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Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation
Joint Authors
Aoki, Shigeru
Hirahara, Fumiki
Takebayashi, Shigeo
Torimoto, Izumi
Sekikawa, Zenjiro
Obata, Soichiro
Kasai, Michi
Kasai, Junko
Seki, Kazuo
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Although it is widely accepted that uterine artery embolization (UAE) is an effective therapeutic strategy for postpartum hemorrhage (PPH), no consensus has been reached regarding the efficacy of UAE in patients with PPH with disseminated intravascular coagulation (DIC).
This single-center retrospective cohort study included patients treated with UAE using NBCA for PPH between 2010 and 2015.
The patients were divided into DIC and non-DIC groups, according to the obstetrical DIC score and the overt DIC diagnostic criteria issued by the International Society of Thrombosis and Haemostasis (ISTH), and their clinical outcomes were compared.
There were 28 patients treated with UAE using NBCA.
Complete hemostasis was achieved by UAE in 19 of 28 patients.
In eight of nine patients with unsuccessful hemostasis, surgical hemostatic interventions were performed after UAE, and hemostasis was achieved in seven patients.
UAE using NBCA showed no significant intergroup differences in complete hemostasis according to the presence or absence of DIC based on obstetrical DIC score (70% versus 62.5%, P=1.000) or ISTH DIC score (54.5% versus 76.5%, P=0.409).
UAE using NBCA may be a useful first-choice treatment for PPH with DIC.
American Psychological Association (APA)
Obata, Soichiro& Kasai, Michi& Kasai, Junko& Seki, Kazuo& Sekikawa, Zenjiro& Torimoto, Izumi…[et al.]. 2017. Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation. BioMed Research International،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134025
Modern Language Association (MLA)
Obata, Soichiro…[et al.]. Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation. BioMed Research International No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1134025
American Medical Association (AMA)
Obata, Soichiro& Kasai, Michi& Kasai, Junko& Seki, Kazuo& Sekikawa, Zenjiro& Torimoto, Izumi…[et al.]. Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1134025
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134025