Use of uterine artery embolization to prevent peripartum hemorrhage of placental abruption with fetal demise & severe DIC

E. Latif, S. Adam, B. Rungruang, A. Al-Hendy, M. P. Diamond, E. Rotem, J. Cannell, P. C. Browne

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)325-331
Number of pages7
JournalJournal of Neonatal-Perinatal Medicine
Volume9
Issue number3
DOIs
StatePublished - 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

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