Clinical analysis of pelvic arterial embolization for treatment of primary postpartum hemorrhage

doi:10.3877/cma.j.issn.2095-5782.2015.03.003

Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2015, Vol. 03 ›› Issue (03): 123-128. doi: 10.3877/cma.j.issn.2095-5782.2015.03.003

Special Issue: ；

• Vascular Intervention • Previous Articles Next Articles

Clinical analysis of pelvic arterial embolization for treatment of primary postpartum hemorrhage

Guangshao Cao¹, Yuyan Liu¹, Huicun Cao¹^,^†(), Jian Liu¹, Yudan Wang¹, Ruiqing Liu¹, Shiyi Liu¹, Hui Li¹, Tianxiao Li¹

^1. Department of Interventional Radiology, Renmin Hospital of Zhengzhou University, Zhengzhou 450003, China

Received:2015-04-21 Online:2015-08-01 Published:2015-08-01
Contact: Huicun Cao
About author:
Corresponding author: Cao Huicun, Email: yajuncao98@126.com

Abstract

Abstract:

Objective

To evaluate the safety and efficacy of pelvic arterial embolization (PAE) for treatment of primary postpartum hemorrhage (PPH), and to determine the factors associated with clinical outcomes.

Methods

A total of 25 patients who underwent PAE for primary PPH were retrospectively analyzed. Mode of delivery, causes of primary PPH, detailed laboratory and treatment records, and clinical outcomes were recorded. Univariate and multivariate analyses were performed to determine the factors related to clinical outcomes.

Results

Clinical success was achieved in 23 patients (23/25, 92.00%), the other 2 patients underwent repeat PAE. Overall bleeding control was achieved in 96.00% (24/25) patients, the other was died of hypovolemic shock after second session of PAE. Of the 23 patients with long-term follow-up, 23 (100%) restarted regular menstruation, and 4 became pregnant. Univariate analysis showed that caesarean section delivery, associated disseminated intravascular coagulation (DIC), and massive transfusion more than 10 red blood cell units were related to a high rate of clinical failure. Multivariate analysis showed that associated DIC and massive transfusion were significantly related to clinical failure.

Conclusions

PAE for primary PPH is safe and effective, with bleeding control successfully after PAE observed in 96.00% of patients. Patients with associated DIC and massive transfusion were likely to need careful observation after PAE.

Key words: Embolization, therapeutic, Primary postpartum hemorrhage

Guangshao Cao, Yuyan Liu, Huicun Cao, Jian Liu, Yudan Wang, Ruiqing Liu, Shiyi Liu, Hui Li, Tianxiao Li. Clinical analysis of pelvic arterial embolization for treatment of primary postpartum hemorrhage[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2015, 03(03): 123-128.

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Figures/Tables 4

References 20

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