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Korean Journal of Obstetrics & Gynecology 2000;43(11):1921-1925.
Published online January 1, 2001.
Failed two cases' analysis of eight Transarterial embolization therapy for Pseudoaneurysm followed by D&C.
Joon Taek Lee, Hoo Gon Jung, Byung Do Park, Jung Soo Hur, Jin Suk Hwang, Dong Jin Lee, Gyung Ran Joo, Joong Hyuk Gwon
Abstract
OBJECTIVE
It was to analyze two failed arterial embolization cases in the treatment for pseudoaneurysm followed by D&C. METHODS: Two failure cases out of eight cases were gained in the transarterial embolization treatment for eight years.(1. 1. 1992 - 12. 31. 1999) To search for the factors of failure, we went through obstetrical history and biopsy. RESULTS: Eight cases of transarterial embolization were performed to the treatment for pseudoaneurysm appeared after undergoing D&C. Six cases were successfully treated without complications. However, laparotomy was done due to the continuous bleeding in the other two cases. According to tissue biopsy, they showed the cervical pregnancy in one case and placenta accreta in the other. CONCLUSION: Transarterial embolization is proved to be more preferable to operate in the treatment of pseudoaneurysm than laparotomy, and transarterial embolization therapy failure rate is higher in case of existing remnant villi than not.
Key Words: Pseudoaneurysm, Transarterial embolization, D&C, Hysterectomy
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