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B-0385 - Pre-abortion uterine arterial embolisation in high haemorrhage risk pregnancies

P. Venetucci1, F. D'Antuono2, S. Pizza1, R. Basile1, f. Pane1, A. Brunetti1; 1 Naples/IT 2 Rocchetta Sant'Antonio/IT Type: Scientific Paper
Area of Interest: Obstetrics (Pregnancy / birth / postnatal period)
Imaging Technique: Catheter arteriography
Procedure: Embolisation
Special Focus: Hemorrhage
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Purpose: Interventional radiology has a well-defined role in the management of many gynecologicical (eg, uterine fibroma embolisation) and obstetrics conditions, represented haemorrhagic events. Obstetric haemorrhage may occur at any point during pregnancy, delivery or the puerperium, contributing highly to [...]

Methods and materials: In the past two years (November 2014- November 2016) we performed in our department 12 pre-abortion precautionary embolisation procedures: 10 in patients with CSP and 2 in patients with vescicular mola. All the patient came in our department for a planned therapeutic procedure, except one case of CS[...]

Results: Significant bleeding reduction was obtained; less than 500 mL blood loss was noticed in 11 patients, while only in 1 patient blood loss resulted between 500 and 1000 mL. In CSP group, mestrual function has been preserved in 6 patients, while one patient is still in the 6-months follow-up. The remain[...]

Conclusion: Interventional radiology techniques proved to be an important and successful step in the therapeutic planning of high haemorrhage risk pregnancies that cannott be carried to full term.

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References: Gonsalves M, Belli A. The role of Interventional Radiology in Obstetric Hemorrhage. Cardiovasc Intervent Radiol. 2010 Oct;33(5):887-95. Eriksson LG, Mulic-Lutvica A, Janglund L, Nyman R. Massive postpartum haemorrhage treated with transcatheter arterial embolization: technical aspects and long-term [...]

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