Uterine artery embolization (UAE) is a minimally invasive novel treatment for uterine bleeding. Research has shown that UAE is safe and has fewer effects on future pregnancy.
Here in we describe three exceptional circumstances in which UAE served as a life saving measure to control intractable uterine bleeding. Two patients were on anticoagulation for valvular heart disease and one patient had chronic atonic postpartum haemorrhage. Hysterectomy could be avoided in all the three patients and are doing well on follow up.
Uterine artery embolisation is a safe procedure in emergency situations where surgery cannot be performed on an emergency basis .The feasibility of this procedure in patients with mechanical heart valves with coagulopathy has rarely been described.This procedure is commonly performed by interventional radiologists and cardiologists have limited experience.