日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
NBCA塞栓術の現状と病理組織学的影響
産科出血に対する動脈塞栓術
園村 哲郎中井 資貴生駒 顕河合 信行中田 耕平三田 裕記南口 博紀佐藤 守男
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キーワード: TAE, UAE, NBCA, Obstetric hemorrhage
ジャーナル 認証あり

2014 年 29 巻 3 号 p. 258-266

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Obstetric hemorrhage has a high mortality rate, with massive hemorrhage commonly leading to a coagulopathic condition. Therefore, prompt hemostasis is essential for obstetric hemorrhage. However, an emergency peripartum hysterectomy has a high risk of maternal morbidity and fatality. On the other hand, uterine artery embolization (UAE) is an effective treatment for dealing with obstetric hemorrhages, because it is minimally invasive, has a high success rate and can preserve fertility. In a coagulopathic condition, the recurrent hemorrhage rate is higher for gelatin sponge particles (GSPs) than for N-butyl cyanoacrylate (NBCA). Recently, UAE with NBCA is becoming more frequently performed clinically for postpartum hemorrhages. We report here clinical UAE performed in our hospital, and animal research results on the degree of uterine damage caused by UAE with GSPs and NBCA in swine.

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