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Pelvic arterial embolization in obstetric hemorrhage

World Journal of Obstetrics and Gynecology 2013年第4期2卷 185-191页

作者： vidhi chaudhary Poonam Sachdeva Raksha Arora Devender Kumar Priya Karanth Department of Obstetrics and Gynecology Maulana Azad Medical College and associated Lok Nayak Hospital and GB Pant Hospital New Delhi 110002 India

AIM: To analyze safety and efficacy of pelvic arterial embolization(PAE) in preventing and treating obstetrical ***: A consecutive study of eight cases undergoing pelvic artery embolization from January 2010 to October 2012 in Department of Obstetric and Gynecology of Maulana Azad Medical College for intractable obstetric hemorrhage was done. All embolization were carried out in cath lab of cardiology Department at associated GB Pant ***: Clinical success was defined as arrest of bleeding after PAE without need for repeat PAE or additional surgery which was 75% in our series. PAE was successful in controlling obstetrical hemorrhage in all except one who had mortality. Other had hysterectomy due to secondary hemorrhage. Five resumed menstruation. None of the women intended to conceive, hence are practicing contraception. CONCLUSION: PAE is minimally invasive procedure which should be offered early for hemostasis in intractable obstetrical haemorrhage unresponsive to uterotonic. It is a fertility sparing option with minor complications.

关键词： Pelvic artery embolization Uterine artery embolization Obstetric hemorrhage Placenta accreta Post partum hemorrhage

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