Pelvis Massive Hemorrhage Treated by Artery Embolization

Objective To discuss the value of transcatheter arterial embolization for treatment of pelvic massive hemorrhage . Methods TAE was performed on 23 patients (3 bladder cancer, 1 postoperative prostate cancer, 6 cervical cancer, 3 endometrial cancer, 1 choriocarcinoma, 9 postpartum hemorrhage) with pelvic massive hemorrhage. Superselective catheterization to the bilateral uterial arteries or anterior branches of internal iliac arteries was carried out after intubation to single side femoral artery by Seldinger’s technique. When the catheter tip was proved in right place by digital substraction angiography(DSA) techniques, antibiotic or anticarcinogen solution was injected into arteries and then gelfoam particles were used to embolize arteries. Results (1) All patients failed in haemostasis with the conservative therapy were performed TAE, and bleeding was stopped successfully at one time. The time of hemostasis was 5～13 minutes[mean (8.1±3.6)minutes], the operation time was 30～50 minutes[mean(41.8±6.4) minutes].(2)Bleeding as local hemorrhage or uterine diffusely bleeding was found in DSA from unilateral or bilateral anterior branches of internal iliac arteries.(3)The follow-up period was 14～30 days, no recurrent hemorrhage and no serious complications were found.Conclusion TAE has a significant effect in treating pelvic massive hemorrhage and has the characteristic of fast homeostasis and less side effect.