Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases
We report on embolization in 36 cases of postpartum hemorrhage (PPH). The 36 patients with severe PPH, including one patient who had undergone an emergency hysterectomy, were transferred to the regional interventional vascular radiology unit in a mean time of 6 hours 12 min. Bilateral occlusion of t...
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| Veröffentlicht in: | Cardiovascular and interventional radiology 2004-08, Vol.27 (4), p.344-348 |
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| creator | Boulleret, C Chahid, T Gallot, D Mofid, R Tran Hai, D Ravel, A Garcier, J M Lemery, D Boyer, L |
| description | We report on embolization in 36 cases of postpartum hemorrhage (PPH). The 36 patients with severe PPH, including one patient who had undergone an emergency hysterectomy, were transferred to the regional interventional vascular radiology unit in a mean time of 6 hours 12 min. Bilateral occlusion of the anterior trunk of the hypogastric arteries was carried out using gelatin sponge. Immediate success was achieved in all cases. In 3 cases, however, a second embolization was necessary before day 2. In 17%, complementary nonvascular surgery was performed. Complications included one puncture site false aneurysm treated by compression, two cases of regressive lower limb paraesthesia, one femoral vein thrombosis, and nonsignificant puncture site hematomas (19.5%). Long-term follow-up was conducted in 23 patients: 91% resumed regular menstrual cycles, 8.7% dysmenorrhea. New pregnancy occurred in 13% (two full-term pregnancies and one voluntary termination). Immediate efficacy, low morbidity and preservation of fertility make embolization the technique of choice for severe PPH. |
| doi_str_mv | 10.1007/s00270-003-2698-6 |
| format | Article |
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The 36 patients with severe PPH, including one patient who had undergone an emergency hysterectomy, were transferred to the regional interventional vascular radiology unit in a mean time of 6 hours 12 min. Bilateral occlusion of the anterior trunk of the hypogastric arteries was carried out using gelatin sponge. Immediate success was achieved in all cases. In 3 cases, however, a second embolization was necessary before day 2. In 17%, complementary nonvascular surgery was performed. Complications included one puncture site false aneurysm treated by compression, two cases of regressive lower limb paraesthesia, one femoral vein thrombosis, and nonsignificant puncture site hematomas (19.5%). Long-term follow-up was conducted in 23 patients: 91% resumed regular menstrual cycles, 8.7% dysmenorrhea. New pregnancy occurred in 13% (two full-term pregnancies and one voluntary termination). Immediate efficacy, low morbidity and preservation of fertility make embolization the technique of choice for severe PPH.</description><identifier>ISSN: 0174-1551</identifier><identifier>EISSN: 1432-086X</identifier><identifier>DOI: 10.1007/s00270-003-2698-6</identifier><identifier>PMID: 15129337</identifier><language>eng</language><publisher>United States: Springer Nature B.V</publisher><subject>Adult ; ARTERIES ; BIOMEDICAL RADIOGRAPHY ; Embolization, Therapeutic - adverse effects ; Embolization, Therapeutic - methods ; Female ; FERTILITY ; GELATIN ; HEMATOMAS ; HEMORRHAGE ; Humans ; LIMBS ; MENSTRUAL CYCLE ; PATIENTS ; Postpartum Hemorrhage - pathology ; Postpartum Hemorrhage - therapy ; Pregnancy ; Radiography, Interventional - adverse effects ; Radiography, Interventional - methods ; RADIOLOGY AND NUCLEAR MEDICINE ; Retrospective Studies ; REVIEWS ; Severity of Illness Index ; THROMBOSIS ; Time Factors ; Treatment Outcome ; Uterus - blood supply ; VEINS</subject><ispartof>Cardiovascular and interventional radiology, 2004-08, Vol.27 (4), p.344-348</ispartof><rights>Springer-Verlag 