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J Vasc Interv Radiol · Dec 2011
Postpartum hemorrhage in coagulopathic patients: preliminary experience with uterine arterial embolization with N-butyl cyanoacrylate.
- Masayuki Kanematsu, Haruo Watanabe, Hiroshi Kondo, Satoshi Goshima, Hiroki Kato, Tatsuro Furui, Hiroshi Toyoki, and Ken-ichirou Morishige.
- Department of Radiology, Gifu University Hospital, Gifu, Japan. masa_gif@yahoo.co.jp
- J Vasc Interv Radiol. 2011 Dec 1; 22 (12): 1773-6.
AbstractThe present report describes uterine artery embolization (UAE) with N-butyl cyanoacrylate (NBCA) in four patients with postpartum hemorrhage (PPH) in a coagulopathic condition. Initial UAE with gelatin sponge particles and/or fibered platinum microcoils had failed in these patients. Subsequently, a mixture of NBCA and iodinated poppy seed oil (Lipiodol) was used as embolic material, and hemostasis was achieved immediately in all patients. No vaginal bleeding recurred thereafter, and all patients were discharged within 3 weeks of UAE. One patient resumed menstruation in 6 months. NBCA may be a promising embolic material for emergent UAE in patients with PH, especially for patients with a coagulopathic condition.Copyright © 2011 SIR. Published by Elsevier Inc. All rights reserved.
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