Aortoiliac Thrombosis Following Tranexamic Acid Administration During Urgent Cesarean Hysterectomy

A Case Report

Omar S. Hajmurad, Ankeet A. Choxi, Zahira Zahid, Roman Dudaryk

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Postpartum hemorrhage (PPH) contributes to 25% of maternal deaths worldwide. Abnormal placentation is a well-known culprit of PPH. Although controversial, iliac artery balloon occlusion has been used in patients to decrease bleeding. The use of antifibrinolytic agents, such as tranexamic acid (TXA), have gained popularity in the management of PPH. We present a 35-year-old parturient with placenta percreta that was managed with internal iliac artery balloon occlusion with concomitant use of TXA during urgent cesarean hysterectomy with subsequent aortoiliac thrombosis formation. The role of both TXA and arterial balloons in PPH, along with their respective limitations, are discussed.

Original languageEnglish (US)
Pages (from-to)90-93
Number of pages4
JournalA & A case reports
Volume9
Issue number3
DOIs
StatePublished - Aug 1 2017

Fingerprint

Tranexamic Acid
Postpartum Hemorrhage
Hysterectomy
Thrombosis
Balloon Occlusion
Iliac Artery
Placenta Accreta
Placentation
Maternal Death
Antifibrinolytic Agents
Parturition
Hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Aortoiliac Thrombosis Following Tranexamic Acid Administration During Urgent Cesarean Hysterectomy : A Case Report. / Hajmurad, Omar S.; Choxi, Ankeet A.; Zahid, Zahira; Dudaryk, Roman.

In: A & A case reports, Vol. 9, No. 3, 01.08.2017, p. 90-93.

Research output: Contribution to journalArticle

@article{5421d11909f04aa4b5c3f8b84225d7b8,
title = "Aortoiliac Thrombosis Following Tranexamic Acid Administration During Urgent Cesarean Hysterectomy: A Case Report",
abstract = "Postpartum hemorrhage (PPH) contributes to 25{\%} of maternal deaths worldwide. Abnormal placentation is a well-known culprit of PPH. Although controversial, iliac artery balloon occlusion has been used in patients to decrease bleeding. The use of antifibrinolytic agents, such as tranexamic acid (TXA), have gained popularity in the management of PPH. We present a 35-year-old parturient with placenta percreta that was managed with internal iliac artery balloon occlusion with concomitant use of TXA during urgent cesarean hysterectomy with subsequent aortoiliac thrombosis formation. The role of both TXA and arterial balloons in PPH, along with their respective limitations, are discussed.",
author = "Hajmurad, {Omar S.} and Choxi, {Ankeet A.} and Zahira Zahid and Roman Dudaryk",
year = "2017",
month = "8",
day = "1",
doi = "10.1213/XAA.0000000000000535",
language = "English (US)",
volume = "9",
pages = "90--93",
journal = "A&A practice",
issn = "2325-7237",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Aortoiliac Thrombosis Following Tranexamic Acid Administration During Urgent Cesarean Hysterectomy

T2 - A Case Report

AU - Hajmurad, Omar S.

AU - Choxi, Ankeet A.

AU - Zahid, Zahira

AU - Dudaryk, Roman

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Postpartum hemorrhage (PPH) contributes to 25% of maternal deaths worldwide. Abnormal placentation is a well-known culprit of PPH. Although controversial, iliac artery balloon occlusion has been used in patients to decrease bleeding. The use of antifibrinolytic agents, such as tranexamic acid (TXA), have gained popularity in the management of PPH. We present a 35-year-old parturient with placenta percreta that was managed with internal iliac artery balloon occlusion with concomitant use of TXA during urgent cesarean hysterectomy with subsequent aortoiliac thrombosis formation. The role of both TXA and arterial balloons in PPH, along with their respective limitations, are discussed.

AB - Postpartum hemorrhage (PPH) contributes to 25% of maternal deaths worldwide. Abnormal placentation is a well-known culprit of PPH. Although controversial, iliac artery balloon occlusion has been used in patients to decrease bleeding. The use of antifibrinolytic agents, such as tranexamic acid (TXA), have gained popularity in the management of PPH. We present a 35-year-old parturient with placenta percreta that was managed with internal iliac artery balloon occlusion with concomitant use of TXA during urgent cesarean hysterectomy with subsequent aortoiliac thrombosis formation. The role of both TXA and arterial balloons in PPH, along with their respective limitations, are discussed.

UR - http://www.scopus.com/inward/record.url?scp=85025115659&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85025115659&partnerID=8YFLogxK

U2 - 10.1213/XAA.0000000000000535

DO - 10.1213/XAA.0000000000000535

M3 - Article

VL - 9

SP - 90

EP - 93

JO - A&A practice

JF - A&A practice

SN - 2325-7237

IS - 3

ER -