Endovascular treatment of postpartum haemorrhage in a woman with genitourinary and vascular congenital malformations

S Perkins, E Drews, G Li, J Martin - BMJ Case Reports CP, 2021 - casereports.bmj.com
S Perkins, E Drews, G Li, J Martin
BMJ Case Reports CP, 2021casereports.bmj.com
A 43-year-old woman presented with postpartum haemorrhage necessitating uterine artery
embolisation. Prior to embolisation, angiography demonstrated the presence of a persistent
sciatic artery (PSA). Due to the possibility of embolic particles inadvertently traveling to the
lower extremity via this variant arterial pathway, care was taken to only embolise the uterine
artery. PSAs are uncommon but important vascular pathways to screen for during pelvic
intervention and are associated with other genitourinary anomalies.
A 43-year-old woman presented with postpartum haemorrhage necessitating uterine artery embolisation. Prior to embolisation, angiography demonstrated the presence of a persistent sciatic artery (PSA). Due to the possibility of embolic particles inadvertently traveling to the lower extremity via this variant arterial pathway, care was taken to only embolise the uterine artery. PSAs are uncommon but important vascular pathways to screen for during pelvic intervention and are associated with other genitourinary anomalies.
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