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c333t-84d34fa49f55f72781e5cc2cb8590c6f76573ab0d9caf4569a722d9935fbf3093</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15129337$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21088254$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Boulleret, C</creatorcontrib><creatorcontrib>Chahid, T</creatorcontrib><creatorcontrib>Gallot, D</creatorcontrib><creatorcontrib>Mofid, R</creatorcontrib><creatorcontrib>Tran Hai, D</creatorcontrib><creatorcontrib>Ravel, A</creatorcontrib><creatorcontrib>Garcier, J M</creatorcontrib><creatorcontrib>Lemery, D</creatorcontrib><creatorcontrib>Boyer, L</creatorcontrib><title>Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases</title><title>Cardiovascular and interventional radiology</title><addtitle>Cardiovasc Intervent Radiol</addtitle><description>We report on embolization in 36 cases of postpartum hemorrhage (PPH). The 36 patients with severe PPH, including one patient who had undergone an emergency hysterectomy, were transferred to the regional interventional vascular radiology unit in a mean time of 6 hours 12 min. Bilateral occlusion of the anterior trunk of the hypogastric arteries was carried out using gelatin sponge. Immediate success was achieved in all cases. In 3 cases, however, a second embolization was necessary before day 2. In 17%, complementary nonvascular surgery was performed. Complications included one puncture site false aneurysm treated by compression, two cases of regressive lower limb paraesthesia, one femoral vein thrombosis, and nonsignificant puncture site hematomas (19.5%). Long-term follow-up was conducted in 23 patients: 91% resumed regular menstrual cycles, 8.7% dysmenorrhea. New pregnancy occurred in 13% (two full-term pregnancies and one voluntary termination). Immediate efficacy, low morbidity and preservation of fertility make embolization the technique of choice for severe PPH.</description><subject>Adult</subject><subject>ARTERIES</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Embolization, Therapeutic - adverse effects</subject><subject>Embolization, Therapeutic - methods</subject><subject>Female</subject><subject>FERTILITY</subject><subject>GELATIN</subject><subject>HEMATOMAS</subject><subject>HEMORRHAGE</subject><subject>Humans</subject><subject>LIMBS</subject><subject>MENSTRUAL CYCLE</subject><subject>PATIENTS</subject><subject>Postpartum Hemorrhage - pathology</subject><subject>Postpartum Hemorrhage - therapy</subject><subject>Pregnancy</subject><subject>Radiography, Interventional - adverse effects</subject><subject>Radiography, Interventional - methods</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>Retrospective Studies</subject><subject>REVIEWS</subject><subject>Severity of Illness Index</subject><subject>THROMBOSIS</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Uterus - blood supply</subject><subject>VEINS</subject><issn>0174-1551</issn><issn>1432-086X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkU9rFTEUxYNY7OvTD-BGgoK7qfkzSSbupGgrFLpRcBcymZu-lJnJmGSetFu_uHm8BwVXF8LvnHtzDkJvKbmkhKhPmRCmSEMIb5jUXSNfoA1tOWtIJ3-9RBtCVdtQIeg5usj5gRAqOiZeoXMqKNOcqw36e_O4xHubSwoO21QgBTviDCO4EvaA7TzgvC6Qnp9g6uMYnmwJccY-pkrvIQFeYi5LtVgnvIMpprSz9_AZW5ygpJiXkzzBPsAfHD3mEjubIb9GZ96OGd6c5hb9_Pb1x9VNc3t3_f3qy23jOOel6dqBt9622gvhFVMdBeEcc30nNHHSKykUtz0ZtLO-FVJbxdigNRe-95xovkUfjr710GCyCwXczsV5rpcZRklXw2kr9fFILSn-XiEXM4XsYBztDHHNRsqubXVdtUXv_wMf4prm-gOjarpSMCYrRI-QqxHkBN4sKUw2PRpKzKFEcyzR1BLNoURz0Lw7Ga_9BMOz4tQa_wfu9ZmG</recordid><startdate>20040801</startdate><enddate>20040801</enddate><creator>Boulleret, C</creator><creator>Chahid, T</creator><creator>Gallot, D</creator><creator>Mofid, R</creator><creator>Tran Hai, D</creator><creator>Ravel, A</creator><creator>Garcier, J M</creator><creator>Lemery, D</creator><creator>Boyer, L</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>20040801</creationdate><title>Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases</title><author>Boulleret, C ; Chahid, T ; Gallot, D ; Mofid, R ; Tran Hai, D ; Ravel, A ; Garcier, J M ; Lemery, D ; Boyer, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c333t-84d34fa49f55f72781e5cc2cb8590c6f76573ab0d9caf4569a722d9935fbf3093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>ARTERIES</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Embolization, Therapeutic - adverse effects</topic><topic>Embolization, Therapeutic - methods</topic><topic>Female</topic><topic>FERTILITY</topic><topic>GELATIN</topic><topic>HEMATOMAS</topic><topic>HEMORRHAGE</topic><topic>Humans</topic><topic>LIMBS</topic><topic>MENSTRUAL CYCLE</topic><topic>PATIENTS</topic><topic>Postpartum Hemorrhage - pathology</topic><topic>Postpartum Hemorrhage - therapy</topic><topic>Pregnancy</topic><topic>Radiography, Interventional - adverse effects</topic><topic>Radiography, Interventional - methods</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>Retrospective Studies</topic><topic>REVIEWS</topic><topic>Severity of Illness Index</topic><topic>THROMBOSIS</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Uterus - blood supply</topic><topic>VEINS</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boulleret, C</creatorcontrib><creatorcontrib>Chahid, T</creatorcontrib><creatorcontrib>Gallot, D</creatorcontrib><creatorcontrib>Mofid, R</creatorcontrib><creatorcontrib>Tran Hai, D</creatorcontrib><creatorcontrib>Ravel, A</creatorcontrib><creatorcontrib>Garcier, J M</creatorcontrib><creatorcontrib>Lemery, D</creatorcontrib><creatorcontrib>Boyer, L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Cardiovascular and interventional radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boulleret, C</au><au>Chahid, T</au><au>Gallot, D</au><au>Mofid, R</au><au>Tran Hai, D</au><au>Ravel, A</au><au>Garcier, J M</au><au>Lemery, D</au><au>Boyer, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases</atitle><jtitle>Cardiovascular and interventional radiology</jtitle><addtitle>Cardiovasc Intervent Radiol</addtitle><date>2004-08-01</date><risdate>2004</risdate><volume>27</volume><issue>4</issue><spage>344</spage><epage>348</epage><pages>344-348</pages><issn>0174-1551</issn><eissn>1432-086X</eissn><abstract>We report on embolization in 36 cases of postpartum hemorrhage (PPH). The 36 patients with severe PPH, including one patient who had undergone an emergency hysterectomy, were transferred to the regional interventional vascular radiology unit in a mean time of 6 hours 12 min. Bilateral occlusion of the anterior trunk of the hypogastric arteries was carried out using gelatin sponge. Immediate success was achieved in all cases. In 3 cases, however, a second embolization was necessary before day 2. In 17%, complementary nonvascular surgery was performed. Complications included one puncture site false aneurysm treated by compression, two cases of regressive lower limb paraesthesia, one femoral vein thrombosis, and nonsignificant puncture site hematomas (19.5%). Long-term follow-up was conducted in 23 patients: 91% resumed regular menstrual cycles, 8.7% dysmenorrhea. New pregnancy occurred in 13% (two full-term pregnancies and one voluntary termination). Immediate efficacy, low morbidity and preservation of fertility make embolization the technique of choice for severe PPH.</abstract><cop>United States</cop><pub>Springer Nature B.V</pub><pmid>15129337</pmid><doi>10.1007/s00270-003-2698-6</doi><tpages>5</tpages></addata></record> |
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| ispartof | Cardiovascular and interventional radiology, 2004-08, Vol.27 (4), p.344-348 |
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| subjects | Adult ARTERIES BIOMEDICAL RADIOGRAPHY Embolization, Therapeutic - adverse effects Embolization, Therapeutic - methods Female FERTILITY GELATIN HEMATOMAS HEMORRHAGE Humans LIMBS MENSTRUAL CYCLE PATIENTS Postpartum Hemorrhage - pathology Postpartum Hemorrhage - therapy Pregnancy Radiography, Interventional - adverse effects Radiography, Interventional - methods RADIOLOGY AND NUCLEAR MEDICINE Retrospective Studies REVIEWS Severity of Illness Index THROMBOSIS Time Factors Treatment Outcome Uterus - blood supply VEINS |
| title | Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases |
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