1Professor, Department of Obstetrics & Gynaecology, NRI Medical College & General Hospital, Chinakakani Mangalagiri Mandal, Guntur District, Andhra Pradesh, India
2Professor & HOD, Department of Obstetrics & Gynaecology, NRI Medical College & General Hospital, Chinakakani Mangalagiri Mandal, Guntur District, Andhra Pradesh, India
3Professor, Department of Cardiology, NRI Medical College & General Hospital, Chinakakani Mangalagiri Mandal, Guntur District, Andhra Pradesh, India
4Professor, Department of Radio Diagnosis, NRI Medical College & General Hospital, Chinakakani Mangalagiri Mandal, Guntur District, Andhra Pradesh, India
*Corresponding Author: E-mail: profkgr@gmail.com
Online published on 26 August, 2016.
To evaluate the success of uterine artery embolization (UAE) in Obstetric Hemorrhage and heavy menstrual bleeding with Gynaecological disorders.
Uterine artery is accessed by catheterizing femoral artery. First contra lateral and then ipsi lateral uterine artery is catheterized and embolization done with gel foam/poly vinyl alcohol (PVA)/pellets/coils. All these patients with obstetric haemorrhage and Gynaecological cases with heavy menstrual bleeding, during the period January, 2008 to September, 2015were included. Those patients with cancer, poorly controlled diabetes mellitus, with active infection, history of radiation, patients with renal disease, allergy to contrast media were excluded from this study.
We performed 15 cases of uterine artery embolizaiton out of which 5 cases were pseudo aneurysm (secondary PPH) of uterine artery. Mean age of the patient was 24 years and one case among them required hysterectomy. The other indications were cervical ectopic pregnancy (1), cervical molar pregnancy (1), Fibroids (6), AV malformations (2) of uterus.
Uterine artery embolization is very effective method to control haemorrhage and hysterectomy can be avoided to preserve fertility or in any other conditions.
Uterine artery embolization, Haemorrhage
