Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta

Wang Zhi-wei; Li Xiao-guang; Pan Jie; Zhang Xiao-bo; Shi Hai-feng; Yang Ning; Jin* Zheng-yu

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Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta

Chinese Medical Sciences Journal Vol. 31, Issue 4, Pages: 228-232(2016)

Orginal Article | Updated：2024-04-10

- Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta
- Affiliations：
  
  Department of Radiology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
- Author bio：
- Funds：
- DOI：
  CLC：
- Published Online：20 August 2016，
  
  Published：2016-08
- Accepted：
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Wang Zhi-wei, Li Xiao-guang, Pan Jie, et al. Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta[J]. Chinese medical sciences journal, 2016, 31(4): 228-232.
DOI：

Wang Zhi-wei, Li Xiao-guang, Pan Jie, et al. Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta[J]. Chinese medical sciences journal, 2016, 31(4): 228-232. DOI：

摘要

Abstract

Objective

To evaluate the efficacy and safety of uterine artery embolization (UAE) in the management of primary postpartum hemorrhage associated with placenta accreta.

Methods

We retrospectively reviewed the medical records of patients with placenta accreta between January 2010 and August 2014. Totally 18 women (mean age 30.8±4.2 years) of primary massive postpartum hemorrhage with diagnosis of placenta accrete received treatment of UAE after delivery. Images of DSA and medical records were reviewed. Technical success was defined as control of bleeding after embolization. The complications

control of hemorrhage and recurrent bleeding of the placenta left inside the uterus were retrospectively collected for assessment.

Results

All patients underwent transcatheter embolization of bilateral uterine arteries. The technical success rate of embolization was 100%. Bleeding was controlled in 17 of 18 patients (94%) during follow-up period (median 18 months

3-31months) without further bleeding recurred. One patient with placenta percreta undertook an emergent hysterectomy along with surgical bladder repair after UAE because of persistent uterine bleeding. Eight patients had postembolization syndrome and no other complications occurred.

Conclusion

Uterine artery embolization is an effective and safe treatment for the management of primary postpartum massive hemorrhage associated with placenta accreta.

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references

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