A case of pregnancy and childbirth after uterine artery embolization with a permanent embolic agent
Objective To report a case of full-term delivery after uterine artery embolization with N-butyl cyanoacrylate for abruptio placentae. Design Case report. Setting University hospital. Patient(s) A 35-year old woman, gravida 2 para 0, at 32 weeks' and 4 days' gestation. Intervention(s) Trans...
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| Veröffentlicht in: | Fertility and sterility 2011, Vol.95 (1), p.290.e9-290.e11 |
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| creator | Igarashi, Suguru, M.D., Ph.D Izuchi, Shinichirou, M.D Ishizuka, Bunpei, M.D Yoshimatu, Misako, M.D., Ph.D Takizawa, Kenji, M.D., Ph.D |
| description | Objective To report a case of full-term delivery after uterine artery embolization with N-butyl cyanoacrylate for abruptio placentae. Design Case report. Setting University hospital. Patient(s) A 35-year old woman, gravida 2 para 0, at 32 weeks' and 4 days' gestation. Intervention(s) Transcatheter arterial embolization with N-butyl cyanoacrylate (NBCA). Result(s) An emergency cesarean section was performed for abruptio placentae. The neonate died on day 0. After the cesarean section, a hematoma was found at the uterine incision that continued to increase. Therefore, pelvic angiography was performed, and extravasation was observed from the uterine arteries. NBCA was used for embolization, and the extravasation stopped rapidly. Total transfusion volume was 10,190 mL. Nine months after the cesarean section, the patient became pregnant naturally and delivered a boy by elective cesarean section. Conclusion(s) For treatment of shock caused by perinatal hemorrhage, which is a major cause of perinatal mortality, even if clotting abnormalities are present, transcatheter arterial embolization using NBCA can provide effective hemostasis. Moreover, in patients who would otherwise require a hysterectomy, fertility can be preserved. |
| doi_str_mv | 10.1016/j.fertnstert.2010.04.081 |
| format | Article |
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Design Case report. Setting University hospital. Patient(s) A 35-year old woman, gravida 2 para 0, at 32 weeks' and 4 days' gestation. Intervention(s) Transcatheter arterial embolization with N-butyl cyanoacrylate (NBCA). Result(s) An emergency cesarean section was performed for abruptio placentae. The neonate died on day 0. After the cesarean section, a hematoma was found at the uterine incision that continued to increase. Therefore, pelvic angiography was performed, and extravasation was observed from the uterine arteries. NBCA was used for embolization, and the extravasation stopped rapidly. Total transfusion volume was 10,190 mL. Nine months after the cesarean section, the patient became pregnant naturally and delivered a boy by elective cesarean section. Conclusion(s) For treatment of shock caused by perinatal hemorrhage, which is a major cause of perinatal mortality, even if clotting abnormalities are present, transcatheter arterial embolization using NBCA can provide effective hemostasis. Moreover, in patients who would otherwise require a hysterectomy, fertility can be preserved.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2010.04.081</identifier><identifier>PMID: 20646691</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abruptio Placentae - therapy ; Adult ; arteries ; boys ; case studies ; Cesarean Section ; childbirth ; Enbucrilate ; Female ; hematoma ; Hemorrhage ; hemostasis ; Humans ; hysterectomy ; Infant, Newborn ; Internal Medicine ; Male ; mortality ; NBCA ; neonates ; Obstetrics and Gynecology ; patients ; permanent embolization ; placenta ; Pregnancy ; Pregnancy Outcome ; Uterine Artery Embolization - methods ; Uterine Hemorrhage - prevention & control ; women</subject><ispartof>Fertility and sterility, 2011, Vol.95 (1), p.290.e9-290.e11</ispartof><rights>American Society for