An underused method of controlling pelvic hemorrhage

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An underused method of controlling pelvic hemorrhage

By: Suresh Vedantham, MD, Scott C. Goodwin, MD, Bruce McLucas, MD, and Gregory Mohr, MD AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
April 1997 Volume 176 No. 4 pp. 938-948


Transcatheter arterial embolization has recentty emerged as a highly effective percutaneous technique for controlling acute and chronic genital bleeding in a wide variety of obstetric and gynecologic disorders. Benefits for the patient and health care system have included low complication rates, avoidance of surgical risks, fertility preservation, and shorter hospitalizations. In this article the current indications for pelvic embolotherapy, typesof embolotherapy,technical considerations, immediate success rates, causes of failure, complications, and outcome expectations are discussed. Our comprehensive literature review and clinical experience suggest that embolization should be used before surgical treatment of nonmalignant pelvic bleeding in many clinical settings, including postpartum, postcesarean, and postoperative bleeding. It is our strong belief that this form of therapy is underused, and the primary purpose of this article is to emphasize its developing role as a highly effective, relatively noninvasive method of treating genital bleeding. (Am J Obstet Gynecol 1997 176:938-48.)

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An underused method of controlling pelvic hemorrhage

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