A case of pregnancy and childbirth after uterine artery embolization with a permanent embolic agent

Fertility and Sterility
Suguru IgarashiKenji Takizawa

Abstract

To report a case of full-term delivery after uterine artery embolization with N-butyl cyanoacrylate for abruptio placentae. Case report. University hospital. A 35-year old woman, gravida 2 para 0, at 32 weeks' and 4 days' gestation. Transcatheter arterial embolization with N-butyl cyanoacrylate (NBCA). An emergency cesarean section was performed for abruptio placentae. The neonate died on day 0. After the cesarean section, a hematoma was found at the uterine incision that continued to increase. Therefore, pelvic angiography was performed, and extravasation was observed from the uterine arteries. NBCA was used for embolization, and the extravasation stopped rapidly. Total transfusion volume was 10,190 mL. Nine months after the cesarean section, the patient became pregnant naturally and delivered a boy by elective cesarean section. For treatment of shock caused by perinatal hemorrhage, which is a major cause of perinatal mortality, even if clotting abnormalities are present, transcatheter arterial embolization using NBCA can provide effective hemostasis. Moreover, in patients who would otherwise require a hysterectomy, fertility can be preserved.

References

Mar 7, 2006·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·C-C TsaiH Lin

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Citations

Jun 4, 2014·Japanese Journal of Radiology·Yoshito TakeuchiUNKNOWN Committee of Practice Guidelines of the Japanese Society of Interventional Radiology
Apr 30, 2013·Journal of Vascular and Interventional Radiology : JVIR·Young-Joo KimYoung-Nam Woo
Jul 4, 2012·Journal of Minimally Invasive Gynecology·Shingo HamaguchiYasuo Nakajima
Mar 23, 2011·The Journal of Obstetrics and Gynaecology Research·Shigeki MatsubaraManabu Nakata
Sep 15, 2016·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Hirotada SuzukiShigeki Matsubara
May 21, 2014·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Alvin Yu-Hon WanChang-Jin Yoon
Dec 14, 2018·Cardiovascular and Interventional Radiology·Shunsuke SugawaraYoshitaka Inaba

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