scholarly journals Gynecological, reproductive and sexual outcomes after uterine artery embolization for post-partum haemorrage

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Béatrice Eggel ◽  
Maude Bernasconi ◽  
Thibaud Quibel ◽  
Antje Horsch ◽  
Yvan Vial ◽  
...  
Keyword(s):  
Success Rate ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Subsequent Pregnancy ◽  
Control Group ◽  
Artery Embolization ◽  
Interval Time ◽  
Sexual Outcomes

AbstractIn this case control study, long-term gynecological, reproductive and sexual outcomes after uterine artery embolization (UAE) for postpartum hemorrhage (PPH) were evaluated. The study was performed in a single referral hospital for PPH in Lausanne from 2003 to 2013. Each woman whose delivery was complicated by PPH and treated by UAE was included, and compared to a control group of women whose delivery was uncomplicated. Cases were matched by maternal age, parity, ethnicity, year and mode of delivery, birth weight and gestational age in a 1–3 ratio. A total of 77 patients treated by UAE for PPH were identified in our obstetrical database. Among them, 63 were included and compared to 189 matched patients (no PPH). The mean interval time between UAE and this study was 8.1 years. Time to menstrual cycle recovery after delivery (3.9 vs 5.6 months, p = 0.66), spotting (7.9% vs 7.2%, p = 0.49), dysmenorrhea (25.4% vs 22.2%, p = 0.60) and amenorrhea (14.3% vs 12.2%, p = 0.66) were similar between the two groups. There was no difference in the FSFI score between the groups (23.2 ± 0.6 vs 23.8 ± 0.4; p = 0.41). However, the interval time to subsequent pregnancy was longer for patients after UAE than the control group (35 vs 18 months, p = 0.002). In case of pregnancy desire, the success rate was lower after UAE compared to controls (55% vs 93.5%, p < 0.001). The rate of PPH was higher in those with previous PPH (6.6% vs 36.4%, p = 0.010). Patients treated by UAE for PPH did not report higher rates of gynecological symptoms or sexual dysfunction compared to patients with uneventful deliveries. The inter-pregnancy interval was increased and the success rate was reduced. In subsequent pregnancies, a higher rate of PPH was observed in those that underwent UAE.

scholarly journals Shortened Cervix in the Subsequent Pregnancy after Embolization for Postpartum Cervical Hemorrhage

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Zoltan Kozinszky ◽  
Sverre Sand ◽  
Nils-Einar Kløw ◽  
Kirsten Hald
Keyword(s):  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Stable Condition ◽  
Reproductive Function ◽  
Subsequent Pregnancy ◽  
Premature Delivery ◽  
Artery Embolization ◽  
Iatrogenic Trauma ◽  
Secondary Postpartum Hemorrhage

Introduction. Rupture of a branch of uterine artery during delivery often leads to a massive postpartum hemorrhage that can be successfully treated using uterine artery embolization.Case Report. A 33-year-old woman had a cesarean section at term followed by a secondary postpartum hemorrhage due to a ruptured cervicovaginal branch terminating in a large, partially thrombosed hematoma of the cervix. She was given selective uterine artery embolization, and she was discharged to home in stable condition on the third day after embolization. In the forthcoming pregnancy a shortened cervix was a risk of threatened premature delivery from 26 weeks of gestation onwards.Conclusion. Superselective unilateral embolization of a thrombosed hematoma in the cervix might prevent extensive iatrogenic trauma of the cervix, which allows preservation of reproductive function.

scholarly journals Comparison of uterine artery embolization and myomectomy: A long-term analysis of 863 patients

2021 ◽  
Vol 5 ◽  
pp. 1
Author(s):  
Jemianne Bautista Jia ◽  
Emilie T. Nguyen ◽  
Anoop Ravilla ◽  
Eric Mastrolonardo ◽  
Jean Min ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Uterine Fibroids ◽  
Symptomatic Improvement ◽  
Subsequent Pregnancy ◽  
Artery Embolization ◽  
Secondary Intervention ◽  
Significant Difference ◽  
Initial Procedure

Objectives: The objective of this study is to compare the rates of secondary intervention following uterine artery embolization (UAE) versus myomectomy for the treatment of symptomatic uterine fibroids. Material and Methods: This is a multicenter retrospective cohort study. Eight hundred and sixty-three patients are included in this analysis, 451 patients who underwent UAE and 412 patients who underwent myomectomy between January 1, 2008, and December 31, 2012. The UAE group was significantly older than the myomectomy group with a median age of 46 versus 38 (P < 0.0001). Patient data were collected from electronic medical records between the time of their initial procedure and December 31, 2017. The primary endpoint was secondary intervention rate. Secondary endpoints included time to secondary intervention, post-procedural complications, differences in mean hemoglobin levels following the procedures, symptomatic improvement, and subsequent pregnancy outcomes. All statistical analyses were two sided and performed using SAS EG 7.13 (Cary, NC). Results: The median follow-up for the UAE and myomectomy groups was 7 and 7.3 years, respectively. Overall, the rates of secondary intervention were not statistically significant between the UAE and myomectomy groups, 8.9% and 11.2%, respectively (P = 0.26). However, stratified analysis in women aged 30–39 years old demonstrated an increased rate of secondary intervention in the UAE arm with a hazards ratio of 3.76 (P = 0.0099). In patients ≥40 years old, there was no significant difference in secondary intervention rate. Both groups demonstrated a significant increase in mean hemoglobin at 1 year following initial procedure with a mean difference (SD) of 1.8 (2.1) in the UAE group and 1.8 (2.5) in the myomectomy group (P < 0.0001 for both groups). The myomectomy group had a higher rate of post-procedural blood transfusion than the UAE group, 2.9% versus 0.9%, respectively (P = 0.028). Both groups had comparable rates of post-procedural pelvic infection and rehospitalization. Patients with pre-procedural menorrhagia who received UAE reported a higher rate of symptomatic improvement when compared to the myomectomy group, 75.4% versus 49.5% (P < 0.0001). Both groups reported similar rates of improvement in bulk symptoms, 46.1% and 43.2%, respectively (P = 1.0). Conclusion: Overall, UAE and myomectomy have comparable rates of secondary intervention during a median 7-year follow-up period. However, in women between 30 and 39 years of age, UAE resulted in higher rates of secondary intervention. UAE may be more effective in controlling patients’ menorrhagia and has lower rates of post-procedural blood transfusions.

Imaging of uterine necrosis: A rare complication of uterine artery embolization for post partum hemorrhage

2017 ◽  
Vol 7 (1) ◽  
pp. 20-23
Author(s):  
Saumya Gupta ◽  
T.B.S. Buxi ◽  
Deeksha Rastogi ◽  
Samarjit Ghuman ◽  
Shweta Mittal ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Post Partum ◽  
Rare Complication ◽  
Artery Embolization ◽  
Post Partum Hemorrhage

scholarly journals Previous uterine artery embolization increases the rate of repeat embolization in a subsequent pregnancy

PLoS ONE ◽  
2017 ◽  
Vol 12 (9) ◽  
pp. e0185467 ◽  
Author(s):  
Geum Joon Cho ◽  
Jae-Yoon Shim ◽  
Yung-Taek Ouh ◽  
Log Young Kim ◽  
Tae Seon Lee ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Subsequent Pregnancy ◽  
Artery Embolization
Sign in / Sign up

Export Citation Format

Share Document