Objective: To evaluate the efficacy and safety of selective arterial embolization in the management of internal bleeding caused by trophoblastic diseases.
Patients and methods: Four patients with internal bleeding caused by trophoblastic diseases were diagnosed with arteriography and treated with selective arterial embolization as a life-saving measure. Effect of controlling bleeding was assessed by follow-up arteriogram and clinical observation.
Results: The embolization successfully controlled the bleeding in all patients. Operation time was short with a mean of 42 minutes. The shock was corrected dramatically. Fever and pain were common complications.
Conclusion: Selective arterial embolization is a life-saving measure in the management of internal bleeding caused by trophoblastic diseases.