Preset catheter sheaths for uterine arterial embolization in the cesarean section of pernicious preplacental placenta: its application
Journal Title: Clinical and Experimental Obstetrics & Gynecology - Year 2019, Vol 46, Issue 1
Abstract
Aim: To explore the efficacy of presetting catheter sheaths for uterine arterial embolization in the cesarean section of pernicious preplacental placenta. Materials and Methods: The clinical records of 37 patients with pernicious preplacental placenta were retrospectively analyzed. Sixteen patients who underwent cesarean section postoperative uterine artery embolization (UAE) were classified into group A, while 21 patients who received preset femoral catheterization followed with immediate UAE after the fetus was delivered by cesarean section were classified into group B. The therapeutic effects were compared. Results: The average amount of blood loss and infusion of patients in groups A and in B was 2,621 ± 626 ml and 6.23 ± 2.66 U and 1455 ± 486 ml and 3.03 ± 2.12 U, respectively (p < 0.01). One patient of group A received hysterectomy and no hysterectomy was seen in patients of group B. Conclusion: Intraoperative UAE using preset femoral artery catheterization prior to cesarean section has effectively reduced blood loss and infusion.
Authors and Affiliations
X. W. Sun, X. M. Bai, Q. Chen, J. F. Shen, L. Yang, J. Y. Zhang, X. S. Gu, J. Jing, Y. Jin
Keywords
Related Articles
- EP ID EP618523
- DOI 10.12891/ceog4510.2019
- Views 59
- Downloads 0
Obstetrics and perinatal outcome of grand multiparity in Jordan: a case-control study
Purpose of investigation: The impact of grand multiparity on perinatal outcomes remains unknown. The authors aimed to assess perinatal outcomes in grand multiparous women in Jordan. Materials and Methods: In this retrosp...
Accuracy of transvaginal ultrasound, saline infusion sonohysterography, and office hysteroscopy in the diagnosis of endometrial polyps
Background: Endometrial polyps (EPs) derive from overgrowths of stromal or endometrial glands supported by a fibrovascular core. Currently, there is no clear recommendation on the first-line tool to be employed between s...
An observational study on diagnosis and management of adnexal masses in pregnancy
Background: Adnexal masses are seen in 1 in 80 to 1 in 8,000 pregnancies. However, with an increased use of ultrasonography in pregnancy, there is a significant rise in the incidence of adnexal masses in pregnancy. Objec...
Anti-N-methyl-D-aspartate receptor encephalitis associated with a tiny ovarian teratoma diagnosed by exploratory laparoscopy: report of two cases
Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis is the most common form of paraneoplastic encephalitis that is associated with teratomas. Because removal of the tumor leads to better clinical outcomes, determining...
Sympathomimetic amine therapy abrogates severe long-term unexpalined abdominal pain and diarrhea (microscopic colitis) – possible infertility implications
Purpose: To attempt a new treatment for severe long-standing diarrhea and abdominal pain from microscopic colitis. Materials and Methods: Dextroamphetamine sulfate was prescribed to a 42-year-old woman with progressively...