Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications
- 13 February 2015
- journal article
- review article
- Published by Springer Science and Business Media LLC in CardioVascular and Interventional Radiology
- Vol. 38 (5), 1068-1081
- https://doi.org/10.1007/s00270-015-1054-y
Abstract
Postpartum hemorrhage (PPH) is a potentially life-threatening condition, which needs multidisciplinary management. Uterine atony represents up to 80 % of all causes of PPH. Transcatheter arterial embolization (TAE) has now a well-established role in the management of severe PPH. TAE allows stopping the bleeding in 90 % of women with severe PHH, obviating surgery. Pledgets of gelatin sponge as torpedoes are commonly used for safe TAE, and coils, glue, and microspheres have been primarily used in specific situations such as arterial rupture, pseudoaneurysm, and arteriovenous fistula. TAE is a minimally invasive procedure with a low rate of complications, which preserves future fertility. Knowledge of causes of PPH, potential risks, and limitations of TAE is essential for a timely decision, optimizing TAE, preventing irreversible complications, avoiding hysterectomy, and ultimately preserving fertility.Keywords
This publication has 89 references indexed in Scilit:
- Inferior Mesenteric Artery Collaterals to the Uterus during Uterine Artery Embolization: Prevalence, Risk Factors, and Clinical OutcomesJournal of Vascular and Interventional Radiology, 2013
- Postpartum Hemorrhage Resulting from Pelvic Pseudoaneurysm: A Retrospective Analysis of 588 Consecutive Cases Treated by Arterial EmbolizationCardioVascular and Interventional Radiology, 2013
- Predictive factors for failure of pelvic arterial embolization for postpartum hemorrhageInternational Journal of Gynecology & Obstetrics, 2012
- Nécrose utérine après embolisation utérine par du matériel résorbable pour hémorragie de la délivranceJournal de Radiologie, 2011
- Uterine artery embolization for emergent management of postpartum hemorrhage associated with placenta accretaActa Radiologica, 2011
- Pelvic arterial ligations for severe post-partum hemorrhage. Indications and techniquesJournal of Visceral Surgery, 2011
- Maternal Outcome After Conservative Treatment of Placenta AccretaObstetrics & Gynecology, 2010
- Impact of pelvic arterial embolization for intractable postpartum hemorrhage on fertilityAmerican Journal of Obstetrics and Gynecology, 2009
- The worldwide burden of postpartum haemorrhage: Policy development where inaction is lethalInternational Journal of Gynecology & Obstetrics, 2006
- Is Selective Embolization of Uterine Arteries a Safe Alternative to Hysterectomy in Patients with Postpartum Hemorrhage?American Journal of Roentgenology, 2001