Transcatheter Arterial Embolization in Postpartum Hemorrhage: A Case Report
DOI:
https://doi.org/10.17140/RPAOJ-4-125Keywords:
Postpartum hemorrhage (PPH), Peripartum hysterectomy, Transarterial embolisationAbstract
Background
Postpartum haemorrhage is the leading cause of maternal mortality and morbidity. The significant impact of postpartum haemor rhage (PPH) on maternal mortality can be reduced if timely measures are implemented. Transcatheter arterial embolisation (TAE) is an alternative therapeutic strategy for PPH.
Case report
We report a case of postpartum haemorrhage which was managed by transcatheter arterial embolization in lieu of hysterectomy to preserve fertility and menstruation in a 27-year-old patient.
Conclusion
The critical role of obstetrician, anaesthesiologist and interventional radiologist as a team, improve the quality of care and patient safety.
References
Abouzahr C. Global burden of maternal death and disability. Br Med Bull. 2003; 67(1): 1-11. doi: 10.1093/bmb/ldg015
Cooper JB. Critical role of surgeon–anesthesiologist relation-ship for patient safety. Anesthesiology. 2018; 129(3): 402-405. doi: 10.1097/ALN.0000000000002324
Amy JJ. Severe postpartum hemorrhage: A rational approach. Natl Med J India. 2008; 11(2): 86-88.
Phillips LE, McLintock C, Pollock W, et al. Recombinant acti-vated factor VII in obstetric hemorrhage: Experiences from the Australian and New Zealand Haemostasis Registry. Anesth Analg. 2009; 109(6): 1908-1915. doi: 10.1213/ANE.0b013e3181c039e6
Royal College of Obstetricians and Gynaecologists Green Top 52. Postpartum haemorrhage, prevention and management. Int J Obstet Anesth. 20011; 20: S22.
Sentilhes L, Vayssière C, Deneux-Tharaux C, et al. Postpartum hemorrhage: Guidelines for clinical practice from the French Col-lege of Gynaecologists and Obstetricians (CNGOF): In collabo-ration with the French Society of Anesthesiology and Intensive Care (SFAR). Eur J Obstet Gynecol Reprod Biol. 2016; 198: 12-21. doi: 10.1016/j.ejogrb.2015.12.012
Lee HY, Shin JH, Kim J, et al. Primary postpartum hemor-rhage: Outcome of pelvic arterial embolization in 251 patients at a single institution. Radiology. 2012; 264: 903-909. doi: 10.1148/ra-diol.12111383
Chestnut DH, Polley LS, Wong CA, Tsen LC. Chestnut’s Obstetric Anaesthesia Principles and Practice. 4th ed. Maryland Heights, Missouri, USA: Mosby publisher; 2009: 825-830.
You WB, Zahn CM. Postpartum hemorrhage: Abnormally adherent placenta, uterine inversion, and puerperal hemato-mas. Clin Obstet Gynecol. 2006; 49(1): 184-197. doi: 10.1097/01. grf.0000197544.87808.9c
Anast N, Kwok J, Carvalho B, Lipman S, Flood P. Intact sur-vival after obstetric hemorrhage and 55 Minutes of cardiopul-monary resuscitation. A A Case Rep. 2015; 5: 9-12. doi: 10.1213/ XAA.0000000000000163
Cali G, Forlani F, Giambanco L, et al. Prophylactic use of intra-vascular balloon catheters in women with placenta accreta, increta and percreta. Eur J Obstet Gynecol Reprod Biol. 2014; 179: 36-41. doi: 10.1016/j.ejogrb.2014.05.007
Hong TM., Tseng HS, Lee RC, Wang JH, Chang CY. Uter-ine artery embolization: An effective treatment for intractable ob-stetric haemorrhage. Clin Radiol. 2004; 59: 96-101. doi: 10.1016/j. crad.2003.08.007
Li Q, Yang ZQ, Mohammed W, Feng YL, Shi HB, Zhou X. Prophylactic uterine artery embolization assisted cesarean section for the prevention of intrapartum hemorrhage in high risk pa-tients. Cardiovas Intervent Radiol. 2014; 37: 1458-1463. doi: 10.1007/ Submit your article to this journal | https://openventio.org/submit-manuscript/ 17 Chhabra A, et al s00270-014-0855-8
Lee JW, Song IA, Ryu J, Park HP, Jeon YT, Hwang JW. An-esthetic management of a parturient with placenta previa totalis undergoing preventive uterine artery embolization before placental expulsion during cesarean delivery: A case report. Korean J Anesthe-siol .2014; 67: 279-282. doi: 10.4097/kjae.2014.67.4.279
Heaston DK, Mineau DE, Brown BJ, Miller FJ. Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation. Am J Roentgenol. 1979; 133: 152-154. doi: 10.2214/ajr.133.1.152
Badaway SZA, Etman A, Singh M, Murphy K, Mayelli T, Phila-delphia M. Uterine artery embolization: The role in obstetrics and gynecology. Clin Imaging. 2001; 25: 288-295. doi: 10.1016/S0899- 7071(01)00307-2
Pelage JP, Soyer P, Repiquet D, et al. Secondary postpartum hemorrhage: Treatment with selective arterial embolization. Radi-ology. 1999; 212: 385-389. doi: 10.1148/radiology.212.2.r99jl05385
Vedantham S, Goddwin SC, McLucas B, Mohr G. Uterine ar-tery embolization: An underused method of controlling pelvic hemorrhage. Am J Obstet Gynecol. 1997; 176: 938-948. doi: 10.1016/ s0002-9378(97)70624-0 Case Report | Volume 4 | Number 1 |
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Research and Practice in Anesthesiology (RPA) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.