Document Detail


Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases.
MedLine Citation:
PMID:  15129337     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report on embolization in 36 cases of postpartum hemorrhage (PPH). The 36 patients with severe PPH, including one patient who had undergone an emergency hysterectomy, were transferred to the regional interventional vascular radiology unit in a mean time of 6 hours 12 min. Bilateral occlusion of the anterior trunk of the hypogastric arteries was carried out using gelatin sponge. Immediate success was achieved in all cases. In 3 cases, however, a second embolization was necessary before day 2. In 17%, complementary nonvascular surgery was performed. Complications included one puncture site false aneurysm treated by compression, two cases of regressive lower limb paraesthesia, one femoral vein thrombosis, and nonsignificant puncture site hematomas (19.5%). Long-term follow-up was conducted in 23 patients: 91% resumed regular menstrual cycles, 8.7% dysmenorrhea. New pregnancy occurred in 13% (two full-term pregnancies and one voluntary termination). Immediate efficacy, low morbidity and preservation of fertility make embolization the technique of choice for severe PPH.
Authors:
C Boulleret; T Chahid; D Gallot; R Mofid; D Tran Hai; A Ravel; J M Garcier; D Lemery; L Boyer
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Publication Detail:
Type:  Journal Article     Date:  2004-05-06
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  27     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2004-09-03     Completed Date:  2004-12-17     Revised Date:  2009-06-26    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  344-8     Citation Subset:  IM    
Affiliation:
Service de Gynécologie-Obstetrique, Clermont-Ferrand University Hospital, BP69 63003, France.
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteries
Embolization, Therapeutic / adverse effects,  methods*
Female
Humans
Postpartum Hemorrhage / pathology,  therapy*
Pregnancy
Radiography, Interventional / adverse effects,  methods
Retrospective Studies
Severity of Illness Index
Time Factors
Treatment Outcome
Uterus / blood supply*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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