Pelvic arterial embolization in severe obstetric hemorrhage

被引：20

作者：

Gronvall, Maiju ^{[1
]}

Tikkanen, Minna ^{[1
]}

Metsatahti, Maarika ^{[1
]}

Loukovaara, Mikko ^{[1
]}

Paavonen, Jorma ^{[1
]}

Stefanovic, Vedran ^{[1
]}

机构：

[1] Univ Cent Hosp, Dept Obstet & Gynecol, Helsinki, Finland

来源：

ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA | 2014年 / 93卷 / 07期

关键词：

Pelvic arterial embolization; postpartum hemorrhage; pregnancy complication; maternal morbidity; high-risk pregnancy; labour; delivery; PRIMARY POSTPARTUM HEMORRHAGE; MANAGEMENT;

D O I：

10.1111/aogs.12376

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Massive postpartum hemorrhage (PPH) is a major life-threatening complication. When conventional management fails, pelvic arterial embolization (PAE) can be used. The aim of our study was to find out the success rate of PAE in cases of acute PPH, and to study the safety of this procedure in a retrospective case series from a tertiary teaching hospital. Forty-five women with acute PPH were managed by PAE. Hospital charts were reviewed. The most common causes of PPH in cases treated with PAE were lower genital tract injury (40%), placental retention (36%) and uterine atony (13%). The overall success rate was 89%. Five of the 45 women needed additional procedures. The overall complication rate was 9%. We conclude that PAE is a safe and effective procedure for PPH and may prevent hysterectomy.

引用

页码：716 / 719

页数：4

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