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Intraoperative uterine artery embolization without fetal radiation exposure in patients with placenta previa totalis: Two case reports

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주제분류산부인과학

초록

Embolization of the uterine arteries is a valuable method for controlling postpartum hemorrhage. There have been recent attempts to apply this tool as a means of controlling bleeding during Cesarean section, especially in patients with placenta previa. However, the benefits are controversial due to lack of randomized controlled studies, no evidence of significant improved outcomes, and potential harm including radiation exposure. This paper includes two case reports of intraoperative uterine artery embolization without fetal radiation exposure in patients with placenta previa totalis.

Abstract

Embolization of the uterine arteries is a valuable method for controlling postpartum hemorrhage. There have been recent attempts to apply this tool as a means of controlling bleeding during Cesarean section, especially in patients with placenta previa. However, the benefits are controversial due to lack of randomized controlled studies, no evidence of significant improved outcomes, and potential harm including radiation exposure. This paper includes two case reports of intraoperative uterine artery embolization without fetal radiation exposure in patients with placenta previa totalis.

참고문헌 (11)

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  4. Dilauro MD, "Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta : literature review and analysis", Clin Radiol, 67, pp.515~520 (2012)
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  6. Rossi AC, "Emergency postpartum hysterectomy for uncontrolled postpartum bleeding: a systematic review", Obstet Gynecol, 115, pp.637~644 (2010)
  7. Yu PC, "Prophylactic intraoperative uterine artery embolization to control hemorrhage in abnormal placentation during late gestation", Fertil Steril, 91, pp.1951~1955 (2009)
  8. Levine AB, "Placenta accreta : comparison of cases managed with and without pelvic artery balloon catheters", J Matern Fetal Med, 8, pp.173~176 (1999)
  9. 이경욱, "Prophylactic Hypogastric Artery Ballooning in a Patient with Complete Placenta Previa and Increta", Journal of Korean Medical Science, 25(4), pp.651~655 (2010), 대한의학회
  10. Bodner LJ, "Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta", percreta, 2006, pp.29, 354~361
  11. Cousins C, "Medical radiation and pregnancy", Health Phys, 95, pp.551~553 (2008)

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