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World J Obstet Gynecol. Nov 10, 2013; 2(4): 185-191
Published online Nov 10, 2013. doi: 10.5317/wjog.v2.i4.185
Published online Nov 10, 2013. doi: 10.5317/wjog.v2.i4.185
Pelvic arterial embolization in obstetric hemorrhage
Vidhi Chaudhary, Poonam Sachdeva, Raksha Arora, Devender Kumar, Priya Karanth, Department of Obstetrics and Gynecology, Maulana Azad Medical College and associated Lok Nayak Hospital and GB Pant Hospital, New Delhi 110002, India
Author contributions: Chaudhary V designed study and wrote the manuscript; Arora R, Sachdeva P, Kumar D, Chaudhary V and Karanth P were involved in medical, surgical and conservative management of patients and helped in editing of article; Chaudhary V and Karanth P collected all the data including follow up of the patients and searched articles to support this work.
Correspondence to: Dr. Vidhi Chaudhary, Senior Resident, Department of Obstetrics and Gynecology, Maulana Azad Medical college and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi 110002, India. dr_vidh@yahoo.co.in
Telephone: +91-11-23239271
Received: April 29, 2013
Revised: July 3, 2013
Accepted: July 17, 2013
Published online: November 10, 2013
Processing time: 201 Days and 22.8 Hours
Revised: July 3, 2013
Accepted: July 17, 2013
Published online: November 10, 2013
Processing time: 201 Days and 22.8 Hours
Core Tip
Core tip: Historically obstetric hysterectomy was definitive treatment in morbid adherent placenta, cervical ectopic pregnancy and post partum hemorrhage refractory to medical and conservative surgical measures. Emergence of Pelvic arterial embolization as a minimally invasive procedure had led to alternative use of use of embolizing agents in controlling significant hemorrhage in various etiologies of obstetric hemorrhage thereby conserving fertility and reducing maternal mortality and morbidity. We used P- particle and coil as embolizing material with 75% success in our series. Our study further strengthens our confidence in pelvic artery embolization for its applicability in managing obstetric hemorrhage.