CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S30-S31
DOI: 10.1055/s-0041-1730731
Abstract

Uterine Artery Embolization in Postpartum Hemorrhage

Essam Tarek Essameldien Abdullah
Ain Shams University Hospitals, Cairo, Egypt
,
Karim Ahmed Abdultawab
Ain Shams University Hospitals, Cairo, Egypt
› Author Affiliations

Background: Postpartum uterine hemorrhage is one of the most important causes of maternal mortality worldwide and as well in Egypt. Causes are variable most important of which are uterine atony and birth canal lacerations. Uterine artery embolization is very effective if local measures failed to stop bleeding Methods: In the period between January 2015 and November 2017, 75 women (mean age 26 years) with postpartum hemorrhage underwent embolization in Ain Shams University Hospitals after failure to achieve hemostasis after conservative treatments. Clinical success was defined as stabilization of vital data of the patient and obviation of hysterectomy. Gel foam hand cut pledges were the embolic agent used. Results: Bleeder whether extravasation or pseudoaneurysm could be identified angiographically in 32 patients. In 43 patients, no definite bleeder could be identified, so bilateral uterine artery embolization was done empirically. Clinical success rate was 80% (60 patients including 31 patients with angiographically identified bleeder). Hysterectomy was needed in 15 patients after rebleeding post-UAE. No major procedural-related complications were recorded. Conclusion: Transcatheter arterial Embolization of the uterine artery is a feasible treatment option in the management of postpartum bleeding with low rates of complications. Angiographic identification of the bleeding source was associated with higher clinical success rates decreasing the need for hysterectomies.



Publication History

Article published online:
11 May 2021

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