Revista chilena de obstetricia y ginecología
version ISSN 0717-7526
GUZMAN R, Rodrigo et al. Embolización selectiva de arterias uterinas en la resolución de patologías ginecológicas y emergencias obstétricas. Rev. chil. obstet. ginecol. [online]. 2011, vol.76, n.2, pp. 76-85. ISSN 0717-7526. doi: 10.4067/S0717-75262011000200004.
Background: The uterine artery embolization is a procedure that can manage haemorrhagic obstretrics and gynecologic pathologies, in a conservative fashion and minimally invasive. Method: Retrospective review of cases that had been treated in our institution since October 2007. Objectives: To know the indication and results of this technique. Results: Six cases were done for gynecologic indications and seven for obstetrics cases. The procedure was feasible and without complications in all cases, being therapeutic in 12 of 13 patients. There was no need of a surgical procedure in order to achieve the therapeutic objective. Conclusions: The uterine artery embolization can be used as an excellent tool in the management of postpartum haemorrhage, reducing the necessity to perform an hysterectomy. In gynecology cases, the results in bleeding response are good as well. This procedure should be considerate as an acceptable alternative in the management of obstetric and gynecologic haemorragic pathology.
Keywords : Uterine artery embolization; postpartum hemorrhage; myoma.