Journal ArticleDOI
Pelvic arterial embolization in severe obstetric hemorrhage
Maiju Grönvall,Minna Tikkanen,Maarika Metsätähti,Mikko Loukovaara,Jorma Paavonen,Vedran Stefanovic +5 more
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TLDR
It is concluded that PAE is a safe and effective procedure for PPH and may prevent hysterectomy.Abstract:
Massive postpartum hemorrhage (PPH) is a major life-threatening complication. When conventional management fails, pelvic arterial embolization (PAE) can be used. The aim of our study was to find out the success rate of PAE in cases of acute PPH, and to study the safety of this procedure in a retrospective case series from a tertiary teaching hospital. Forty-five women with acute PPH were managed by PAE. Hospital charts were reviewed. The most common causes of PPH in cases treated with PAE were lower genital tract injury (40%), placental retention (36%) and uterine atony (13%). The overall success rate was 89%. Five of the 45 women needed additional procedures. The overall complication rate was 9%. We conclude that PAE is a safe and effective procedure for PPH and may prevent hysterectomy.read more
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Disseminated intravascular coagulation in pregnancy: insights in pathophysiology, diagnosis and management
TL;DR: In recent years, novel diagnostic scores and treatment modalities along with bedside point-of-care tests were developed and may assist the clinician in the diagnosis and management of DIC.
Journal ArticleDOI
Disseminated intravascular coagulation in pregnancy – Clinical phenotypes and diagnostic scores
TL;DR: The current review will present the underlying mechanisms, diagnostic scores and, in brief, a therapeutic approach for DIC in pregnancy.
Journal ArticleDOI
Outcomes of pelvic arterial embolization in the management of postpartum haemorrhage: a case series study and systematic review.
F.J. Ruiz Labarta,M. P. Pintado Recarte,A. Alvarez Luque,L. Joigneau Prieto,L. Perez Martín,M. Gonzalez Leyte,F. Palacio Abizanda,F. Morillas Ramirez,A. Perez Corral,L. Ortiz Quintana,J. De Leon-Luis +10 more
TL;DR: PAE was found to be a minimally invasive, highly successful and safe technique for the management of PPH and should be considered in PPH refractory to initial treatment.
Journal ArticleDOI
Place de l’embolisation artérielle en cas d’hémorragie du post-partum
TL;DR: L’embolisation arterielle reste possible apres echec des ligatures arterielles (selectives ou proximales) ou apres une hysterectomie meme si elle est de realisation technique plus difficile (accord professionnel).
Journal ArticleDOI
Efficacy of pelvic artery embolisation for severe postpartum hemorrhage.
TL;DR: The data suggest that PAE is effective for the treatment of severe P PH, and clinical use of PAE in severe PPH seems justified, particularly in view of the life-threatening condition and the potential to preserve fertility in affected patients.
References
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Journal Article
Uncontrollable postpartum bleeding : a new approach to hemostasis through angiographic arterial embolization
TL;DR: In this article, a case of severe postpartum hemorrhage was reported, where three separate surgical procedures failed to reveal the source of bleeding, and standard surgical techniques, including bilateral ligation of the hypogastric arteries, were unsuccessful in producing hemostasis.
Journal ArticleDOI
Life-threatening primary postpartum hemorrhage : Treatment with emergency selective arterial embolization
J.-P. Pelage,O Le Dref,J Mateo,Philippe Soyer,D Jacob,M Kardache,H Dahan,D Repiquet,Didier Payen,JB Truc,Jean-Jacques Merland,Roland Rymer +11 more
TL;DR: Emergency arterial embolization is a safe and effective means of control of primary postpartum hemorrhage and obviates high-risk surgery and allows maintenance of reproductive ability.
Journal ArticleDOI
Arterial embolization and prophylactic catheterization for the treatment for severe obstetric hemorrhage
TL;DR: To evaluate indications, efficacy, and complications associated with arterial embolization and prophylactic balloon catheterization in the management of obstetric hemorrhage at a university hospital.
Journal ArticleDOI
Pelvic embolization for intractable postpartum hemorrhage : long-term follow-up and implications for fertility
TL;DR: Pelvic arterial embolization is a safe and effective procedure and offers patients a fertility-preserving alternative to hysterectomy for treatment of intractable postpartum hemorrhage.
Journal ArticleDOI
Predictors of failed pelvic arterial embolization for severe postpartum hemorrhage.
TL;DR: The only factors significantly associated with failed pelvic arterial embolization were a higher rate of estimated blood loss (more than 1,500 mL) and more than 5 transfused red blood cell units.