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Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications.

Abstract：

: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.

journal_name

Cardiovasc Intervent Radiol

journal_title

Cardiovascular and interventional radiology

authors

Soyer P,Dohan A,Dautry R,Guerrache Y,Ricbourg A,Gayat E,Boudiaf M,Sirol M,Ledref O

doi

10.1007/s00270-015-1054-y

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

1068-81

issue

5

eissn

0174-1551

issn

1432-086X

pii

10.1007/s00270-015-1054-y

journal_volume

38

pub_type

杂志文章,评审

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