Selective arterial embolization in the management of internal bleeding caused by trophoblastic diseases.
OBJECTIVE
To evaluate the efficacy and safety of selective arterial embolization in the management of internal bleeding caused by trophoblastic diseases.


METHODS
Four patients with internal bleeding caused by trophoblastic diseases were diagnosed with arteriography and treated with selective arterial embolization as a life-saving measure. Effect of controlling bleeding was assessed by follow-up arteriogram and clinical observation.


RESULTS
The embolization successfully controlled the bleeding in all patients. Operation time was short with a mean of 42 minutes. The shock was corrected dramatically. Fever and pain were common complications.


CONCLUSIONS
Selective arterial embolization is a life-saving measure in the management of internal bleeding caused by trophoblastic diseases.
Shen
K
K
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Beijing.
Yang
X
X
Song
H
H
Liu
W
W
Zhang
C
C
D000328:Adult; D002822:Choriocarcinoma / Q000150:complications; D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use; D006465:Hemoperitoneum / Q000209:etiology / Q000628:therapy*; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D002820:Hydatidiform Mole, Invasive / Q000150:complications; D011247:Pregnancy; D014328:Trophoblastic Neoplasms / Q000150:complications*; D014594:Uterine Neoplasms / Q000150:complications*
D006490:Hemostatics