Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation
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 retrospec...
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doaj-9076dde80a04496196e766ae7f92d12f2020-11-24T23:26:15ZengHindawi LimitedBioMed Research International2314-61332314-61412017-01-01201710.1155/2017/15624321562432Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular CoagulationSoichiro Obata0Michi Kasai1Junko Kasai2Kazuo Seki3Zenjiro Sekikawa4Izumi Torimoto5Shigeo Takebayashi6Fumiki Hirahara7Shigeru Aoki8Perinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, JapanDiagnostic Radiology, Yokohama City University Medical Center, Yokohama, JapanDiagnostic Radiology, Yokohama City University Medical Center, Yokohama, JapanDiagnostic Radiology, Yokohama City University Medical Center, Yokohama, JapanDepartment of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama, JapanPerinatal Center for Maternity and Neonate, Yokohama City University Medical Center, Yokohama, JapanAlthough 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.http://dx.doi.org/10.1155/2017/1562432 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Soichiro Obata Michi Kasai Junko Kasai Kazuo Seki Zenjiro Sekikawa Izumi Torimoto Shigeo Takebayashi Fumiki Hirahara Shigeru Aoki |
spellingShingle |
Soichiro Obata Michi Kasai Junko Kasai Kazuo Seki Zenjiro Sekikawa Izumi Torimoto Shigeo Takebayashi Fumiki Hirahara Shigeru Aoki Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation BioMed Research International |
author_facet |
Soichiro Obata Michi Kasai Junko Kasai Kazuo Seki Zenjiro Sekikawa Izumi Torimoto Shigeo Takebayashi Fumiki Hirahara Shigeru Aoki |
author_sort |
Soichiro Obata |
title |
Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation |
title_short |
Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation |
title_full |
Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation |
title_fullStr |
Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation |
title_full_unstemmed |
Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation |
title_sort |
emergent uterine arterial embolization using n-butyl cyanoacrylate in postpartum hemorrhage with disseminated intravascular coagulation |
publisher |
Hindawi Limited |
series |
BioMed Research International |
issn |
2314-6133 2314-6141 |
publishDate |
2017-01-01 |
description |
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. |
url |
http://dx.doi.org/10.1155/2017/1562432 |
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