Ovarian artery embolization supplementing hypogastric-uterine artery embolization for control of severe postpartum hemorrhage: report of eight cases.
Although transcatheter uterine artery embolization has been proved to be a life-saving technique in serious obstetrical hemorrhage, it does not always control bleeding. The causes of treatment failure may be multifactorial and vary in individual cases, but incomplete embolization of the blood supply from other sources may play an important role. Herein, the authors describe eight patients with massive postpartum hemorrhage that was not controlled with conventional hypogastric-uterine artery embolization. Their continued hemorrhage was due to an additional blood supply arising from ovarian arteries, which was confirmed with selective ovarian artery angiography and subsequently successfully embolized.
Wang
Mao Qiang
MQ
Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China. wangmq@vip.sina.com
Liu
Feng Yong
FY
Duan
Feng
F
Wang
Zhi Jun
ZJ
Song
Peng
P
Song
Lei
L
D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D006490:Hemostatics / Q000008:administration & dosage*; D006801:Humans; D010053:Ovary / Q000098:blood supply* / Q000187:drug effects; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging* / Q000628:therapy*; D015641:Radiography, Interventional / Q000379:methods*; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods*; D055815:Young Adult
D006490:Hemostatics