EMBOLIZACIÓN UTERINA DE EMERGENCIA EN LA HEMORRAGIA MASIVA

Ernesto Quevedo; Jesús Tan; Gustavo Araujo; Mónica Cueva; Iván Márquez

doi:10.31403/rpgo.v48i526

Authors

Ernesto Quevedo Servicio de Radiología Intervencionista, Hospital Nacional Guillermo Almenara Irigoyen, Essalud, Lima, Perú
Jesús Tan Servicio de Radiología Intervencionista, Hospital Nacional Guillermo Almenara Irigoyen, Essalud, Lima, Perú
Gustavo Araujo Servicio de Radiología Intervencionista, Hospital Nacional Guillermo Almenara Irigoyen, Essalud, Lima, Perú
Mónica Cueva Servicio de Radiología Intervencionista, Hospital Nacional Guillermo Almenara Irigoyen, Essalud, Lima, Perú
Iván Márquez Servicio de Radiología Intervencionista, Hospital Nacional Guillermo Almenara Irigoyen, Essalud, Lima, Perú

DOI:

https://doi.org/10.31403/rpgo.v48i526

Abstract

OBJETIVE:To evaluate efficacy and safety of emergency selective uterine artery embolization in the management of intractable hemorrhage when the patient is haemodinamically unstable. SETTING: Interventionist Radiology Service, Guillermo Almenara Irigoyen National Hospital, Lima, MATERIAL AND METHODS: Six patients with life?threatening hemorrhage underwent uterine hemostatic uterine embolization. The mean hemoglobin level before the procedure was 5,2 g/dL. RESULTS: Immediate reduction of external bleeding was observed in all cases. No major complications related to embolization was found. Two patients underwent hysterectomy in stable conditions. CONCLUSIONS: Emergency embolization is a safe and effective procedure to control severe hemorrhage. The procedure obviates high risk emergency surgery.