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Borgatta, L. et al.

Borgatta, Chen, Reid, Stubblefield, Christensen, Rashbaum,

Pelvic embolization for treatment of hemorrhage related to spontaneous and induced abortion.

OBJECTIVE: Presentation of outcomes of pelvic arterial embolization for hemorrhage after spontaneous or induced abortion. STUDY DESIGN: We collected case reports of embolization after spontaneous or induced abortion from oral presentations and from members of the National Abortion Federation. RESULTS: Pelvic arterial embolization was performed for 11 women who had hemorrhage after spontaneous or induced abortion, and it was initially successful for all women. One woman ultimately required a hysterectomy after unsuccessful repeated embolization. Prophylactic embolization was done for 8 women who were at risk for hemorrhage from placenta accreta; 4 of these women had subsequent hysterectomies. CONCLUSIONS: Selective pelvic arterial embolization may be a successful treatment for hemorrhage associated with spontaneous and induced abortion. Embolization can be considered before hysterectomy is undertaken for control of hemorrhage. There may be a role for prophylactic catheterization or embolization when there is a risk of severe hemorrhage.[1]

References

Pelvic embolization for treatment of hemorrhage related to spontaneous and induced abortion. Borgatta, L., Chen, A.Y., Reid, S.K., Stubblefield, P.G., Christensen, D.D., Rashbaum, W.K. Am. J. Obstet. Gynecol. (2001) [Pubmed]

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