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Reproductive Biomedicine
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Volume 11, Issue 6 (9-2013)
IJRM 2013, 11(6): 511-0 |
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Kim T, Lee H, Kim J, Ryu A, Chung S, Lee W S. Uterine artery embolization for primary postpartum hemorrhage. IJRM 2013; 11 (6) :511-0
URL: http://ijrm.ir/article-1-436-en.html
URL: http://ijrm.ir/article-1-436-en.html
1- Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea
2- Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea , hhl22@chol.com
3- Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea
2- Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea , hhl22@chol.com
3- Department of Urology, College of Medicine, Soonchunhyang University, Bucheon, Republic of Korea
Abstract: (2430 Views)
Background: Postpartum hemorrhage is the leading cause of severe maternal morbidity and death. A prompt management of uterine artery embolization (UAE) is important for a good outcome. UAE is generally accepted to be a safe and reliable procedure.
Objective: To estimate critical patient characteristics influencing the success of UAE for the treatment of emergent primary postpartum hemorrhage.
Materials and Methods: This was a cross sectional study that reviewed 121 patients who were diagnosed primary postpartum hemorrhage between February 2002 and December 2009 at a tertiary treatment center among 4,022 deliveries. We evaluated patient clinical characteristics associated with a successful surgical outcome of UAE.
Results: The success rate for UAE was 96%. For two cases, UAE complication was associated with fever (>38.5oC). Five patients had problems that required admission to the intensive care unit (ICU).
Conclusion: To increase the surgical success rate and lower the number of ICU admissions, the decision to treat primary postpartum hemorrhage using UAE should be based on individual patient clinical findings under the direction of obstetrics staff and an interventional radiologist.
Objective: To estimate critical patient characteristics influencing the success of UAE for the treatment of emergent primary postpartum hemorrhage.
Materials and Methods: This was a cross sectional study that reviewed 121 patients who were diagnosed primary postpartum hemorrhage between February 2002 and December 2009 at a tertiary treatment center among 4,022 deliveries. We evaluated patient clinical characteristics associated with a successful surgical outcome of UAE.
Results: The success rate for UAE was 96%. For two cases, UAE complication was associated with fever (>38.5oC). Five patients had problems that required admission to the intensive care unit (ICU).
Conclusion: To increase the surgical success rate and lower the number of ICU admissions, the decision to treat primary postpartum hemorrhage using UAE should be based on individual patient clinical findings under the direction of obstetrics staff and an interventional radiologist.
Type of Study: Original Article |
References
1. Bibi S, Ghaffar S, Memon S, Memon S. Severe acute maternal morbidity (SAMM) in postpartum period requiring tertiary Hospital care. Iran J Reprod Med 2012; 10: 87-92.
2. Papp Z. Massive obstetric hemorrhage. J Perinat Med 2003; 31: 408-414. [DOI:10.1515/JPM.2003.063]
3. Ratnam LA, Gibson M, Sandhu C, Torrie P, Chandraharan E, Belli AM. Transcatheter pelvic arterial embolisation for control of obstetric and gynaecological haemorrhage. J Obstet Gynecol 2008; 28: 573-579. [DOI:10.1080/01443610802273374]
4. Bouwmeester FW, Bolte AC, van Geijn HP. Pharmacological and surgical therapy for primary postpartum hemorrhage. Curr Pharm Des 2005; 11: 759-773. [DOI:10.2174/1381612053381882]
5. Miller S, Lester F, Hensleigh P. Prevention and treatment of postpartum hemorrhage: new advances for low-resource settings. J Midwifery Womens Health 2004; 49: 283-292. [DOI:10.1016/j.jmwh.2004.04.001]
6. Isono W, Tsutsumi R, Wada-Hiraike O, Fujimoto A, Osuga Y, Yano T, et al. Uterine artery pseudoaneurysm after cesarean section: case report and literature review. J Minim Invasive Gynecol 2010; 17: 687-691. [DOI:10.1016/j.jmig.2010.06.004]
7. Kim TH, Lee HH. Presenting features of women with uterine arteriovenous malformations. Fertil Steril 2010; 94: 2330. [DOI:10.1016/j.fertnstert.2010.03.031]
8. Brown BJ, Heaston DK, Poulson AM, Gabert HA, Mineau DE, Miller FJ Jr. Uncontrollable postpartum bleeding: a new approach to hemostasis through angiographic arterial embolization. Obstet Gynecol 1979; 54: 361-365.
