title: Postpartum hemorrhage in coagulopathic patients: preliminary experience with uterine arterial embolization with N-butyl cyanoacrylate.
abstract: The present report describes uterine artery embolization (UAE) with N-butyl cyanoacrylate (NBCA) in four patients with postpartum hemorrhage (PPH) in a coagulopathic condition. Initial UAE with gelatin sponge particles and/or fibered platinum microcoils had failed in these patients. Subsequently, a mixture of NBCA and iodinated poppy seed oil (Lipiodol) was used as embolic material, and hemostasis was achieved immediately in all patients. No vaginal bleeding recurred thereafter, and all patients were discharged within 3 weeks of UAE. One patient resumed menstruation in 6 months. NBCA may be a promising embolic material for emergent UAE in patients with PH, especially for patients with a coagulopathic condition.
authors: Department of Radiology, Gifu University Hospital, Gifu, Japan. masa_gif@yahoo.co.jp
authors: Masayuki
authors: M
authors: Kanematsu
authors: Haruo
authors: H
authors: Watanabe
authors: Hiroshi
authors: H
authors: Kondo
authors: Satoshi
authors: S
authors: Goshima
authors: Hiroki
authors: H
authors: Kato
authors: Tatsuro
authors: T
authors: Furui
authors: Hiroshi
authors: H
authors: Toyoki
authors: Ken-ichirou
authors: K
authors: Morishige
mesh_terms: D000328:Adult; D004211:Disseminated Intravascular Coagulation / Q000150:complications* / Q000628:therapy*; D004659:Enbucrilate / Q000627:therapeutic use*; D005260:Female; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D010865:Pilot Projects; D006473:Postpartum Hemorrhage / Q000628:therapy*; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods*; D055815:Young Adult
chemical_list: D006490:Hemostatics; D004659:Enbucrilate