Pseudoaneurysm of the Uterine Artery After Cesarean Delivery

Henrich, Wolfgang; Fuchs, Ilka; Luttkus, Andreas; Hauptmann, Steffen; Dudenhausen, Joachim W.

doi:10.7863/jum.2002.21.12.1431

Cited by 43 publications

(39 citation statements)

References 10 publications

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“…Previous reports suggested that iatrogenic pseudoaneurysm after cesarean section is an increasingly recognized cause for secondary PPH [11,22,23]. However, the present results did not show a significant difference for pseudoaneurysm or type of PPH (primary or secondary: P = 0.73).…”

Section: Discussioncontrasting

confidence: 56%

Efficacy of Uterine Artery Embolization for Patients with Postpartum Hemorrhage

Choi¹,

Baba²,

Ikeda³

et al. 2013

OJRad

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Purpose: To investigate the efficacy of uterine arterial embolization (UAE) in patients with post-partum hemorrhage (PPH). Materials and Methods: The subjects were 40 women (mean age, 33 years; age range, 21 -42 years) who underwent UAE for PPH at two institutes from June 2001 to May 2011. The rates of clinical success (avoidance of hysterectomy) and complications were calculated. Differences in related factors between primary PPH and secondary PPH and between caesarean section and vaginal delivery were examined. The risk factors associated with hysterectomy were also examined. Results: The overall clinical success rate was 90% (93% of primary PPH, 77% of secondary PPH, and 87.5% of PPH with cesarean section), and the overall complication rate was 10%. There were significant differences in time to PPH (P < 0.0001) and in blood infusion after UAE (P = 0.0158) between subtypes of primary and secondary PPH and in blood infusion before UAE (P = 0.0052) between delivery methods. The significant factors associated with hysterectomy were cesarean section (P = 0.02), severe PPH (>1000 mL bleeding, P = 0.03), and embolization of non-uterine arteries (P = 0.02).

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Section: Discussioncontrasting

confidence: 56%

Efficacy of Uterine Artery Embolization for Patients with Postpartum Hemorrhage

Choi¹,

Baba²,

Ikeda³

et al. 2013

OJRad

View full text Add to dashboard Cite

show abstract

“…Pseudoaneurysm of uterine artery after caesarean section-Sonographic diagnosis and treatment has been reported by Henrich et al [4].…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of Uterine Artery: A Rare Cause of Secondary Postpartum Hemorrhage

Chitra

Panicker

2011

J Obstet Gynecol India

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Objectives Secondary PPH has received little attention. In more than half of cases the etiology is not made out. Vascular abnormalities like pseudoaneurysm and AV malformation are rare but detectable and easily treatable. Methods This is an analysis of five women presenting with severe secondary PPH after the 3rd to 6th week of postpartum. All women were post LSCS with no identifiable cause and referred for further management. They were diagnosed to have pseudoaneurysm by angiography and uterine artery embolisation was done. Results Five women were analysed. Four of them had a pseudoaneurysm and were embolised one woman was hemodynamically unstable and hence taken up for hysterectomy. Conclusion Pseudoaneurysm is an important vascular abnormality especially following LSCS. Uterine artery embolisation is safe and reliable alternative technique and prevents a hysterectomy.

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“…Sonographic diagnosis and treatment of Pseudoaneurysm of uterine artery after caesarean section has been reported by Henrich W, Funchs I, Luttkus A. 1 Gray scale USG alone cannot differentiate between the two. On color Doppler the characteristic "to and fro" waveform at the neck and "yin yang" pattern in the body is diagnostic of pseudoaneurysm as reported by Monzer M, Yousef A, Wiese JA.…”

Section: Discussionmentioning

confidence: 99%