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Transcatheter arterial embolisation for the management of obstetric haemorrhage associated with placental abnormality in 40 cases

DC FieldValueLanguage
dc.contributor.author김만득-
dc.date.accessioned2014-12-18T08:42:22Z-
dc.date.available2014-12-18T08:42:22Z-
dc.date.issued2013-
dc.identifier.issn0938-7994-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86802-
dc.description.abstractOBJECTIVE: To evaluate pelvic artery embolisation (PAE) in the emergency management of intractable postpartum haemorrhage (PPH) associated with placenta accreta (PA). METHODS: Forty such patients (PAE for PPH/PA) were retrospectively reviewed. Medical records were reviewed regarding the delivery and PAE procedure. Follow-up gynaecological outcomes after PAE were obtained by telephone interviews. RESULTS: Technical success was achieved in all women (100 %). The initial clinical success rate was 82.5 % (33/40). Three patients with PA underwent hysterectomy after PAE failed to stop the bleeding within 24 h after the embolisation. The other three patients underwent re-embolisation (two patients underwent re-embolisation on the next day and one patient had undergone re-embolisation 6 h after the first embolisation), and bleeding had stopped eventually. The clinical success rate was 92.5 %. There were four cases of immediate complications, such as, pelvic pain, nausea and urticaria. There were three late minor complications, temporary menopause, but no late major complications. After the procedure, 35 patients resumed normal menstruation, including two uncomplicated pregnancies. One patient expired owing to disseminated intravascular coagulopathy and intracerebral haemorrhage, despite successful embolisation. CONCLUSION: PAE can be performed safely and effectively for patients with PPH and PA and can preserve the uterus in many patients.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfEuropean Radiology-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleTranscatheter arterial embolisation for the management of obstetric haemorrhage associated with placental abnormality in 40 cases-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorSook Min Hwang-
dc.contributor.googleauthorGyeong Sik Jeon-
dc.contributor.googleauthorMan Deuk Kim-
dc.contributor.googleauthorSang Heum Kim-
dc.contributor.googleauthorJong Tae Lee-
dc.contributor.googleauthorMin Jeong Choi-
dc.identifier.doi10.1007/s00330-012-2612-1-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00420-
dc.relation.journalcodeJ00851-
dc.identifier.urlhttp://link.springer.com/article/10.1007%2Fs00330-012-2612-1-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.rights.accessRightsnot free-
dc.citation.volume23-
dc.citation.number3-
dc.citation.startPage766-
dc.citation.endPage773-
dc.identifier.bibliographicCitationEuropean Radiology, Vol.23(3) : 766-773, 2013-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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