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

2015 ◽  
Vol 38 (5) ◽  
pp. 1068-1081 ◽  
Author(s):  
Philippe Soyer ◽  
Anthony Dohan ◽  
Raphael Dautry ◽  
Youcef Guerrache ◽  
Aude Ricbourg ◽  
...  
2019 ◽  
Vol 4 (1) ◽  
pp. 14-17
Author(s):  
Alka Chhabra ◽  
◽  
Anil Bhiwal ◽  
Neha Pandey ◽  
Sitaram Barath ◽  
...  

2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Se Hwan Kwon ◽  
Yeo Jin Kim ◽  
Jehong Yoon ◽  
Joo Hyeong Oh ◽  
Myung Gyu Song ◽  
...  

Angiology ◽  
2021 ◽  
pp. 000331972199136
Author(s):  
Yuko Seki ◽  
Masaya Miyazaki ◽  
Takayuki Suto ◽  
Takashi Kameda ◽  
Yoshito Tsushima

The aim of this study was to investigate the incidence of post-contrast acute kidney injury (PC-AKI) in patients with uncontrollable postpartum hemorrhage undergoing emergency transcatheter arterial embolization (TAE). Data collected included patient characteristics, serum creatinine (SCr) level before and after TAE, iodine quantity of contrast media, time between computed tomography and TAE, diabetes mellitus, hemorrhage volume, and blood transfusion volume. For the diagnosis of PC-AKI, the criteria of the European Society of Urogenital Radiology Guidelines (version 10.0) were used. A total of 71 TAE procedures were performed over a 5-year period, and 47 patients met the inclusion criteria. Preprocedural renal function and change of SCr were positively correlated ( P < .001), although no patients met the PC-AKI criteria and none showed renal impairment on the follow-up examination (95% upper confidence limit = 6.2%). Total iodine quantity was not correlated with SCr change. Postpartum hemorrhage was finally controlled in all 47 patients, and they were subsequently discharged. In conclusion, emergency TAE for patients with uncontrollable postpartum hemorrhage was a safe and effective procedure, not only in terms of bleeding-related and other outcomes but also with respect to the risk of PC-AKI.


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