Uterine Artery Embolisation Following Life-threatening Postpartum Related to Placenta Accreta
Professor J. Pelage, MD
Department of Body and Vascular Imaging, Hôpital Lariboisière, Paris, France
Patient History
- 34-year-old female with severe vaginal haemorrhage following delivery.
- Abnormal placentation was the cause of bleeding and failed to respond to medical treament.
Pre-embolisation injection into the left uterine artery
Procedure
- Selective injection into the left uterine artery demonstrates abnormal hypervascularisation consistent with abnormal placentation.
- The utero-ovarian anastomosis is also seen.
- Embolisation was achieved with Bead Block 700-900μm via a 2.8Fr Progreat™ microcatheter (large non-resorbable embolisation particles can be safely used for placenta accreta).
- The same procedure was successfully repeated on the right side.
Outcome
- After bilateral uterine artery embolisation, bleeding stopped immediately. No recurrence of bleeding was observed.
Clinician Comment
Large Bead Block can easily be injected through large lumen microcatheters. A very effective uterine artery occlusion can be achieved.
Professor J Pelage, MD
Hôpital Lariboisière, Paris, France
Post-embolisation injection into the left uterine artery
Pre-embolisation injection into the right uterine artery
Post-embolisation injection into the right uterine artery
In this section
Disclaimer
The products may not be available for sale, may not be registered, approved or cleared for use as claimed, in all countries where Biocompatibles is represented.