TITLE:
Efficacy of Uterine Artery Embolization for Patients with Postpartum Hemorrhage
AUTHORS:
Young Ho Choi, Yasutaka Baba, Shunichiro Ikeda, Young Ho So, Sadao Hayashi, Masayuki Nakajo
KEYWORDS:
Postpartum Hemorrhage; Uterine Artery Embolization; Uterus Preservation
JOURNAL NAME:
Open Journal of Radiology,
Vol.3 No.2,
June
17,
2013
ABSTRACT: Purpose: To investigate the efficacy of uterine arterial embolization (UAE)
in patients with post-partum hemorrhage (PPH). Materials and Methods: The subjects were
40 women (mean age, 33 years; age range, 21 - 42
years) who underwent UAE for PPH at two institutes from June 2001 to May 2011.
The rates of clinical success (avoidance of hysterectomy) and complications
were calculated. Differences in related factors between primary PPH and
secondary PPH and between caesarean section and vaginal delivery were examined.
The risk factors associated with hysterectomy were also examined. Results: The overall
clinical success rate was 90% (93% of primary PPH, 77% of secondary PPH, and
87.5% of PPH with cesarean section), and the overall complication rate was 10%.
There were significant differences in time to PPH (P = 0.0158) between subtypes of primary and
secondary PPH and in blood infusion before UAE (P = 0.0052)
between delivery methods. The significant factors associated with hysterectomy
were cesarean section (P = 0.02), severe PPH (>1000 mL bleeding, P = 0.03),
and embolization of non-uterine arteries (P = 0.02).