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Transcatheter arterial embolization for postpartum massive hemorrhage: a case report
R Murakami1, T Ichikawa, T Kumazaki
1Department of Radiology, Nippon Medical School, Tama-Nagayama Hospital, 1-7-1 Nagayama, Tokyo 260-8512, Tama, Japan
Clinical Imaging
|May 23, 2001
Summary
Massive postpartum hemorrhage from vaginal laceration was successfully treated with transcatheter arterial embolization. This minimally invasive procedure achieved hemostasis, preserving reproductive potential and avoiding major surgery for unstable patients.
Area of Science:
- Obstetrics and Gynecology
- Vascular Interventional Radiology
Background:
- Postpartum hemorrhage (PPH) is a leading cause of maternal mortality worldwide.
- Vaginal lacerations can lead to severe, life-threatening bleeding unresponsive to conservative management.
Observation:
- A 29-year-old woman experienced massive hemorrhage from a deep vaginal laceration after spontaneous vaginal delivery.
- Pelvic angiography identified extravasation from a right pudendal artery branch.
Findings:
- Transcatheter arterial embolization (TAE) was successfully performed to occlude the bleeding artery.
- The procedure rapidly achieved hemostasis, controlling the hemorrhage.
Implications:
- Transcatheter arterial embolization is a viable, minimally invasive alternative to surgery for refractory PPH.
- This technique can stabilize critically ill patients and preserve fertility, improving maternal outcomes.