skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Recurrent Bleeding Within 24 Hours After Uterine Artery Embolization for Severe Postpartum Hemorrhage: Are There Predictive Factors?

Abstract

Purpose: To retrospectively identify predictive factors of recurrent bleeding within 24 h after uterine artery embolization (UAE) for postpartum hemorrhage (PPH). Materials and Methods: A total of 194 patients underwent UAE for PPH between August 1999 and April 2009 at our institution. Twelve patients experienced recurrent bleeding within the next 24 h; a second attempt at UAE was thus necessary, which was successful in 10 cases. In two cases, hemostatic hysterectomy was performed. Epidemiological, gynecological-obstetrical, anatomic, and biological data were analyzed. Results: Complete data were available for 148 of the 194 (76%) included patients. Sixty-four (43%) were primiparous, 18 (12.2%) had a placenta accreta, 21 (14%) had a coagulopathy, and 28 (18.9%) had an anatomic variant of the uterine arterial vasculature. Mean age and pregnancy term were similar in both recurring and nonrecurrent bleeding groups. After multivariate analysis, three criteria emerged as risk factors of recurrent bleeding: primiparity (10 patients, 83%; odds ratio [OR] = 18.84; P = 0.014), coagulation disorders (6 patients, 50%; OR = 12.08; P = 0.006), and anatomic variant of the uterine arterial vasculature (28 patients; OR = 9.83; P = 0.003). Conclusions: earch for uterine collaterals must be performed before UAE for PPH. Primiparity andmore » coagulation disorders increase the risk of recurrent bleeding after UAE for PPH.« less

Authors:
; ;  [1];  [2];  [1];  [3];  [1]
  1. Gabriel Montpied Hospital, CHU Clermont-Ferrand, Department of Radiology (France)
  2. Gabriel Montpied Hospital, Department of Public Health (France)
  3. Gabriel Montpied Hospital, Department of Gynecology (France)
Publication Date:
OSTI Identifier:
21608537
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 35; Journal Issue: 3; Other Information: DOI: 10.1007/s00270-011-0181-3; Copyright (c) 2012 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Country of input: International Atomic Energy Agency (IAEA); Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; HAZARDS; HEMORRHAGE; MULTIVARIATE ANALYSIS; PATIENTS; PLACENTA; PREGNANCY; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; FETAL MEMBRANES; MATHEMATICS; MEMBRANES; ORGANS; PATHOLOGICAL CHANGES; STATISTICS; SYMPTOMS

Citation Formats

Bros, Sebastien, E-mail: sebbros@wanadoo.fr, Chabrot, Pascal, E-mail: pchabrot@chu-clermontferrand.fr, Kastler, Adrian, E-mail: a_kastler@chu-clermontferrand.fr, Ouchchane, Lemlih, E-mail: Lemlih.OUCHCHANE@u-clermont1.fr, Cassagnes, Lucie, E-mail: lcassagnes@chu-clermontferrand.fr, Gallot, Denis, E-mail: dgallot@chu-clermontferrand.fr, and Boyer, Louis, E-mail: lboyer@chu-clermontferrand.fr. Recurrent Bleeding Within 24 Hours After Uterine Artery Embolization for Severe Postpartum Hemorrhage: Are There Predictive Factors?. United States: N. p., 2012. Web. doi:10.1007/S00270-011-0181-3.
Bros, Sebastien, E-mail: sebbros@wanadoo.fr, Chabrot, Pascal, E-mail: pchabrot@chu-clermontferrand.fr, Kastler, Adrian, E-mail: a_kastler@chu-clermontferrand.fr, Ouchchane, Lemlih, E-mail: Lemlih.OUCHCHANE@u-clermont1.fr, Cassagnes, Lucie, E-mail: lcassagnes@chu-clermontferrand.fr, Gallot, Denis, E-mail: dgallot@chu-clermontferrand.fr, & Boyer, Louis, E-mail: lboyer@chu-clermontferrand.fr. Recurrent Bleeding Within 24 Hours After Uterine Artery Embolization for Severe Postpartum Hemorrhage: Are There Predictive Factors?. United States. doi:10.1007/S00270-011-0181-3.
Bros, Sebastien, E-mail: sebbros@wanadoo.fr, Chabrot, Pascal, E-mail: pchabrot@chu-clermontferrand.fr, Kastler, Adrian, E-mail: a_kastler@chu-clermontferrand.fr, Ouchchane, Lemlih, E-mail: Lemlih.OUCHCHANE@u-clermont1.fr, Cassagnes, Lucie, E-mail: lcassagnes@chu-clermontferrand.fr, Gallot, Denis, E-mail: dgallot@chu-clermontferrand.fr, and Boyer, Louis, E-mail: lboyer@chu-clermontferrand.fr. Fri . "Recurrent Bleeding Within 24 Hours After Uterine Artery Embolization for Severe Postpartum Hemorrhage: Are There Predictive Factors?". United States. doi:10.1007/S00270-011-0181-3.
@article{osti_21608537,
title = {Recurrent Bleeding Within 24 Hours After Uterine Artery Embolization for Severe Postpartum Hemorrhage: Are There Predictive Factors?},
author = {Bros, Sebastien, E-mail: sebbros@wanadoo.fr and Chabrot, Pascal, E-mail: pchabrot@chu-clermontferrand.fr and Kastler, Adrian, E-mail: a_kastler@chu-clermontferrand.fr and Ouchchane, Lemlih, E-mail: Lemlih.OUCHCHANE@u-clermont1.fr and Cassagnes, Lucie, E-mail: lcassagnes@chu-clermontferrand.fr and Gallot, Denis, E-mail: dgallot@chu-clermontferrand.fr and Boyer, Louis, E-mail: lboyer@chu-clermontferrand.fr},
abstractNote = {Purpose: To retrospectively identify predictive factors of recurrent bleeding within 24 h after uterine artery embolization (UAE) for postpartum hemorrhage (PPH). Materials and Methods: A total of 194 patients underwent UAE for PPH between August 1999 and April 2009 at our institution. Twelve patients experienced recurrent bleeding within the next 24 h; a second attempt at UAE was thus necessary, which was successful in 10 cases. In two cases, hemostatic hysterectomy was performed. Epidemiological, gynecological-obstetrical, anatomic, and biological data were analyzed. Results: Complete data were available for 148 of the 194 (76%) included patients. Sixty-four (43%) were primiparous, 18 (12.2%) had a placenta accreta, 21 (14%) had a coagulopathy, and 28 (18.9%) had an anatomic variant of the uterine arterial vasculature. Mean age and pregnancy term were similar in both recurring and nonrecurrent bleeding groups. After multivariate analysis, three criteria emerged as risk factors of recurrent bleeding: primiparity (10 patients, 83%; odds ratio [OR] = 18.84; P = 0.014), coagulation disorders (6 patients, 50%; OR = 12.08; P = 0.006), and anatomic variant of the uterine arterial vasculature (28 patients; OR = 9.83; P = 0.003). Conclusions: earch for uterine collaterals must be performed before UAE for PPH. Primiparity and coagulation disorders increase the risk of recurrent bleeding after UAE for PPH.},
doi = {10.1007/S00270-011-0181-3},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 3,
volume = 35,
place = {United States},
year = {2012},
month = {6}
}