Michael D. Dake
Publication Details
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Pelvic arterial embolization for control of obstetric hemorrhage: a five-year experience.
Am J Obstet Gynecol. 1999; (6 Pt 1): 1454-60
Obstetric hemorrhage is a significant cause of maternal morbidity and death. Postpartum hemorrhage that cannot be controlled by local measures has traditionally been managed by bilateral uterine artery or hypogastric artery ligation. These techniques have a high failure rate, often resulting in hysterectomy. In contrast, endovascular embolization techniques have a success rate of >90%. An additional benefit of the latter procedure is that fertility is maintained. We report our experience at Stanford University Medical Center in which this technique was used in 6 cases within the past 5 years.
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