Three-dimensional rotational angiography is preferable to conventional two-dimensional techniques for uterine artery embolization

2013 ◽  
Author(s):  
Atul Gupta ◽  
Kristen Zuurmond ◽  
Thijs Grunhagen ◽  
Geert Maleux
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Three Dimensional ◽  
Two Dimensional ◽  
Rotational Angiography ◽  
Artery Embolization

Three-dimensional power Doppler assessment of pelvic structures after unilateral uterine artery embolization for postpartum hemorrhage

2012 ◽  
Vol 1 (1-2) ◽  
Author(s):  
Thomas G. Tullius ◽  
Jason Robert Ross ◽  
Akwugo Eziefule ◽  
Melhem Ghaleb ◽  
Sanja Kupesic Plavsic
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Doppler Ultrasonography ◽  
Power Doppler ◽  
Local Treatment ◽  
Three Dimensional ◽  
Power Doppler Ultrasonography ◽  
Artery Embolization ◽  
Future Fertility

AbstractDelayed postpartum hemorrhage, defined as bleeding following delivery up to 6 weeks postpartum, is a risk following cesarean or vaginal delivery. Episodes most commonly occur between 8 and 14 days postpartum. Here, we present a case of a 24-year-old woman presenting with delayed postpartum hemorrhage 14 days after delivery, which later proved to be caused by left uterine artery hemorrhage. The hemorrhage was refractory to local treatment and required invasive measures to prevent hypotensive shock. In lieu of a hysterectomy, a unilateral uterine artery embolization (UAE) was performed to preserve fertility in this 24-year-old patient. Three-dimensional power Doppler ultrasonography was performed 3 weeks after UAE to assess the volume and vascularity of the pelvic structures. This case illustrates a viable intervention for women with postpartum hemorrhage who desire to preserve future fertility, as well as a method to detect structural and vascular changes after the treatment to evaluate their future fertility prospects.

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