Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum Hemorrhage

In this case series, we evaluated the efficacy and safety of uterine artery embolization (UAE) using N-butyl- 2-cyanoacrylate (NBCA)/glue for the treatment of uterine artery pseudoaneurysm (UAP). Here, we report 8 patients with uterine artery pseudoaneurysm, who underwent UAE using NBCA/glue. Angiog...

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Main Authors: Venkatesh Pothula, Jagadeesan Dhanasekaran, Jyothsna Nekkala, Sabarish Sekar, Santhosh Joseph
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2023-08-01
Series:Journal of Clinical Interventional Radiology ISVIR
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751250
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author Venkatesh Pothula
Jagadeesan Dhanasekaran
Jyothsna Nekkala
Sabarish Sekar
Santhosh Joseph
author_facet Venkatesh Pothula
Jagadeesan Dhanasekaran
Jyothsna Nekkala
Sabarish Sekar
Santhosh Joseph
author_sort Venkatesh Pothula
collection DOAJ
description In this case series, we evaluated the efficacy and safety of uterine artery embolization (UAE) using N-butyl- 2-cyanoacrylate (NBCA)/glue for the treatment of uterine artery pseudoaneurysm (UAP). Here, we report 8 patients with uterine artery pseudoaneurysm, who underwent UAE using NBCA/glue. Angiograms and medical records were retrospectively analyzed to determine the technical success, clinical success, complications, average procedure time, the average duration of hospital stay after UAE. All patients were presented with secondary postpartum hemorrhage with hemodynamic instability. The technical and clinical success rates were 100%, respectively. The average procedure time was 21minutes and the average duration of hospital stay was 2.2 days. We did not encounter any major complications. Two patients following UAE were naturally conceived and delivered by repeat LSCS. UAE using NBCA/glue is a safe and effective treatment option for UAP in both hemodynamically stable and unstable patients.
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spelling doaj.art-81304480a6804d0eaa36d96af753d1202023-07-19T23:09:10ZengThieme Medical Publishers, Inc.Journal of Clinical Interventional Radiology ISVIR2456-48692023-08-01070211311710.1055/s-0042-1751250Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum HemorrhageVenkatesh Pothula0Jagadeesan Dhanasekaran1Jyothsna Nekkala2Sabarish Sekar3Santhosh Joseph4Department of Neuro & Interventional Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, IndiaDepartment of Neuro & Interventional Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, IndiaDepartment of Obstetrics and Gynecology, Chennai Fertility Centre, Chennai, Tamil Nadu, IndiaDepartment of Neuro & Interventional Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, IndiaDepartment of Neuro & Interventional Radiology, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, IndiaIn this case series, we evaluated the efficacy and safety of uterine artery embolization (UAE) using N-butyl- 2-cyanoacrylate (NBCA)/glue for the treatment of uterine artery pseudoaneurysm (UAP). Here, we report 8 patients with uterine artery pseudoaneurysm, who underwent UAE using NBCA/glue. Angiograms and medical records were retrospectively analyzed to determine the technical success, clinical success, complications, average procedure time, the average duration of hospital stay after UAE. All patients were presented with secondary postpartum hemorrhage with hemodynamic instability. The technical and clinical success rates were 100%, respectively. The average procedure time was 21minutes and the average duration of hospital stay was 2.2 days. We did not encounter any major complications. Two patients following UAE were naturally conceived and delivered by repeat LSCS. UAE using NBCA/glue is a safe and effective treatment option for UAP in both hemodynamically stable and unstable patients.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751250uterine artery embolizationnbcauterine artery pseudoaneurysm
spellingShingle Venkatesh Pothula
Jagadeesan Dhanasekaran
Jyothsna Nekkala
Sabarish Sekar
Santhosh Joseph
Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum Hemorrhage
Journal of Clinical Interventional Radiology ISVIR
uterine artery embolization
nbca
uterine artery pseudoaneurysm
title Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum Hemorrhage
title_full Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum Hemorrhage
title_fullStr Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum Hemorrhage
title_full_unstemmed Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum Hemorrhage
title_short Endovascular Embolisation Using N-Butyl-2-Cyanoacrylate: An Effective Treatment Option for Uterine Artery Pseudoaneurysm in Postpartum Hemorrhage
title_sort endovascular embolisation using n butyl 2 cyanoacrylate an effective treatment option for uterine artery pseudoaneurysm in postpartum hemorrhage
topic uterine artery embolization
nbca
uterine artery pseudoaneurysm
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1751250
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