Arterial embolization of vaginal arterial branches for severe postpartum hemorrhage despite hysterectomy.
Postpartum hemorrhage remains a substantial cause of maternal morbidity and mortality. Arterial embolization has been described as a successful primary modality and an important adjunct in the treatment of postpartum hemorrhage. Herein, the authors report a case of intractable postpartum hemorrhage refractory to hysterectomy. The bleeding was controlled with embolotherapy. The findings emphasize the role of angiographic embolization in postpartum hemorrhage.
Department of Radiology, St Luke's-Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, 1000 10th Ave, New York, NY 10019, USA. mn2073@columbia.edu
Marsha
M
Naydich
Adie
A
Friedman
Gila
G
Aaron
James
J
Silberzweig
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects; D007083:Iliac Artery / Q000601:surgery; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D012720:Severity of Illness Index; D014621:Vagina / Q000098:blood supply*