2021
DOI: 10.1007/s10140-021-01971-w
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Efficacy of superselective transcatheter arterial embolization for intractable postpartum hemorrhage due to genital tract trauma after vaginal delivery

Abstract: Purpose To evaluate the efficacy of superselective transcatheter arterial embolization (TAE) for intractable postpartum hemorrhage (PPH) due to genital tract trauma (GTT) after vaginal delivery. Methods We evaluated 27 patients who underwent TAE for intractable PPH due to GTT after vaginal delivery at our institution between January 2008 and December 2020. Patients were divided into two groups according to TAE procedure; TAE performed as close as possible … Show more

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Cited by 3 publications
(3 citation statements)
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“…We searched the keywords “vulvovaginal hematoma”, “embolization”, and “genital tract injury (trauma)” in PubMed [ 5 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Among them, we found papers that describe embolic materials ( Table 2 ).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…We searched the keywords “vulvovaginal hematoma”, “embolization”, and “genital tract injury (trauma)” in PubMed [ 5 , 19 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 ]. Among them, we found papers that describe embolic materials ( Table 2 ).…”
Section: Discussionmentioning
confidence: 99%
“…These blood vessels are small in diameter, and may be occluded proximal to the injured blood vessel by the use of large particle materials such as gelatin sponges. This proximal obstruction may develop collaterals and may also cause further bleeding [ 4 , 5 ]. In uterine artery embolization, permanent embolic materials may cause uterine necrosis and uterine cavity adhesions; therefore, gelatin sponges may be useful as the first choice for embolic materials.…”
Section: Introductionmentioning
confidence: 99%
“…Massive hemorrhage, as one of the most serious medical emergencies, is associated with an increased risk of mortality and morbidity. [58][59][60] TAE has emerged as an efficient and safe method for hemorrhage control, [1,61,62] avoiding the difficult and potentially morbid open surgical procedure. The embolic particulates, such as trisacryl gelatin hydrogel microspheres and PVA hydrogel microspheres, are capable of inducing thrombosis of the bleeding site through increased platelet aggregation and procoagulant activity.…”
Section: Hemorrhagementioning
confidence: 99%