Uterine artery embolization for emergent management of postpartum hemorrhage associated with placenta accreta

Jung, Hye Na; Shin, Sung Wook; Choi, Suk‐Joo; Cho, Sung Ki; Park, Kwang Bo; Park, Hong Suk; Kang, Minho; Choo, Sung Wook; Soo, Young; Choo, In Wook

doi:10.1258/ar.2011.100514

Cited by 38 publications

(28 citation statements)

References 21 publications

(40 reference statements)

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“…Criteria of failed TAE include disseminated intravascular coagulation [18,19,75,76], major transfusion (i.e., transfusion [5 or 10 red blood cell packs), blood loss [1.5L [18,19,40], severe arterial vasoconstriction at the time of TAE [56], and invasive placenta, which has a failure rate of approximately 20 % [24,25,67]. It has been suggested that repeat TAE may be more frequently needed in women with active extravasation at initial angiography [60].…”

Section: General Results and Causes Of Failurementioning

confidence: 99%

“…In women with invasive placenta, TAE has a success rate of approximately 80 % [23][24][25][26][27], with 20 % of women requiring further surgery and hysterectomy [23,27,88] and a complication rate of 11 %, including uterine necrosis, endometritis, and synechiae [88,89].…”

Section: Retained and Invasive Placentamentioning

confidence: 99%

“…Uterine atony accounts for the majority of causes of PPH and is the most common indication for TAE [20]. However, as experience accumulates, other indications for TAE are now well-recognized, including uterine artery pseudoaneurysms [21,22], invasive placentation [23][24][25][26][27], genital tears [28,29], and other rarer causes [30][31][32].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Soyer

Dohan

Dautry

et al. 2015

Cardiovasc Intervent Radiol

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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.

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Section: General Results and Causes Of Failurementioning

confidence: 99%

Section: Retained and Invasive Placentamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Soyer

Dohan

Dautry

et al. 2015

Cardiovasc Intervent Radiol

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“…8 Only Three patients underwent a hysterectomy after UAE failed to stop the bleeding. They also reported UAE appears to be a safe and effective means by which to control PPH.…”

Section: Discussionmentioning

confidence: 99%

Study of uterine artery embolization: a newer modality in secondary PPH

Agrawal¹,

Thakur²,

Sonker³

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Postpartum hemorrhage remains a major cause of both maternal mortality and morbidity worldwide. This study reflects the clinical outcomes including clinical effectiveness, and safety of uterine artery embolization (UAE) for the treatment of obstetrical uterine hemorrhage at a tertiary-care hospital, in terms of secondary PPH.Methods: The data were collected as a retrospective study from SAMC and PGI obstetric and gynecology department 12 women with secondary pph were included in the study.Results: With the use of uterine artery embolization 12 women were successfully treated amongst them maximum patients were in 26-35 yrs of age and mean age of women were 32.4yrs and gravidity of patients presenting with pph is 3 or more.Conclusions: Selective UAE is a safe and effective method to control obstetric hemorrhage. Blood product requirements after UAE were low, and the surgical risks and absolute loss of fertility associated with hysterectomy were avoided.

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“…[5][6][7] Many researchers have focused on patient radiation exposure in UAE. Nikolic et al 2 reported that the absorbed ovarian dose and absorbed skin dose during UAE could be reduced by using pulsed fluoroscopy instead of nonpulsed fluoroscopy.…”

Section: Discussionmentioning

confidence: 99%

Randomized comparison of long and short vascular sheaths in reduction of the operator radiation exposure during uterine artery embolization

Cao

Zhang

Zhuang

et al. 2016

BJR

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Uterine artery embolization for emergent management of postpartum hemorrhage associated with placenta accreta

Abstract: UAE appears to be a safe and effective means by which to control PPH associated with PA. PA complicated by uterine atony or placenta previa may be at increased risk of UAE failure.

Cited by 38 publications

References 21 publications

Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications

Study of uterine artery embolization: a newer modality in secondary PPH

Randomized comparison of long and short vascular sheaths in reduction of the operator radiation exposure during uterine artery embolization

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