[Management of severe post-partum hemorrhage using selective arterial embolization]. / Prise en charge des hémorragies graves du post-partum par embolisation artérielle sélective.
J Gynecol Obstet Biol Reprod (Paris)
; 28(1): 55-61, 1999 Feb.
Article
em Fr
| MEDLINE
| ID: mdl-10394517
ABSTRACT
OBJECTIVES:
To evaluate the efficacy and safety of uterine embolization in the management of intractable post-partum hemorrhage. MATERIALS ANDMETHODS:
From July 1994 to December 1997, 51 patients with severe primary (n = 37) or secondary (n = 14) post-partum hemorrhage were treated by arterial uterine embolization. In all cases, hemostatic uterine embolization was performed because of persistent hemorrhage despite adapted obstetrical measures and early introduction of uterotonic drugs.RESULTS:
In case of immediate post-partum hemorrhage, primary and secondary success rates were 89% et 97% respectively. In one patient with placenta accreta, delayed hysterectomy was necessary. One patient died of associated cerebral hemorrhage while vaginal bleeding had stopped. The success rate reached 100% in case of secondary post-partum hemorrhage.CONCLUSION:
Emergency arterial embolization is a safe and effective means of controlling severe post-partum hemorrhage after failure with medical treatment.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Embolização Terapêutica
/
Hemorragia Pós-Parto
Tipo de estudo:
Clinical_trials
/
Observational_studies
Limite:
Adult
/
Female
/
Humans
/
Pregnancy
Idioma:
Fr
Revista:
J Gynecol Obstet Biol Reprod (Paris)
Ano de publicação:
1999
Tipo de documento:
Article