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Secondary Postpartum Hemorrhage: Treatment with Selective Arterial Embolization1

Jean-Pierre Pelage, MD, Philippe Soyer, MD, PhD, Danielle Repiquet, MD, Denis Herbreteau, MD, PhD, Olivier Le Dref, MD, Emmanuel Houdart, MD, Denis Jacob, MD, Mourad Kardache, MD, Patrick Schurando, MD, Jean-Bernard Truc, MD and Roland Rymer, MD

1 From the Departments of Vascular Imaging (J.P.P., P. Soyer, D.H., O.L.D., E.H., M.K., R.R.), Obstetrics and Gynecology (D.R., D.J., J.B.T.), and Critical Care (P. Schurando), Hôpital Lariboisière, AP-HP, 2 rue Ambroise Paré, 75475 Paris 10, France. Received June 11, 1998; revision requested July 30; revision received September 10; accepted February 12, 1999. Address reprint requests to J.P.P. (e-mail: jean-pierre.pelage@lrb.ap-hop.paris.fr).



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  		Patient 1. (a) Right uterine angiogram in a 25° left anterior oblique projection shows uterine hypervascularity (arrowheads) but no extravasation. (b) Postembolization angiogram shows complete occlusion (arrow) of the right uterine artery.

 


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  		Patient 1. (a) Right uterine angiogram in a 25° left anterior oblique projection shows uterine hypervascularity (arrowheads) but no extravasation. (b) Postembolization angiogram shows complete occlusion (arrow) of the right uterine artery.

 


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  		Patient 13. (a) Left uterine angiogram in a right anterior oblique projection shows massive extravasation (arrow) of iodinated contrast material. (b) Postembolization angiogram shows the left uterine artery is occluded (arrow) and the extravasation has disappeared.

 


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  		Patient 13. (a) Left uterine angiogram in a right anterior oblique projection shows massive extravasation (arrow) of iodinated contrast material. (b) Postembolization angiogram shows the left uterine artery is occluded (arrow) and the extravasation has disappeared.

 


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  		Patient 8. (a) Left uterine arteriogram with a right anterior oblique projection demonstrates a false aneurysm (arrowhead) of the uterine artery (arrow). (b) Postembolization angiogram confirms complete occlusion (arrow) of the left uterine artery.

 


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[in a new window]
  		Patient 8. (a) Left uterine arteriogram with a right anterior oblique projection demonstrates a false aneurysm (arrowhead) of the uterine artery (arrow). (b) Postembolization angiogram confirms complete occlusion (arrow) of the left uterine artery.

 




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