Postpartum hemorrhage with pelvic arterial embolization,study of 33 cases |
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| Authors: | Alejandra Aguilar-Crespo José Morales-Roselló Carlos Sánchez-Ajenjo Ana Valle-Tejero Raúl García-Marcos Alfredo Perales-Marín |
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| Affiliation: | 1. Obstetrics and Gynecology Department, Hospital Universitario y Politécnico la Fe, Valencia, Spain;2. Vascular and Interventional Radiology Department, Hospital Universitario y Politécnico la Fe, Valencia, Spain |
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| Abstract: | ![]()
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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| Keywords: | Postpartum hemorrhage pelvic arteries embolization uterine atony interventional radiology labor complications |
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