Posted Mon, Apr, 15,2013
Published today in Japanese Clinical Medicine is a new case report by Natsuko Wada, Daisuke Tachibana, Kayoko Nakagawa, Hiroyuki Terada, Akemi Nakano, Toshiyuki Sumi, Masayasu Koyama, Osamu Ishiko and Norifumi Nishida. Read more about this paper below:
Title
Pathological Findings in a Case of Failed Uterine Artery Embolization for Placenta Previa
Abstract
The reported success rate of uterine artery embolization (UAE) for obstetrical hemorrhage is more than 90%. We experienced a case of failed UAE for postpartum hemorrhage, although an embolic particle was found pathologically in the uterine vessels without coagulation. A 42-year-old woman (gravida 7, para 2) with placenta previa had genital bleeding at 35 weeks of gestation, and cesarean section was performed. We immediately added UAE aiming to reduce massive bleeding after the cesarean section, successful embolization of the bilateral uterine arteries and internal iliac arteries were confirmed by angiography regardless the vital sign was recovered with an appropriate amount of transfusion; the massive bleeding recurred after 1 hour of UAE. Hysterectomy was performed and pathological findings of the uterus showed that there was no coagulation in the vessels, which was supposed to be observed by the effect of gelatin sponge. In addition, despite the fact that no coagulation was found, only one gelatin sponge was found in 16 slices of the uterine wall specimens. We speculate that thrombotic materials were caught in vasoconstricted vessels triggered by hypovolemic shock due to acute blood loss, and then the gelatin sponge could be washed out after recovering to normalized circulation status leading to recurrent massive hemorrhage.
Click here to learn more about the article, download it and comment
Posted in: Articles Published
News Categories
Thu 08 Oct, 2015
Published This Week (5th - 9th October)Thu 08 Oct, 2015
Biomarker Insights Paper Endorsed by Editor in ChiefWed 07 Oct, 2015
Interview with Professor Jamie DaviesClinical Medicine Insights: Cardiology is very much conscious of time. Every step is done thoroughly and rapidly. The reviewers' comments are constructive. There is regular contact with the authors, providing explanations where necessary. The visibility also enjoyed by one's article once it is published is worthy of note. Thanks for making publishing with you so easy and enjoyable.
Facebook Google+ Twitter
Pinterest Tumblr YouTube