title: Use of uterine artery embolization to prevent peripartum hemorrhage of placental abruption with fetal demise & severe DIC.
abstract: Uterine artery embolization (UAE) is typically not indicated in the pre-operative management of pregnancies with a live fetus, because risk of fetal death from reduced uteroplacental blood flow. However, pre-operative UAE in pregnancies with a fetal demise poses no fetal risk, and may offer maternal benefits. Patients with placental abruption resulting in fetal demise are at high-risk for developing disseminated intravascular coagulation (DIC), which could have devastating complications such as peri-operative hemorrhage and death. This case report describes the first successful execution of a pre-operative UAE that effectively prevented antepartum and postpartum hemorrhage in a patient with DIC secondary to a placental abruption and recent fetal demise.
authors: Department of Obstetrics and Gynecology, Georgia Regents University School of Medicine, Augusta, GA, USA.
authors: E
authors: E
authors: Latif
authors: Deptarment of Obstetrics and Gynecology, Mercer University Medical Center, Macon, GA, USA.
authors: S
authors: S
authors: Adam
authors: Department of Obstetrics and Gynecology, Georgia Regents University School of Medicine, Augusta, GA, USA.
authors: B
authors: B
authors: Rungruang
authors: Department of Obstetrics and Gynecology, Georgia Regents University School of Medicine, Augusta, GA, USA.
authors: A
authors: A
authors: Al-Hendy
authors: Department of Obstetrics and Gynecology, Georgia Regents University School of Medicine, Augusta, GA, USA.
authors: M P
authors: MP
authors: Diamond
authors: Department of Obstetrics and Gynecology, Georgia Regents University School of Medicine, Augusta, GA, USA.
authors: E
authors: E
authors: Rotem
authors: Department of Obstetrics and Gynecology, Georgia Regents University School of Medicine, Augusta, GA, USA.
authors: J
authors: J
authors: Cannell
authors: Department of Obstetrics and Gynecology, Georgia Regents University School of Medicine, Augusta, GA, USA.
authors: P C
authors: PC
authors: Browne
mesh_terms: D015746:Abdominal Pain; D000037:Abruptio Placentae / Q000000981:diagnostic imaging* / Q000628:therapy; D000328:Adult; D001803:Blood Transfusion / Q000379:methods*; D004211:Disseminated Intravascular Coagulation / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D005260:Female; D005313:Fetal Death; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000628:therapy; D016896:Treatment Outcome; D055357:Uterine Artery Embolization / Q000379:methods
keywords: Uterine artery embolization (UAE); antepartum hemorrhage; disseminated intravascular coagulation; placental 
  abruption; post-partum 
  hemorrhage; transcatheter arterial embolization