The Treatment of Post-Partum Bleeding with Transcatheter Arterial Embolization

Authors

  • Anna Maria Ierardi
  • Enrico Maria Fumarola
  • Antonio Pinto
  • Mariano Scaglione
  • Gianpaolo Carrafiello

DOI:

https://doi.org/10.26676/jevtm.v4i1.110

Keywords:

Post-Partum Bleeding, PPH, Post-Partum Hemorrhages, Embolization, Interventional Radiology

Abstract

Background: Our aim was to assess the safety and efficacy of transcatheter embolization in the treatment of post-partum bleedings.
Methods: In a single institution, the outcome of 15 patients who underwent transarterial embolization (TAE) for post-partum hemorrhages (PPH) were retrospectively reviewed. Eleven patients presented with hemodynamic instability requiring blood transfusion (73%) and four patients were hemodynamically stable (27%). Arterial embolization was performed with gelatin sponge, particles, and coils.
Results: Mean follow-up time was 21.2 months (range 12–48 months). Technical success rate was 100%. The overall clinical success rate was 100%. No major complications that required intensive care treatment were registered during or after the procedures. No patient required emergency surgery and subsequent hysterectomy. During follow-up, four patients became pregnant after transcatheter arterial embolization and delivered full-term, healthy infants.
Conclusions: TAE is a safe method that allows for the avoidance of surgery and hysterectomy for uncontrollable PPH; a future normal pregnancy after embolization may be hypothesized.

Cover page of issue 4(1), Winter 2020

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Published

2020-05-30

How to Cite

Ierardi, A. M., Fumarola, E. M., Pinto, A., Scaglione, M., & Carrafiello, G. (2020). The Treatment of Post-Partum Bleeding with Transcatheter Arterial Embolization. Journal of Endovascular Resuscitation and Trauma Management, 4(1), 56–62. https://doi.org/10.26676/jevtm.v4i1.110

Issue

Vol. 4 No. 1 (2020)

Section

Original Articles

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Copyright (c) 2020 Journal of Endovascular Resuscitation and Trauma Management

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