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Intractable Postpartum Hemorrhage Resulting from Uterine Artery Pseudoaneurysm: Superselective Arteriographic Embolization via the Collateral Route
Authors:Halil Dönmez  M. Halil Öztürk  Fatma Gürgen  Serra Ö. Soylu  Baki Hekimoglu
Affiliation:(1) Department of Radiology, S.B. Diskapi Yildirim Beyazit Egitim ve Arastirma Hastanesi, TR-06110, Diskapi, Ankara, Turkey;(2) Harbiye Mah. Nisan sok. 32/22, TR- 06640, Dikmen, Ankara, Turkey
Abstract:We present a patient with intractable postpartum hemorrhage resulting from uterine artery pseudoaneurysm despite bilateral hypogastric artery ligation who was successfully treated by an endovascular approach via the collateral route. Although there is a good argument for postponing surgery until transcatheter embolization has been attempted, this case shows that embolization can still be successful even if the iliac vessels have been ligated.
Keywords:Arterial embolization  Postpartum hemorrhage  Pseudoaneurysm  Uterine artery
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