Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications
- Hôpital Lariboisière-AP-HP, Department of Abdominal and Interventional Imaging (France)
- Hôpital Lariboisière-AP-HP, Department of Obstetrics and Gynecology (France)
- Diderot-Paris 7, Université-Sorbonne Paris-Cité (France)
Postpartum hemorrhage (PPH) is a potentially life-threatening condition, which needs multidisciplinary management. Uterine atony represents up to 80 % of all causes of PPH. Transcatheter arterial embolization (TAE) has now a well-established role in the management of severe PPH. TAE allows stopping the bleeding in 90 % of women with severe PHH, obviating surgery. Pledgets of gelatin sponge as torpedoes are commonly used for safe TAE, and coils, glue, and microspheres have been primarily used in specific situations such as arterial rupture, pseudoaneurysm, and arteriovenous fistula. TAE is a minimally invasive procedure with a low rate of complications, which preserves future fertility. Knowledge of causes of PPH, potential risks, and limitations of TAE is essential for a timely decision, optimizing TAE, preventing irreversible complications, avoiding hysterectomy, and ultimately preserving fertility.
- OSTI ID:
- 22469773
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 38, Issue 5; Other Information: Copyright (c) 2015 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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