Modified sandwich embolization technique for postpartum hemorrhage caused by uterine artery pseudoaneurysm: a case series

Zhou, Mimi; Chen, Ting-Wei; Li, Yongsen; Tan, Qianyan; Shen, Huawei; Zheng, Duzhou; Huang, Shikuan; Cai, Mingjin

doi:10.1007/s00404-020-05786-x

Cited by 2 publications

(2 citation statements)

References 31 publications

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“…Postpartum hemorrhage is the top four causes of maternal death; it is reported that 34% of global maternal deaths in 2019 were caused by hemorrhage. In 2019, postmanufacturing bleeding accounted for 21.1% of maternal deaths; it has always been the leading cause of maternal death in our country [ 20 ]. With the implementation of China's two-child policy, according to the National Women's and Children's Health Report, in 2021, the proportion of pregnant women ≥35 years old nationwide will rise to an unprecedented 17.13%, the proportion of maternal women is as high as 84.07%, and among them, 44.69% of elderly pregnant women are with a history of cesarean section as a high-risk group of postpartum hemorrhage; this undoubtedly brings greater challenges to the prevention and treatment of postpartum hemorrhage.…”

Section: Methodsmentioning

confidence: 99%

Image Analysis Application of Motherwort Total Alkaloid Injection in the Treatment of Postabortion Hemorrhage

Wang

2022

Journal of Healthcare Engineering

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In order to reduce the possibility of postabortion hemorrhage leading to maternal death, the author studied the image analysis of postpartum hemorrhage based on Leonurus total alkaloid injection, combining research results, in order to explore the curative effect of Leonurus injection in treating postpartum hemorrhage. After treatment, the time and volume of vaginal bleeding were significantly lower than those in the control group ( P < 0.05 ); it is suggested that the combination of oxytocin and motherwort can effectively reduce the time and volume of vaginal bleeding after medical abortion, conducive to postoperative recovery. The results show that motherwort injection can effectively reduce the amount of bleeding and reduce the risk of postpartum hemorrhage; in addition, adverse reactions have been reduced, and an image analysis consensus has been formed, which is worthy of promotion.

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Section: Methodsmentioning

confidence: 99%

Image Analysis Application of Motherwort Total Alkaloid Injection in the Treatment of Postabortion Hemorrhage

Wang

2022

Journal of Healthcare Engineering

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“…Previous reports have documented significant maternal complications, such as insular edema and bladder necrosis [ 32 , 33 ]. However, in our study, no complications were seen.…”

Section: Discussionmentioning

confidence: 99%

Complex Blood Supply Patterns in Cesarean Scar Pregnancy: Insights from Digital Subtraction Angiography Imaging

Gao

Guo

et al. 2023

Med Sci Monit

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Background Understanding the blood supply pattern of cesarean scar pregnancy (CSP) can effectively help to determine the best choice of treatment. The aim of this study was to investigate the blood supply pattern and outcomes of patients with CSP through digital subtraction angiography (DSA) imaging. Material/Methods This was a retrospective cohort study. Patients were divided into 2 groups according to the type of CSP. The DSA images of these patients were reviewed, including the type of blood supply, dominant vessel, and collateral blood supply to the gestational sac. The clinical outcomes were analyzed between the 2 groups. Results Thirty-seven patients with type I and 29 patients with type II CSP were enrolled in this study. Type II CSP showed a higher proportion of rich blood supply than type I (44.83% vs 29.72%, P >0.05). Compared with type II CSP, type I CSP tended to have bilateral dominant blood supply predominance (67.57% vs 41.38%, P <0.05). The incidence of collateral blood supply was 5.41% in the type I CSP group and 31.03% in the type II CSP group ( P <0.05). In the type II CSP group, multiple collateral blood vessels were found in 4 patients. The superior vesicle artery was the most common source of collateral blood supply in both groups. Two patients with type II CSP suffered massive bleeding during surgery after uterine artery embolization (UAE). None of the patients received a hysterectomy. Conclusions UAE is safe and effective for both types of CSP. The blood supply pattern is more complex and abnormal in type II CSP. More attention should be paid to the collateral blood supply to achieve complete embolization during the UAE procedure in the case of type II CSP.

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Modified sandwich embolization technique for postpartum hemorrhage caused by uterine artery pseudoaneurysm: a case series

Cited by 2 publications

References 31 publications

Image Analysis Application of Motherwort Total Alkaloid Injection in the Treatment of Postabortion Hemorrhage

Image Analysis Application of Motherwort Total Alkaloid Injection in the Treatment of Postabortion Hemorrhage

Complex Blood Supply Patterns in Cesarean Scar Pregnancy: Insights from Digital Subtraction Angiography Imaging

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