Use of Uterine Artery Embolisation for Pregnancy-related Complications: a Single-Institution Experience
MC Lam, SS Lo
Hong Kong J Radiol 2016;19:262-8
DOI: 10.12809/hkjr1615358
Objective: To evaluate the indications, efficacy, and complications of uterine artery embolisation (UAE) in different pregnancy-related conditions.
Methods: All patients who underwent UAE for pregnancy-related conditions from January 2008 to December 2013 in a regional hospital in Hong Kong were retrospectively reviewed. Indications for UAE, details of UAE procedure, success rate, and complication rate were analysed. Any reported pregnancy following UAE was also noted.
Results: A total of 24 patients underwent 25 UAE procedures. In nine patients, 10 UAE procedures were performed for scar pregnancy and its related complications. In 15 patients, UAE was performed for postpartum haemorrhage. Angiographic success rate was 100% in both groups. The clinical success rate was 80% in the postpartum haemorrhage group. The overall complication rate was 16%. There were three (12.5%) documented subsequent pregnancies.
Conclusion: Scar pregnancy and postpartum haemorrhage were the most common indications for UAE in pregnancy. UAE is safe and effective in managing these conditions.
Authors’ affiliation:
Department of Radiology and Organ Imaging, United Christian Hospital, Kwun Tong, Hong Kong
中文摘要
子宮動脈栓塞術治療妊娠相關合併症：單一機構的經驗
林茂珠、盧承迅
目的：評估子宮動脈栓塞術（UAE）於不同妊娠狀態下的適應症、療效和併發症。
方法：回顧研究2008年1月至2013年12月期間於香港一所分區醫院接受UAE治療與妊娠相關疾病的所有患者。分析UAE的適應症、UAE流程細節、成功率和併發症發生率，同時分析了UAE後的妊娠報告。
結果：總計24名患者接受了25次UAE。9名患者共接受10次UAE治療瘢痕妊娠及相關併發症；15名患者因產後出血而接受了UAE。兩個組別的血管造影成功率為100%。產後出血組別的臨床治療成功率為80%。UAE併發症總體發生率為16%。共有3例（12.5%）術後有成功妊娠史。
結論：瘢痕妊娠和產後出血是UAE治療妊娠合併症中最常見的適應症，UAE是安全有效的治療方法。