Uterine artery embolization in patients with postpartum hemorrhage: Clinical efficacy and safety of treatment with n-butyl-2-cyanoacrylate

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Abstract

Purpose To evaluate the clinical efficacy and safety of uterine artery embolization (UAE) usingN-butyl-2-cyanoacrylate (NBCA) in patients with postpartum hemorrhage (PPH).Materials and Methods From February 2010 to May 2018, 14 patients (age: 28-39 years;mean: 33 years) underwent UAE using NBCA among 82 patients with PPH. Medical recordswere retrospectively reviewed to evaluate the patients characteristics, cause of PPH, embolizationprocedure, and outcomes.Results Angiograms revealed extravasation (n = 10) or pseudoaneurysm (n = 4) in all patients.The causes of PPH were hysterotomy or hysterectomy related arterial injury (n = 11), cervicallaceration (n = 2), and abnormal placentation (n = 1). UAE was performed with NBCA in all patients.Additional UAE with gelatin sponge particles was performed in two patients. Additionalnon-uterine artery embolization was performed in three patients. Coagulopathy was found infive (35.7%) patients. The technical and clinical success rates were 92.9% and 85.7%, respectively.One patient died from multi-organ failure eight days after UAE. One patient with abnormalplacentation had pelvic organ ischemia due to multiple pelvic artery embolization.Conclusion UAE using NBCA is safe and effective for the patients with PPH showing extravasationor pseudoaneurysm. Copyrights

Original languageEnglish
Pages (from-to)88-97
Number of pages10
JournalJournal of the Korean Society of Radiology
Volume80
Issue number1
DOIs
StatePublished - 1 Jan 2019

Keywords

  • Aneurysm, False
  • Cyanoacrylates
  • Embolization, Therapeutic
  • Postpartum Hemorrhage
  • Uterine Artery

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