Uterine Artery Embolisation Following Life-threatening Postpartum Related to Placenta Accreta
Professor J. Pelage, MD
Department of Body and Vascular Imaging, Hôpital Lariboisière, Paris, France
Patient History
- 34-year-old female with severe vaginal haemorrhage following delivery.
- Abnormal placentation was the cause of bleeding and failed to respond to medical treament.
Pre-embolisation injection into the left uterine artery
Procedure
- Selective injection into the left uterine artery demonstrates abnormal hypervascularisation consistent with abnormal placentation.
- The utero-ovarian anastomosis is also seen.
- Embolisation was achieved with Bead Block 700-900μm via a 2.8Fr Progreat™ microcatheter (large non-resorbable embolisation particles can be safely used for placenta accreta).
- The same procedure was successfully repeated on the right side.
Outcome
- After bilateral uterine artery embolisation, bleeding stopped immediately. No recurrence of bleeding was observed.
Clinician Comment
Large Bead Block can easily be injected through large lumen microcatheters. A very effective uterine artery occlusion can be achieved.
Professor J Pelage, MD
Hôpital Lariboisière, Paris, France
Post-embolisation injection into the left uterine artery
Pre-embolisation injection into the right uterine artery
Post-embolisation injection into the right uterine artery