Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta

Objective To evaluate the efficacy and safety of uterine artery embolization (UAE) in the management ofprimary postpartum hemorrhage associated with placenta accreta.Methods We retrospectively reviewed the medical records of patients with placenta accretabetween January 2010 and August 2014. Totally 18 women (mean age 30.8±4.2 years) of primary massivepostpartum hemorrhage with diagnosis of placenta accrete received treatment of UAE after delivery. Imagesof DSA and medical records were reviewed. Technical success was defined as control of bleeding afterembolization. The complications, control of hemorrhage and recurrent bleeding of the placenta left inside theuterus were retrospectively collected for assessment.