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- Title
Novel approach to uterine artery pseudoaneurysm embolization for delayed post-partum hemorrhage.
- Authors
Parker, Ross; Wuerdeman, Marc; Grant, Matthew; Kitley, Charles
- Abstract
Uterine artery pseudoaneurysms (UAP) are a rare cause of post-partum hemorrhage. Conservative management is discouraged due to the risk of spontaneous hemorrhage. Intra-arterial embolization is highly successful (>90%) and offers definitive treatment. We present the case of a 27-year-old woman with significant delayed post-partum hemorrhage after cesarean section who was found to have a UAP on imaging. Her tortuous vascular anatomy and spasmodic aneurysmal neck presented technical challenges to embolization with traditional material, such as gel foam and coils. Intra-arterial thrombin was then employed with good technical and clinical outcome. To our knowledge, this is the first case describing the use of intra-arterial thrombin in the treatment of UAP. Given its success in this case, we argue that intra-arterial thrombin should be considered a viable alternative for embolization of UAP when more traditional techniques fail.
- Subjects
THROMBIN; FALSE aneurysms; CESAREAN section; HEMORRHAGE; INTRA-arterial injections; PUERPERAL disorders; RARE diseases; UTERUS; TREATMENT effectiveness; DIAGNOSIS; THERAPEUTICS
- Publication
Journal of Obstetrics & Gynaecology Research, 2016, Vol 42, Issue 12, p1870
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.13140