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Uterine Artery Embolization as an Effective Management and Diagnostic Tool for Puerperal Uterine Inversion with Severe Postpartum Bleeding: A Case Report

Kim SJ, Cho Y, Park SJ, Lee S, Lee HN, Ju DH

Acute puerperal uterine inversion is a rare postpartum obstetric complication; however, without rapid diagnosis and appropriate management, it is life-threatening. Substantial bleeding hinders the verification of a partially inverted uterus,...
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Management of massive hemorrhage in pregnant women with placenta previa

Park HS, Cho HS

Patients with placenta previa are at risk for intra- and postpartum massive blood loss as well as increased risk of placenta accreta, a type of abnormal placental implantation. This condition...
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Perspective of the comparative effectiveness of non-pharmacologic managements on postpartum hemorrhage using a network meta-analysis

Lee KJ, Hong K, Hwang H, Choi H, Sohn S

Objective Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide and is both unpredictable and inevitable. While uterotonic drugs are routinely recommended, there is ongoing debate on the...
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Uterine Necrosis after Uterine Artery Embolization for Postpartum Hemorrhage

Nam SH, Lee MY, Yang NR, Won HS, Park KJ

Uterine necrosis is a rare and fatal complication of uterine artery embolization (UAE). We report a case of uterine necrosis after UAE for postpartum hemorrhage (PPH). Two days after UAE,...
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Uterine Artery Embolization for Leiomyomas and Adenomyosis: A Pictorial Essay Based on Our Experience from 1300 Cases

Kim MD

Since its introduction in 1995, uterine artery embolization (UAE) has become an established option for the treatment of leiomyomas. Identification of a leiomyoma using arteriography improves the ability to perform...
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Spontaneous Uterine Rupture after Uterine Artery Embolization for the Treatment of Uterine Myomas

Kim SJ, Kim AM, Kim TY, Kim JW, Kim YH

As intervention techniques have been developed recently, minimal invasive treatment for uterine myoma using uterine artery embolization is receiving attention increasingly. Uterine rupture occurs rarely, but once it occurs, it...
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Patient Blood Management: Obstetrician, Gynecologist's Perspectives

Lee WM

Obstetricians and gynecologists frequently deal with hemorrhage so they should be familiar with management of patient blood management (PBM). We will review to summarize the alternative measures and interventions used...
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Pyomyoma after Uterine Artery Embolization for Postpartum Hemorrhage Misdiagnosed as Uterine Necrosis

Song H, Seo JW, Shin W

A 34-year-old female patient underwent uterine artery embolization (UAE) to control massive postpartum hemorrhage. The interventional radiologist was not informed of the patient's significant history of uterine myoma. Although no...
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Efficacy of Prophylactic Uterine Artery Embolization before Obstetrical Procedures with High Risk for Massive Bleeding

Ko HK, Shin JH, Ko GY, Gwon DI, Kim JH, Han K, Lee SW

OBJECTIVE: To evaluate the safety and efficacy of prophylactic uterine artery embolization (UAE) before obstetrical procedures with high risk for massive bleeding. MATERIALS AND METHODS: A retrospective review of 29 female...
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The efficacy of pre-delivery prophylactic trans-catheter arterial balloon occlusion of bilateral internal iliac artery in patients with suspected placental adhesion

Cho YJ, Oh YT, Kim SY, Kim JY, Jung SY, Chon SJ, Kim JH, Byun SS

OBJECTIVE: Prophylactic trans-catheter arterial balloon occlusion (PTABO) before cesarean section of placenta previa totalis has been introduced to prevent massive hemorrhage. The purpose of this study is to evaluate the...
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Uterine Artery Embolization: The Interventional Treatment of Female Genital Diseases

Lee WH, Yang SB, Goo DE, Kim YJ, Lee JM, Kang CH, Ohm JY, Kim YJ

The uterus is the major female sex organ and is essential for pregnancy. The organ is located in the pelvic cavity. It is usually fist-sized with its volume changing from...
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Aberrant Ovarian Artery Originating from the Iliolumbar Artery: A Case Report

Lee JE, Lee JM

Here, we report a case of a 30-year-old woman who presented with primary postpartum hemorrhage due to uterine atony. She received uterine artery embolization (UAE). During left internal iliac arteriography,...
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Laparoscopic uterine artery occlusion before cervical curettage in cervical ectopic pregnancy: Safe and effective for preventing massive bleeding

Choi HS, Kim NY, Ji YI

Cervical ectopic pregnancy is associated with high risk for massive bleeding conditions. Cervical ectopic pregnancy can usually be treated by methotrexate injection or surgery. We present 4 cases of cervical...
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Spontaneous Restoration of Unrecognized Uterine Inversion

Cha HH, Seong WJ

We report a case of unrecognized uterine inversion was restored spontaneously without surgical intervention. Initially, the case was diagnosed as uterine atony and not uterine inversion and was managed successfully...
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Anesthetic management of a parturient with placenta previa totalis undergoing preventive uterine artery embolization before placental expulsion during cesarean delivery: a case report

Lee JW, Song IA, Ryu J, Park HP, Jeon YT, Hwang JW

Placenta previa totalis can cause life-threatening massive postpartum hemorrhage, and careful anesthetic management is essential. Preventive uterine artery embolization (UAE) before placental expulsion was introduced to reduce postpartum bleeding in...
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Post-Operative Hemorrhage after Myomectomy: Safety and Efficacy of Transcatheter Uterine Artery Embolization

Wan AY, Shin JH, Yoon HK, Ko GY, Park S, Seong NJ, Yoon CJ

OBJECTIVE: To evaluate the safety and clinical efficacy of transcatheter uterine artery embolization (UAE) for post-myomectomy hemorrhage. MATERIALS AND METHODS: We identified eight female patients (age ranged from 29 to 51...
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Conservative multidisciplinary management of placenta percreta following in vitro fertilization

Shim JY, Hong SY, Won HS, Lee PR, Kim A

  • KMID: 2313948
  • Obstet Gynecol Sci.
  • 2013 May;56(3):194-197.
Placenta percreta is an extremely rare and the most severe form of placental invasion, that is associated with severe maternal morbidity and mortality. We report a case of nulliparous woman...
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Intraoperative uterine artery embolization without fetal radiation exposure in patients with placenta previa totalis: Two case reports

Lim HJ, Kim JY, Kim YD, Park JY, Hong JS

Embolization of the uterine arteries is a valuable method for controlling postpartum hemorrhage. There have been recent attempts to apply this tool as a means of controlling bleeding during Cesarean...
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Degeneration of Leiomyoma in Patients Referred for Uterine Fibroid Embolization: Incidence, Imaging Features and Clinical Characteristics

Han SC, Kim MD, Jung DC, Lee M, Lee MS, Park SI, Won JY, Lee DY, Lee KH

PURPOSE: Imaging features and clinical characteristics of degenerated leiomyoma in patients referred for uterine fibroid embolization (UFE) were analyzed to assess the incidence of degenerated leiomyoma. MATERIALS AND METHODS: Patients referred...
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Uterine Artery Embolization for Symptomatic Fibroids with High Signal Intensity on T2-Weighted MR Imaging

Chang S, Kim MD, Lee M, Lee MS, Park SI, Won JY, Lee DY, Lee KH

OBJECTIVE: To evaluate the effectiveness of uterine artery embolization (UAE) for treating symptomatic fibroids with high signal intensity (SI) on magnetic resonance (MR) T2-weighted imaging (T2WI). MATERIALS AND METHODS: A total...
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