Uterine artery embolization: an approach to achieve haemostasis in post hysterectomy haemorrhages

Agarwal, Umber; Zaid, R. Zeirideen; Kadir, Rezan A.

doi:10.1111/j.1365-2516.2008.01817.x

Cited by 2 publications

(4 citation statements)

References 3 publications

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“…Gynecological operations, like any other surgical procedures or injuries, can be complicated by hemorrhage in patients with factor XI deficiency. Bleeding time duration from gynecologic operations is variable (from 8 hours to 10 days postoperatively) [1,2]. In the present case, uncontrollable bleeding in the patient was observed 21 days postoperatively.…”

Section: Conflict Of Interestmentioning

confidence: 51%

“…Factor XI deficiency (hemophilia C) is a rare inherited bleeding disorder and may complicate hysterectomy [1]. The present paper reports a delayed uncontrollable hemorrhage following hysterectomy in a patient with factor XI deficiency that was successfully managed with angiographic embolization.…”

Section: Conflict Of Interestmentioning

confidence: 86%

“…Postoperative bleeding may stop spontaneously with appropriate medical therapy; however, for cases of heavy bleeding, uterine artery embolization under fluoroscopic guidance [1] and surgical treatment (for bilateral uterine artery ligation [3]) are needed [4] although there is an increased intraoperative risk of further bleeding and postoperative complications.…”

Section: Conflict Of Interestmentioning

confidence: 99%

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Delayed intra-abdominal bleeding following hysterectomy successfully managed with angiographic embolization in a patient with factor XI deficiency

Kart

Güven

Osmanağaoğlu

et al. 2012

International Journal of Gynecology & Obstetrics

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The median age of the 100 responding pharmacy workers was 31.5 years; 82 (82%) were female and 89 (89%) had a college education or higher. Seventy-nine (79%) knew the legal gestational limit for medical abortion, and 89 (89%) reported that misoprostol and mifepristone could not be obtained without prescription. Sixty-three (63%) were aware that misoprostol is an abortifacient, while 50 (50%) were aware of the same for mifepristone.

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Section: Conflict Of Interestmentioning

confidence: 51%

Section: Conflict Of Interestmentioning

confidence: 86%

Section: Conflict Of Interestmentioning

confidence: 99%

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Delayed intra-abdominal bleeding following hysterectomy successfully managed with angiographic embolization in a patient with factor XI deficiency

Kart

Güven

Osmanağaoğlu

et al. 2012

International Journal of Gynecology & Obstetrics

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“…Transcatheter arterial embolization (TAE) is well known as a common minimally invasive non-surgical treatment for postpartum hemorrhage (3)(4)(5)(6), but it has not been commonly used for hemorrhagic complications after gynecologic surgery (1,2,7,8). We retrospectively evaluated the effectiveness and safety of TAE for the treatment of hemorrhage after abdominal, vaginal, or laparoscopic hysterectomy for gynecologic diseases.…”

Section: Introductionmentioning

confidence: 99%

Transcatheter arterial embolization for hemorrhage after gynecologic hysterectomy: a multicenter study

et al. 2021

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Background Transcatheter arterial embolization (TAE) is not common for hemorrhagic complications after gynecologic hysterectomy. Purpose To evaluate the effectiveness and safety of TAE for hemorrhage after hysterectomy for gynecologic diseases. Material and Methods This is a retrospective, multicenter study, which investigated 11 patients (median age = 45 years) who underwent TAE for hemorrhage after gynecologic hysterectomy between 2004 and 2020. Results The median interval between surgery and angiography was one day (range = 0–82 days). Hemodynamic instability and massive transfusion were present in 6 (54.5%) and 4 (36.4%) patients, respectively. CT scans (n = 7) showed contrast extravasation (n = 5), pseudoaneurysm (n = 1), or both (n = 1). On angiography, the bleeding arteries were the anterior division branches of the internal iliac artery (IIA) (n = 6), posterior division branch (lateral sacral artery, n = 1), and inferior epigastric artery (n = 1) in eight patients with active bleeding. In the remaining three patients, angiographic staining without active bleeding foci was observed at the vaginal stump, and the feeders for staining were all anterior division branches of the IIA. Technical and clinical success rates were 100% and 90.9% (10/11), respectively. In one patient, active bleeding focus was successfully embolized on angiography, but surgical hemostasis was performed for suspected bleeding on exploratory laparotomy. Postembolization syndrome occurred in one patient. Conclusions TAE is effective and safe for hemorrhage after hysterectomy for gynecologic diseases. Angiographic findings are primarily active bleeding, but angiographic staining is not uncommon. A bleeding focus is possible in any branch of the IIA, as well as the arteries supplying the abdominal wall.

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Uterine artery embolization: an approach to achieve haemostasis in post hysterectomy haemorrhages

Cited by 2 publications

References 3 publications

Delayed intra-abdominal bleeding following hysterectomy successfully managed with angiographic embolization in a patient with factor XI deficiency

Delayed intra-abdominal bleeding following hysterectomy successfully managed with angiographic embolization in a patient with factor XI deficiency

Transcatheter arterial embolization for hemorrhage after gynecologic hysterectomy: a multicenter study

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