9. Tsang ML, Wong WC, Kun KY, Tai CM, Ng TK, Lau KY, et al. Arterial embolisation in intractable primary post-partum haemorrhage: case series. Hong Kong Med J 2004; 10: 301-306.
10. Merland JJ, Houdart E, Herbreteau D, Trystram D, Ledref O, Aymard A, et al. Place of emergency arterial embolisation in obstetric haemorrhage about 16 personal cases. Eur J Obstet Gynecol Reprod Biol 1996; 65: 141-143. [DOI:10.1016/0028-2243(95)02319-N]
11. Gilbert WM, Moore TR, Resnik R, Doemeny J, Chin H, Bookstein JJ. Angiographic embolization in the management of hemorrhagic complications of pregnancy. Am J Obstet Gynecol 1992; 166: 493-497. [DOI:10.1016/0002-9378(92)91655-T]
12. Hansch E, Chitkara U, McAlpine J, El-Sayed Y, Dake MD, Razavi MK. Pelvic arterial embolization for control of obstetric hemorrhage: a five-year experience. Am J Obstet Gynecol 1999; 180: 1454-1460. [DOI:10.1016/S0002-9378(99)70036-0]
13. Touboul C, Badiou W, Saada J, Pelage JP, Payen D, Vicaut E, et al. Efficacy of selective arterial embolisation for the treatment of life-threatening post-partum haemorrhage in a large population. PLoS One 2008; 3: e3819. [DOI:10.1371/journal.pone.0003819]
14. Ledee N, Ville Y, Musset D, Mercier F, Frydman R, Fernandez H. Management in intractable obstetric haemorrhage: an audit study on 61 cases. Eur J Obstet Gynecol Reprod Biol 2001; 94: 189-196. [DOI:10.1016/S0301-2115(00)00349-3]
15. Ojala K, Perala J, Kariniemi J, Ranta P, Raudaskoski T, Tekay A. Arterial embolization and prophylactic catheterization for the treatment for severe obstetric hemorrhage*. Acta Obstet Gynecol Scand 2005; 84: 1075-1080.
16. Tourne G, Collet F, Seffert P, Veyret C. Place of embolization of the uterine arteries in the management of post-partum haemorrhage: a study of 12 cases. Eur J Obstet Gynecol Reprod Biol 2003; 110: 29-34. [DOI:10.1016/S0301-2115(03)00091-5]
17. Chou YJ, Cheng YF, Shen CC, Hsu TY, Chang SY, Kung FT. Failure of uterine arterial embolization: placenta accreta with profuse postpartum hemorrhage. Acta Obstet Gynecol Scand 2004; 83: 688-690. [DOI:10.1111/j.1600-0412.2004.0226d.x]
18. Pelage JP, Le Dref O, Mateo J, Soyer P, Jacob D, Kardache M, et al. Life-threatening primary postpartum hemorrhage: treatment with emergency selective arterial embolization. Radiology 1998; 208: 359-362. [DOI:10.1148/radiology.208.2.9680559]
19. Chauleur C, Fanget C, Tourne G, Levy R, Larchez C, Seffert P. Serious primary post-partum hemorrhage, arterial embolization and future fertility: a retrospective study of 46 cases. Hum Reprod 2008; 23: 1553-1559. [DOI:10.1093/humrep/den122]
20. Maassen MS, Lambers MD, Tutein Nolthenius RP, van der Valk PH, Elgersma OE. Complications and failure of uterine artery embolisation for intractable postpartum haemorrhage. BJOG 2009; 116: 55-61. [DOI:10.1111/j.1471-0528.2008.01939.x]
21. Sentilhes L, Gromez A, Clavier E, Resch B, Verspyck E, Marpeau L. Predictors of failed pelvic arterial embolization for severe postpartum hemorrhage. Obstet Gynecol 2009; 113: 992-999. [DOI:10.1097/AOG.0b013e3181a114f7]
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