Angiographic embolization in the management of obstetrical hemorrhage.

Yoon, Bo Hyun; Kim, Mi Ha; Syn, Hee Chul; Moon, Jeong Bin; Jun, Jong Kwan; Oh, Soo Young; Park, Joong Shin; Kim, Seok Hyun; Lee, Taek Sang; Chung, Jin Wook; Park, Jae Hyung

Search: Korean J Obstet Gynecol Search

CLOSE

Obstet Gynecol Sci > Volume 43(7); 2000 > Article

Original Article

Korean Journal of Obstetrics & Gynecology 2000;43(7):1258-1264.
Published online: January 1, 2001

Angiographic embolization in the management of obstetrical hemorrhage.

Bo Hyun Yoon, Mi Ha Kim, Hee Chul Syn, Jeong Bin Moon, Jong Kwan Jun, Soo Young Oh, Joong Shin Park, Seok Hyun Kim, Taek Sang Lee, Jin Wook Chung, Jae Hyung Park

Abstract

OBJECTIVE
To investigate whether emergency selective arterial embolization may serve as a safe and effective alternative treatment in the management of intractable pregnancy-associated hemorrhage. METHODS: Between February 1992 and March 1999, 20 patients at Seoul National University Hospital underwent angiographic embolization to control obstetrical hemorrhage. In all cases, hemostatic embolization was performed because of intractable hemorrhage unresponsive to conservative management. All available hospital records were reviewed and detailed to collect adequate clinical data such as specific leading complication, clinical status, estimated blood loss and blood replacement requirements, length of procedure, used emboli, complications associated with the procedure, and its results. RESULTS: We have experienced the successful embolization in 18 of 20 patients of pregnancy-related hemorrhage from the different causes. One of these successful cases required two embolization attempts. Two of these patients needed surgical treatment because of rebleeding after the embolization. The mean length of the time for the procedure was 96.4+/-50.1 minutes (range; 50-260 min.). The average length of hospitalization was 10.4+/-7.7 days (range; 1-36 days). No major complication related to the embolization was found. Two women became pregnant after embolization. CONCLUSIONS: This study indicates that angiographic embolization is a safe and effective method for the control of pregnancy-related hemorrhagic complications unresponsive to conservative management and that it allows maintenance of reproductive ability.

Keywords: Angiographic embolization; Pregnancy-related hemorrhage

TOOLS

Full text via DOI
Download Citation

Share :

METRICS

1,756 View
10 Download

Related articles in Obstet Gynecol Sci

The value of colposcopy directed conization in the management of cervical intraepithelial neoplasia.1991 May;34(5)

Topographic distribution of the carcinoma in situ of the uterine cervix.1993 July;36(7)

Hypogastric artery ligation to control intractable pelvic hemorrhage.1993 July;36(7)

Conservative management of cervical pregnancy.1993 July;36(7)

Angiographic embolization in management of obstetric and gynecologic hemorrhage.1993 July;36(7)

ABOUT

ARTICLE & TOPICS

Article category

Browse all articles >

Topics

Browse all articles >

BROWSE ARTICLES

POLICY

FOR CONTRIBUTORS

Editorial Office: 4th Floor, 36 Gangnam-daero 132-gil, Gangnam-gu, Seoul 06044, Korea.
Tel: +82-2-2271-6788 Fax: +82-2-3445-2440 E-mail: journal@ogscience.org