Fig. 11
From: Primary and secondary postpartum haemorrhage: a review for a rationale endovascular approach
Top Line: 32-year-old woman with moderate secondary postpartum bleeding due to RPOC. Images sequence following contrast injection into the left uterine artery reveals an angiographic pattern of the lesion resembling the angiographic behavior of a vascular malformation, with drainage into the uterine and hypogastric veins during the capillary to venous phase (images 3–4 from left to right). Selective embolization of the lesion was performed using EVOH liquid agent (first from right, SquidPeri18LD®; Balt, Montmorency, France) with a satisfactory outcome. Bottom Line: 37-year-old woman with secondary severe PPH due to RPOC. Images sequence following contrast injection into the left uterine artery reveals an angiographic pattern of the lesion revealed as a poorly defined contrast enhancement area ('blush’ pattern) during the mid-arterial to capillary phase with no direct venous drainage. Same finding was observed on right side. UAE was performed using gelatin sponge as embolic agent in both left (first from right) and right uterine arteries with satisfactory result