Abstract
Uterine artery embolization (UAE) is typically not indicated in the pre-operative management of pregnancies with a live fetus, because risk of fetal death from reduced uteroplacental blood flow. However, pre-operative UAE in pregnancies with a fetal demise poses no fetal risk, and may offer maternal benefits. Patients with placental abruption resulting in fetal demise are at high-risk for developing disseminated intravascular coagulation (DIC), which could have devastating complications such as peri-operative hemorrhage and death. This case report describes the first successful execution of a pre-operative UAE that effectively prevented antepartum and postpartum hemorrhage in a patient with DIC secondary to a placental abruption and recent fetal demise.
Original language | English (US) |
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Pages (from-to) | 325-331 |
Number of pages | 7 |
Journal | Journal of Neonatal-Perinatal Medicine |
Volume | 9 |
Issue number | 3 |
DOIs | |
State | Published - Sep 16 2016 |
Keywords
- antepartum hemorrhage
- disseminated intravascular coagulation
- placental abruption
- post-partum hemorrhage
- transcatheter arterial embolization
- Uterine artery embolization (UAE)
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health