title: Effect of transarterial embolization for post-partum hemorrhage on subsequent pregnancy.
abstract: Although pregnancy after transarterial embolization (TAE) has occasionally been reported, gelatin sponge was used as the embolic agent in most of these cases. Reports on the effect of TAE with permanent embolic agents such as N-butyl cyanoacrylate or coil on subsequent pregnancies are rare. We describe placenta accreta associated with difficult hemostasis in two patients who became pregnant after TAE with permanent embolic agents. In pregnancy after TAE with permanent embolic agents, placenta accreta occurs frequently and well-developed collateral vessels are highly likely, resulting in difficult hemostasis. Although the acceptability of pregnancy after TAE with permanent embolic agents is controversial, patients should be informed that pregnancy is extremely high risk.
authors.affiliation: Perinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nakamura
authors.affiliation: Perinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, Japan. smyyaoki@yahoo.co.jp.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Aoki
authors.affiliation: Department of Radiology, Yokohama City University Medical Center, Yokohama, Japan.
authors.forename: Shigeo
authors.initials: S
authors.lastname: Takebayashi
authors.affiliation: Department of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama, Japan.
authors.forename: Fumiki
authors.initials: F
authors.lastname: Hirahara
mesh_terms: D000328:Adult; D002585:Cesarean Section; D004659:Enbucrilate / Q000009:adverse effects / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000209:etiology*; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D055357:Uterine Artery Embolization / Q000009:adverse effects*
chemical_list: D004659:Enbucrilate
keywords: embolic agent; placenta accrete; post-partum hemorrhage; transarterial embolization