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 ,Revised 7 April 2009 ,Accepted 14 April 2009.

References 

  1. Oyelese Y, Scorza WE, Mastrolia R, Smulian JC. Postpartum hemorrhage. Obstet Gynecol Clin North Am. 2007;34:421–441
  2. Steinauer JE, Diedrich JT, Wilson MW, Darney PD, Vargas JE, Drey EA. Uterine artery embolization in postabortion hemorrhage. Obstet Gynecol. 2008;111:881–889
  3. Pelage JP, Limot O. Current indications for uterine artery embolization to treat postpartum hemorrhage. Gynecol Obstet Fertil. 2008;36:714–720
  4. Boulleret C, Chahid T, Gallot D, et al. Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases. Cardiovasc Intervent Radiol. 2004;27:344–348
  5. Deux JF, Bazot M, Le Blanche AF, et al. Is selective embolization of uterine arteries a safe alternative to hysterectomy in patients with postpartum hemorrhage?. AJR Am J Roentgenol. 2001;177:145–149
  6. Pelage JP, Laissy JP. Management of life-threatening postpartum hemorrhage: indications and technique of arterial embolization. J Radiol. 2006;87:533–540
  7. Sergent F, Resch B, Verspyck E, Rachet B, Clavier E, Marpeau L. Intractable postpartum haemorrhages: where is the place of vascular ligations, emergency peripartum hysterectomy or arterial embolization?. Gynecol Obstet Fertil. 2004;32:320–329
  8. Kozik W. Arterial vasculature of ovaries in women of various ages in light of anatomic, radiologic and microangiographic examinations. Ann Acad Med Stetin. 2000;46:25–34
  9. Barth MM, Spies JB. Ovarian artery embolization supplementing uterine embolization for leiomyomata. J Vasc Interv Radiol. 2003;14:1177–1182
  10. Andrews RT, Bromley PJ, Pfister ME. Successful embolization of collaterals from the ovarian artery during uterine artery embolization for fibroids: a case report. J Vasc Interv Radiol. 2000;11:607–610
  11. Binkert CA, Andrews RT, Kaufman JA. Utility of nonselective abdominal aortography in demonstrating ovarian artery collaterals in patients undergoing uterine artery embolization for fibroids. J Vasc Interv Radiol. 2001;12:841–845
  12. Pelage JP, Walker WJ, Le Dref O, Rymer R. Ovarian artery: angiographic appearance, embolization and relevance to uterine fibroid embolization. Cardiovasc Intervent Radiol. 2003;26:227–233
  13. Abbara S, Nikolic B, Pelage JP, Banovac F, Spies JB. Frequency and extent of uterine perfusion via ovarian arteries observed during uterine artery embolization for leiomyomas. AJR Am J Roentgenol. 2007;188:1558–1563
  14. White AM, Banovac F, Yousefi S, Slack RS, Spies JB. Uterine fibroid embolization: the utility of aortography in detecting ovarian artery collateral supply. Radiology. 2007;244:291–298
  15. Kim HS, Thonse VR, Judson K, Vang R. Utero-ovarian anastomosis: histopathologic correlation after uterine artery embolization with or without ovarian artery embolization. J Vasc Interv Radiol. 2007;18:31–39
  16. Mariano RT, Stein B, Vine HS, Rosshirt W, Sussman S, Ohki SK. Angiographic diagnosis and transarterial embolization of iatrogenic ovarian artery injury. J Vasc Interv Radiol. 2000;11:625–628
  17. Rathod KR, Deshmukh HL, Asrani A, Salvi VS, Prabhu S. Successful embolization of an ovarian artery pseudoaneurysm complicating obstetric hysterectomy. Cardiovasc Intervent Radiol. 2005;28:113–116
  18. Razavi MK, Wolanske KA, Hwang GL, Sze DY, Kee ST, Dake MD. Angiographic classification of ovarian artery-to-uterine artery anastomoses: initial observations in uterine fibroid embolization. Radiology. 2002;224:707–712
  19. Pelage JP, Le Dref O, Jacob D, Rymer R. Ovarian artery supply of uterine fibroid. (letter) J Vasc Interv Radiol. 2000;11:535

 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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