postpartum haemorrhage: a review of five cases
| Autor: | A. Jaggat, K. Harding, O. O. Ogunnoiki, J. Reidy |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Hysterectomy medicine.diagnostic_test business.industry Placenta accreta medicine.medical_treatment Obstetrics and Gynecology medicine.disease Postpartum haemorrhage Surgery Uterine atony Caesarean hysterectomy Angiography medicine business Complication Immediate postpartum haemorrhage |
| Zdroj: | Journal of Obstetrics and Gynaecology. 23:S60-S60 |
| ISSN: | 1364-6893 0144-3615 |
| DOI: | 10.1080/718591777 |
| Popis: | The aim of this study was to evaluate the efficacy and safety of emergency selective arterial embolisation to control severe postpartum haemorrhage. Five women with intractable postpartum haemorrhage underwent selective arterial embolisation in our institution between January 2000 and September 2002. In all cases haemostatic embolisation was performed because of intractable haemorrhage that could not be controlled by conservative measures and in one patient after caesarean hysterectomy. The main cause of immediate postpartum haemorrhage was uterine atony in three cases and placenta accreta in two. Angiography revealed arterial extravasation in four women. All patients had embolisation with gelfoam only or gelfoam and coils. External bleeding resolved immediately or was decreased markedly in four cases. One patient had a hysterectomy following failed embolisation. No significant complication related to arterial embolisation was found. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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