[Therapeutic ligature of hypogastric arteries: color Doppler follow-up].
OBJECTIVE
To evaluate the interest of color Doppler sonography in the watching of therapeutic ligature of hypogastric arteries.


METHODS
Thirteen female patients presenting a serious haemorrhage in the post-partum and be in managed by bilateral hypogastric ligature, have undergone a systematic protocol of investigation involving a Doppler sonography in the fourth day after intervention and then monthly until repermeabilization of the internal iliac arteries.


RESULTS
In all cases, the first exam showed down-side the ligature, a flow inversion with an important pelvic collateral circulation. The next Doppler exams showed repermeabilization of the hypogastric arteries after an average interval of 5 months (extremes: 1 to 6 months).


CONCLUSIONS
Color Doppler showed the resolvent character of therapeutic ligature of the hypogastric arteries and may estimate with sufficient accuracy the interval of repermeabilization.
Khelifi
A
A
Service d'imagerie medicale, EPS Charles Nicolle, Boulevard du 9 Avril, 1006-Tunis (Tunisie).
Amamou
K
K
Salem
A
A
Hmaied
L
L
Jouini
S
S
Rzigua
H
H
Hamza
R
R
D000328:Adult; D003097:Collateral Circulation / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000502:physiology / Q000601:surgery*; D008026:Ligation; D006473:Postpartum Hemorrhage / Q000601:surgery*; D011247:Pregnancy; D012039:Regional Blood Flow / Q000502:physiology; D013599:Systole; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional