Premium
Effect of transarterial embolization for post‐partum hemorrhage on subsequent pregnancy
Author(s) -
Nakamura Yuko,
Aoki Shigeru,
Takebayashi Shigeo,
Hirahara Fumiki
Publication year - 2016
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.13029
Subject(s) - medicine , hemostasis , transarterial embolization , pregnancy , placenta accreta , embolization , gelatin sponge , obstetrics , surgery , placenta , radiology , fetus , genetics , biology
Abstract Although pregnancy after transarterial embolization (TAE) has occasionally been reported, gelatin sponge was used as the embolic agent in most of these cases. Reports on the effect of TAE with permanent embolic agents such as N ‐butyl cyanoacrylate or coil on subsequent pregnancies are rare. We describe placenta accreta associated with difficult hemostasis in two patients who became pregnant after TAE with permanent embolic agents. In pregnancy after TAE with permanent embolic agents, placenta accreta occurs frequently and well‐developed collateral vessels are highly likely, resulting in difficult hemostasis. Although the acceptability of pregnancy after TAE with permanent embolic agents is controversial, patients should be informed that pregnancy is extremely high risk.