Journal
JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE
Volume 32, Issue 4, Pages 573-578Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/14767058.2017.1387527
Keywords
Postpartum hemorrhage; pelvic arteries embolization; uterine atony; interventional radiology; labor complications
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Objective: To describe our cases of postpartum hemorrhage (PPH) with pelvic arterial embolization (PAE). Material and methods: All patients with PPH who underwent PAE in our center in the interval 2011-1016 were retrospectively studied, evaluating the technical procedure, clinical results, and subsequent fertility. Results: There were 33 cases of PPH with PAE. The majority occurred in primiparous women (N = 22, 66.6%) who delivered vaginally (N = 20, 61%). In addition, most PPH with PAE cases had an early onset (N = 26, 79%) and were caused by uterine atony (N = 14, 42.4%). Success of PAE occurred in 27 (81.8%) cases and a satisfactory clinical follow-up was the rule, with 21 (64%) women recovering their normal menstruation, and six (18.2%) becoming pregnant in the following years. Conclusions: PAE is a safe and efficacious technique with minor complications. Moreover, it allows conservation of the uterus with preservation of fertility.
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