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CardioVascular and Interventional Radiology

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01-10-2015 | Review/State of the Art

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

Authors: Philippe Soyer, Anthony Dohan, Raphael Dautry, Youcef Guerrache, Aude Ricbourg, Etienne Gayat, Mourad Boudiaf, Marc Sirol, Olivier Ledref

Published in: CardioVascular and Interventional Radiology | Issue 5/2015

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.

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Title: Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications
Authors: Philippe Soyer
Anthony Dohan
Raphael Dautry
Youcef Guerrache
Aude Ricbourg
Etienne Gayat
Mourad Boudiaf
Marc Sirol
Olivier Ledref
Publication date: 01-10-2015
Publisher: Springer US
Published in: CardioVascular and Interventional Radiology / Issue 5/2015
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-015-1054-y

At a glance: The STEP trials

Springer Medicine

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

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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