Arterial embolisation in intractable primary post-partum
haemorrhage: case series
ML Tsang, WC Wong,KY Kun,CM
Tai, TK Ng,KY Lau, TP Wong
Department of Obstetrics and Gynaecology, Pamela Youde Nethersole
Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong
OBJECTIVE. To evaluate the efficacy and safety of
arterial embolisation in the management of intractable primary post-partum
DESIGN. Retrospective case series.
SETTING. Regional hospital, Hong Kong.
PATIENTS. Nine patients aged 28 to 39 years who
were treated for severe primary post-partum haemorrhage between
October 2000 and January 2003.
INTERVENTION. Emergency transcatheter arterial embolisation.
MAIN OUTCOME MEASURES. Clinical outcome and complications.
RESULTS. All nine arterial embolisations successfully
arrested the haemorrhage. The main cause of primary post-partum
haemorrhage was uterine atony. No serious complication arose, although
one patient experienced slight numbness of
the right leg. Normal menstruation resumed in all patients, except
for the one who had had a hysterectomy as initial treatment. One
patient became pregnant 1 year after embolisation. Patients were
followed up for 10 months.
CONCLUSION. In our experience, arterial embolisation
is safe and efficacious, and is the treatment of choice for patients
with intractable primary post-partum haemorrhage.
Hong Kong Med J 2004;10:301-6
Key words: Embolization; Gelatin sponge, absorbable;