Reproductive Medicine</rights><rights>2011 American Society for Reproductive Medicine</rights><rights>Copyright © 2011 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-3b9b47f6409baf358821c6a6344fdc44b1a8e3997ffec06db20713b299c3ffff3</citedby><cites>FETCH-LOGICAL-c502t-3b9b47f6409baf358821c6a6344fdc44b1a8e3997ffec06db20713b299c3ffff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fertnstert.2010.04.081$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,4025,27928,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20646691$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Igarashi, Suguru, M.D., Ph.D</creatorcontrib><creatorcontrib>Izuchi, Shinichirou, M.D</creatorcontrib><creatorcontrib>Ishizuka, Bunpei, M.D</creatorcontrib><creatorcontrib>Yoshimatu, Misako, M.D., Ph.D</creatorcontrib><creatorcontrib>Takizawa, Kenji, M.D., Ph.D</creatorcontrib><title>A case of pregnancy and childbirth after uterine artery embolization with a permanent embolic agent</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>Objective To report a case of full-term delivery after uterine artery embolization with N-butyl cyanoacrylate for abruptio placentae. Design Case report. Setting University hospital. Patient(s) A 35-year old woman, gravida 2 para 0, at 32 weeks' and 4 days' gestation. Intervention(s) Transcatheter arterial embolization with N-butyl cyanoacrylate (NBCA). Result(s) An emergency cesarean section was performed for abruptio placentae. The neonate died on day 0. After the cesarean section, a hematoma was found at the uterine incision that continued to increase. Therefore, pelvic angiography was performed, and extravasation was observed from the uterine arteries. NBCA was used for embolization, and the extravasation stopped rapidly. Total transfusion volume was 10,190 mL. Nine months after the cesarean section, the patient became pregnant naturally and delivered a boy by elective cesarean section. Conclusion(s) For treatment of shock caused by perinatal hemorrhage, which is a major cause of perinatal mortality, even if clotting abnormalities are present, transcatheter arterial embolization using NBCA can provide effective hemostasis. Moreover, in patients who would otherwise require a hysterectomy, fertility can be preserved.</description><subject>Abruptio Placentae - therapy</subject><subject>Adult</subject><subject>arteries</subject><subject>boys</subject><subject>case studies</subject><subject>Cesarean Section</subject><subject>childbirth</subject><subject>Enbucrilate</subject><subject>Female</subject><subject>hematoma</subject><subject>Hemorrhage</subject><subject>hemostasis</subject><subject>Humans</subject><subject>hysterectomy</subject><subject>Infant, Newborn</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>mortality</subject><subject>NBCA</subject><subject>neonates</subject><subject>Obstetrics and Gynecology</subject><subject>patients</subject><subject>permanent embolization</subject><subject>placenta</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome</subject><subject>Uterine Artery Embolization - methods</subject><subject>Uterine Hemorrhage - prevention & control</subject><subject>women</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkktv1DAQxy0EokvhK4BvnLL4Fce5IJWKl1SJQ-nZcpzx1kviLHZStHx6JtoFJE74MB7b_3no5yGEcrbljOs3-22APKcyo90KhtdMbZnhj8iG17Wual3Lx2TDGK8rJoy4IM9K2TPGNG_EU3IhmFZat3xD_BX1rgCdAj1k2CWX_JG61FN_H4e-i3m-py5gHbqgiQmoy-gcKYzdNMSfbo5Toj_iKqMHyKNLkObzq6duh6fn5ElwQ4EX5_2S3H14__X6U3Xz5ePn66ubytdMzJXs2k41QSvWdi7I2hjBvXZaKhV6r1THnQHZtk0I4JnuO8EaLjvRtl4GXPKSvD7lPeTp-wJltmMsHoYBe5qWYg0GGCNFg0pzUvo8lZIh2EOOo8tHy5ldCdu9_UvYroQtUxYJY-jLc5GlG6H_E_gbKQpenQTBTdbtciz27hYz1PgbohG6RcW7kwIQxkOEbIuPkDz0MYOfbT_F_-nj7T9J_BBT9G74Bkco-2nJCWFbbouwzN6us7COAscpMFy18heTVbGn</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Igarashi, Suguru, M.D., Ph.D</creator><creator>Izuchi, Shinichirou, M.D</creator><creator>Ishizuka, Bunpei, M.D</creator><creator>Yoshimatu, Misako, M.D., Ph.D</creator><creator>Takizawa, Kenji, M.D., Ph.D</creator><general>Elsevier Inc</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2011</creationdate><title>A case of pregnancy and childbirth after uterine artery embolization with a permanent embolic agent</title><author>Igarashi, Suguru, M.D., Ph.D ; Izuchi, Shinichirou, M.D ; Ishizuka, Bunpei, M.D ; Yoshimatu, Misako, M.D., Ph.D ; Takizawa, Kenji, M.D., Ph.