Uterine Artery Embolization for Postpartum Hemorrhage

Myers, Tammy

doi:10.1016/j.jradnu.2016.01.008

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…This high success rate can be attributed to the fact that the UAE procedures are done only in hemodynamically stable patients in contrast to unstable and serious patients who directly undergo emergency surgical intervention. This high success rate in our study is consistent with 96% success rate of UAE procedures performed in 121 patients in a previous Iranian study [16]. On the other hand, our study found that the internal iliac arteries balloon occlusion procedures were successful in only 50% of patients.…”

Section: Hospitalization Durationsupporting

confidence: 92%

“…No serious complications were found and these two minor complications were easily managed and treated. A previous study done in Iran showed that out of 60 patients who underwent uterine arteries embolization, 11 patients had a transient fever (>38.5 o C) which returned normal within two days, one patient had hematoma and one patient had ovarian failure [16].…”

Section: Hospitalization Durationmentioning

confidence: 93%

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The Outcomes of Interventional Radiology in Obstetrics and Gynecology at a University Hospital-A 10-year overview

Riyami

2023

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Objectives: This study aimed to assess the outcomes of interventional radiology (IR) in obstetrics and gynecology patients. Material and methods:A retrospective cohort study was conducted between 1st of January 2010 to 31st of December 2019 among women (≥ 18 years old) who had a radiological intervention for an obstetrical or gynecological reason.Results: Out of the 50 pregnant women, 11 (22%) underwent uterine arteries embolization (UAE), 36 (72%) underwent prophylactic internal iliac arteries (IIA) balloon occlusion, one (2%) underwent inferior vena cava (IVC) filter and two (4%) underwent renal biopsies. The success rate of UAE procedures was 100% and there were no further procedures. The success rate of IIA balloon occlusion was 50%, nine (25%) patients needed an emergency hysterectomy, and one (2.8%) patient required another embolization procedure. The success rate of IVC filter and renal biopsies was 100% with no need for further management. A total of 35 women with gynecological conditions were included in the study. The indications for IR were 29 (83%) for uterine fibroids, two (6%) for ovarian mass biopsies and one (3%) case each for ectopic pregnancy, vaginal varicocele, pelvic pseudoaneurysm and uterine leiomyosarcoma. The most common intervention was UAE, 77% (n=27). The overall success rate for all procedures was 80% (n=28). There were Seven (20%) cases that required further alternative intervention which were medical or surgical interventions. Conclusion:This study showed a high success rate of the interventional radiological procedures with minor complications noted. This study built the base for further prospective multicenter studies.

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Section: Hospitalization Durationsupporting

confidence: 92%

Section: Hospitalization Durationmentioning

confidence: 93%

The Outcomes of Interventional Radiology in Obstetrics and Gynecology at a University Hospital-A 10-year overview

Riyami

2023

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“…Nonetheless, studies have preferred UAE in prim gravid women having stable blood pressure and heart rate. 19 In addition, UAE is reported to be an effective alternate method for managing intractable bleeding after a failed medical management and due to uterine artery pseudo aneurysm or arteriovenous malformation. 20 The studies reporting high rates of success have mostly been case reports of series where in one study, UAE was reported successful in 09 cases, while in another study there were 16 cases and yet in another, 8 cases in total.…”

Section: Figure 1: Efficacy Of Uterine Artery Ligation In Females Witmentioning

confidence: 99%

Management of obstetric hemorrhage; an observational study highlighting the efficacy of uterine artery ligation

Ghouri

Mushtaq²,

Ahmed

et al. 2020

Int J Res Med Sci

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Background: Obstetrical hemorrhage is leading cause of maternal mortality. UAE is termed safe and effective method for resolving hemorrhage. objective of this study was to determine efficacy of uterine artery ligation in management of obstetrical hemorrhage.Methods: This cross sectional observational using non-probability convenient sampling technique was carried out for six months. After ethical approval, females between 18 to 35 years diagnosed with obstetrical hemorrhage, uterine atony refractory to medical treatment, having active bleeding from placental side or having normal coagulation profile were while females with post-partum hemorrhage because of retained products of conception, due to genital tract trauma or with disseminated intravascular coagulation were excluded. Analysis of data was done using SPSS version 23.0. Quantitative variables were reported as mean and standard deviation and for qualitative variables, frequency and percentages. Chi-square test was applied keeping p-value of <0.05 as statistically significant.Results: From 109 females with mean age 47±5.25 years. In comparison of parity distribution, 62 (56.88%) were multiparous and 47 (43.12%) were primiparous. Type of bleeding observed was antepartum 36(33.03%), peripartum 39 (35.78%) and postpartum in 34 (31.19%). Efficacy of uterine artery ligation in management of obstetric hemorrhage was observed to be 35 (32.11%). The efficacy of uterine artery ligation in management of obstetric hemorrhage in three categories of age groups reported significant association (p=0.0005) and type of bleeding (p=0.025).Conclusions: Efficacy of UAE in different types of obstetrical hemorrhage reported in our study was lower than expected in about one-third of females.

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Pre- and Post-Procedure Nursing Care

Tuck

Krenzischek

2019

Advanced Practice and Leadership in Radiology Nursing

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Uterine Artery Embolization for Postpartum Hemorrhage

Cited by 3 publications

References 7 publications

The Outcomes of Interventional Radiology in Obstetrics and Gynecology at a University Hospital-A 10-year overview

The Outcomes of Interventional Radiology in Obstetrics and Gynecology at a University Hospital-A 10-year overview

Management of obstetric hemorrhage; an observational study highlighting the efficacy of uterine artery ligation

Pre- and Post-Procedure Nursing Care

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