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Ovarian Artery Embolization Supplementing Hypogastric-uterine Artery Embolization for Control of Severe Postpartum Hemorrhage: Report of Eight Cases

王茂强 主任医师 北京301医院 介入放射科
2009-06-25 970人已读
王茂强 主任医师
北京301医院

JVIR, Volume 20, Issue 7, Pages 971-976 (July 2009)中国人民解放军总医院(301医院)介入放射科王茂强



Mao Qiang Wang, MD, PhDa , Feng Yong Liu, MDa, Feng Duan, MDa, Zhi Jun Wang, MDa, Peng Song, MDa, Lei Song, MDb

Received 15 September 2008; received in revised form 7 April 2009; accepted 14 April 2009.

ABSTRACT

          Although transcatheter uterine artery embolization has been proved to be a life-saving technique in serious obstetrical hemorrhage, it does not always control bleeding. The causes of treatment failure may be multifactorial and vary in individual cases, but incomplete embolization of the blood supply from other sources may play an important role. Herein, the authors describe eight patients with massive postpartum hemorrhage that was not controlled with conventional hypogastric-uterine artery embolization. Their continued hemorrhage was due to an additional blood supply arising from ovarian arteries, which was confirmed with selective ovarian artery angiography and subsequently successfully embolized.

Abbreviations: OAE, ovarian artery embolization, PPH, postpartum hemorrhage, PVA, polyvinyl alcohol, UAE, uterine artery embolization

a Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China

b Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing 100853, China

Address correspondence to M.Q.W.

 None of the authors have identified a conflict of interest.

PII: S1051-0443(09)0038

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王茂强 主任医师

北京301医院 介入放射科

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