TY - JOUR
T1 - Transient myocardial ischemia may occur following subendometrial vasopressin infiltration
AU - Lurie, Samuel
AU - Mamet, Yaakov
PY - 2000/7
Y1 - 2000/7
N2 - A case of transient myocardial ischemia following subendometrial vasopressin infiltration in intractable intra-operative postpartum bleeding due to placenta accreta is described. In our experience, the rate of this side effect is one in 14 patients (rate of 7.1%). We believe that the benefits of the treatment outweigh the risks, since the uterus was saved in all 14 patients. Nevertheless, this case emphasises that extreme precaution is needed with subendometrial vasopressin infiltration. It should be emphasised that the needle must not be within a blood vessel because intravascular injection of vasopressin solution can precipitate acute arterial hypertension, bradycardia and even death. We suggest that local vasopressin infiltration into the placental site is indicated in cases of intractable bleeding at cesarean section after other conventional obstetric and pharmacological maneuvers have failed. Copyright (C) 2000.
AB - A case of transient myocardial ischemia following subendometrial vasopressin infiltration in intractable intra-operative postpartum bleeding due to placenta accreta is described. In our experience, the rate of this side effect is one in 14 patients (rate of 7.1%). We believe that the benefits of the treatment outweigh the risks, since the uterus was saved in all 14 patients. Nevertheless, this case emphasises that extreme precaution is needed with subendometrial vasopressin infiltration. It should be emphasised that the needle must not be within a blood vessel because intravascular injection of vasopressin solution can precipitate acute arterial hypertension, bradycardia and even death. We suggest that local vasopressin infiltration into the placental site is indicated in cases of intractable bleeding at cesarean section after other conventional obstetric and pharmacological maneuvers have failed. Copyright (C) 2000.
KW - Cesarean section
KW - Placenta accreta
KW - Postpartum hemorrhage
KW - Vasopressin
UR - http://www.scopus.com/inward/record.url?scp=0034013514&partnerID=8YFLogxK
U2 - 10.1016/S0301-2115(99)00233-X
DO - 10.1016/S0301-2115(99)00233-X
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C2 - 10817886
AN - SCOPUS:0034013514
SN - 0301-2115
VL - 91
SP - 87
EP - 89
JO - European Journal of Obstetrics and Gynecology and Reproductive Biology
JF - European Journal of Obstetrics and Gynecology and Reproductive Biology
IS - 1
ER -