Angiographic embolization in the management of hemorrhagiccomplications of pregnancy

Gilbert, William M.; Moore, Thomas R.; Resnik, Robert; Doemeny, John; Chin, Homer G.; Bookstein, Joseph J.

doi:10.1016/0002-9378(92)91655-t

Cited by 103 publications

(28 citation statements)

References 7 publications

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“…Methotrexate was infused into the placenta and the uterine artery in combination with a uterine arterial embolization, with a gelatin sponge for angiographic arterial embolization, providing a temporary occlusion of the vessel for 2 to 6 weeks (13). Review of the literature reports reveals that most of the gestational sacs at the site of previous CS scar would require 3 to 4 months to achieve complete resolution (9).…”

Section: Figurementioning

confidence: 99%

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Laparoscopic management of cervical–isthmic pregnancy: a proposal method

Tinelli

Malvasi

2009

Fertility and Sterility

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Section: Figurementioning

confidence: 99%

“…However, possible complications of angiographic arterial embolization include heavy hemorrhage and pelvic infection (13).…”

Section: Figurementioning

confidence: 99%

Laparoscopic management of cervical–isthmic pregnancy: a proposal method

Tinelli

Malvasi

2009

Fertility and Sterility

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“…Cette récidive correspond à une levée de spasme artériel ou à une reprise en charge de l'hémorragie par des réseaux anastomotiques. L'efficacité de l'embolisation est évaluée entre 70 et 100 % selon les séries [13,29,[40][41][42][43][44]. Les résultats des principales séries sont rapportés dans le Tableau 1.…”

Section: L'embolisationunclassified

Les hémorragies graves de la délivrance : doit-on lier, hystérectomiser ou emboliser ?

Sergent

Verspyck

Rachet

et al. 2004

Gynécologie Obstétrique & Fertilité

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“…Selective transcatheter embolization of the pelvic arteries was developed as an alternative to these more invasive procedures. The safety and efficacy of embolotherapy in stopping the PPH have been reported [5][6][7]. In the literature, small series of patients treated by AE for PPH are described, reporting a limited number of pregnancies [8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Menses recovery and fertility after artery embolization for PPH: a single-center retrospective observational study

et al. 2008

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To evaluate long-term effects of arterial embolization (AE) for postpartum hemorrhage (PPH) on menses recovery and subsequent pregnancies. One hundred thirteen consecutive patients, recruited from 1999 to 2006, who had undergone AE for severe PPH were evaluated in a retrospective monocentric study. As embolization agents, pledgets of absorbable gelatine sponge (Curaspon) were used in 106 cases, Curaspon powder in 3 cases, and inert microparticles in 4 cases. In 111/113 cases (98.1%), AE was successful in controlling PPH. In two cases (1.7%), the AE was unsuccessful and required a total abdominal postembolization hysterectomy. Concerning fertility, 6 patients were lost to follow-up and 107 were available. The average time to follow-up was 46.4+/-21.8 months. Of the 107 patients, 99 had recovery of menses (92.5%). Of the 107 (61%) patients, 66 reported regular menstruation with normal delay after the delivery. Thirty-three patients (31%) reported subjective changes in the frequency and amount of menses. Six patients (5.6%) had documented amenorrhea after AE and developed diffuse uterine synechiae at the hysteroscopic investigation. Out of 29 patients who desired and attempted conception, 18 patients (62%) reported a total of 19 pregnancies at the end of the follow-up. One miscarriage at 12 weeks of gestation was reported. The 18 pregnancies at term were uneventful until delivery, but 3 cases of further PPH (15%) occurred due to abnormal placentation requiring a further AE. All full-term newborns were healthy. AE is a feasible, safe, and reproducible technique to control PPH, allowing a very high resumption of menses and subsequent pregnancies; in these cases, considering the elevated incidence of further PPH due to abnormal placentation, an accurate ultrasonographic monitoring during pregnancy seems appropriate.

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Angiographic embolization in the management of hemorrhagiccomplications of pregnancy

Cited by 103 publications

References 7 publications

Laparoscopic management of cervical–isthmic pregnancy: a proposal method

Laparoscopic management of cervical–isthmic pregnancy: a proposal method

Les hémorragies graves de la délivrance : doit-on lier, hystérectomiser ou emboliser ?

Menses recovery and fertility after artery embolization for PPH: a single-center retrospective observational study

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