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-3b9b47f6409baf358821c6a6344fdc44b1a8e3997ffec06db20713b299c3ffff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abruptio Placentae - therapy</topic><topic>Adult</topic><topic>arteries</topic><topic>boys</topic><topic>case studies</topic><topic>Cesarean Section</topic><topic>childbirth</topic><topic>Enbucrilate</topic><topic>Female</topic><topic>hematoma</topic><topic>Hemorrhage</topic><topic>hemostasis</topic><topic>Humans</topic><topic>hysterectomy</topic><topic>Infant, Newborn</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>mortality</topic><topic>NBCA</topic><topic>neonates</topic><topic>Obstetrics and Gynecology</topic><topic>patients</topic><topic>permanent embolization</topic><topic>placenta</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome</topic><topic>Uterine Artery Embolization - methods</topic><topic>Uterine Hemorrhage - prevention & control</topic><topic>women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Igarashi, Suguru, M.D., Ph.D</creatorcontrib><creatorcontrib>Izuchi, Shinichirou, M.D</creatorcontrib><creatorcontrib>Ishizuka, Bunpei, M.D</creatorcontrib><creatorcontrib>Yoshimatu, Misako, M.D., Ph.D</creatorcontrib><creatorcontrib>Takizawa, Kenji, M.D., Ph.D</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Igarashi, Suguru, M.D., Ph.D</au><au>Izuchi, Shinichirou, M.D</au><au>Ishizuka, Bunpei, M.D</au><au>Yoshimatu, Misako, M.D., Ph.D</au><au>Takizawa, Kenji, M.D., Ph.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of pregnancy and childbirth after uterine artery embolization with a permanent embolic agent</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2011</date><risdate>2011</risdate><volume>95</volume><issue>1</issue><spage>290.e9</spage><epage>290.e11</epage><pages>290.e9-290.e11</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><abstract>Objective To report a case of full-term delivery after uterine artery embolization with N-butyl cyanoacrylate for abruptio placentae. Design Case report. Setting University hospital. Patient(s) A 35-year old woman, gravida 2 para 0, at 32 weeks' and 4 days' gestation. Intervention(s) Transcatheter arterial embolization with N-butyl cyanoacrylate (NBCA). Result(s) An emergency cesarean section was performed for abruptio placentae. The neonate died on day 0. After the cesarean section, a hematoma was found at the uterine incision that continued to increase. Therefore, pelvic angiography was performed, and extravasation was observed from the uterine arteries. NBCA was used for embolization, and the extravasation stopped rapidly. Total transfusion volume was 10,190 mL. Nine months after the cesarean section, the patient became pregnant naturally and delivered a boy by elective cesarean section. 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| source | MEDLINE; Elsevier ScienceDirect Journals Complete; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Abruptio Placentae - therapy Adult arteries boys case studies Cesarean Section childbirth Enbucrilate Female hematoma Hemorrhage hemostasis Humans hysterectomy Infant, Newborn Internal Medicine Male mortality NBCA neonates Obstetrics and Gynecology patients permanent embolization placenta Pregnancy Pregnancy Outcome Uterine Artery Embolization - methods Uterine Hemorrhage - prevention & control women |
| title | A case of pregnancy and childbirth after uterine artery embolization with a permanent embolic agent |
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