Journal of Vascular and Interventional Radiology
Volume 20, Issue 7 , Pages 971-976, July 2009

Ovarian Artery Embolization Supplementing Hypogastric-uterine Artery Embolization for Control of Severe Postpartum Hemorrhage: Report of Eight Cases

  • Mao Qiang Wang, MD, PhD

      Affiliations

    • Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China
    • Corresponding Author InformationAddress correspondence to M.Q.W.
    • ,
  • Feng Yong Liu, MD

      Affiliations

    • Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China
    • ,
  • Feng Duan, MD

      Affiliations

    • Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China
    • ,
  • Zhi Jun Wang, MD

      Affiliations

    • Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China
    • ,
  • Peng Song, MD

      Affiliations

    • Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China
    • ,
  • Lei Song, MD

      Affiliations

    • Department of Obstetrics and Gynecology, Chinese PLA General Hospital, Beijing 100853, China

Received 15 September 2008; received in revised form 7 April 2009; accepted 14 April 2009.

Although transcatheter uterine artery embolization has been proved to be a life-saving technique in serious obstetrical hemorrhage, it does not always control bleeding. The causes of treatment failure may be multifactorial and vary in individual cases, but incomplete embolization of the blood supply from other sources may play an important role. Herein, the authors describe eight patients with massive postpartum hemorrhage that was not controlled with conventional hypogastric-uterine artery embolization. Their continued hemorrhage was due to an additional blood supply arising from ovarian arteries, which was confirmed with selective ovarian artery angiography and subsequently successfully embolized.

Abbreviations: OAE, ovarian artery embolization, PPH, postpartum hemorrhage, PVA, polyvinyl alcohol, UAE, uterine artery embolization

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 None of the authors have identified a conflict of interest.

PII: S1051-0443(09)00384-4

doi:10.1016/j.jvir.2009.04.049

Journal of Vascular and Interventional Radiology
Volume 20, Issue 7 , Pages 971-976, July 2009

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