ArticleRadiology2012
Primary postpartum hemorrhage: outcome of pelvic arterial embolization in 251 patients at a single institution.
Article in Radiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04660578 (A.Chohan Continuous Squeezing Suture), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A.Chohan Continuous Squeezing Suture (ACCSS) for Controlling Hemorrhage From the Lower Uterine Segment at the Cesarean Section for Placenta Previa / Accreta: a Case Series
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 135 citations in OpenAlex.
- Short & long term adverse outcomes after arterial embolisation for the treatment of postpartum haemorrhage: a systematic review.European radiology · 2017Pooled it
- Imaging in the postpartum period.European journal of radiology open · 2026Article
- Case Report-Uterine Necrosis: A Rare Complication of Uterine Artery Embolization in Postpartum Hemorrhage.Reports (MDPI) · 2026Article
- Interventional Radiology for Primary Postpartum Hemorrhage: Optimal Strategy Based on the Pathogenesis of Bleeding.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025Review
- Pelvic Arterial Embolisation in Obstetric and Gynaecological Haemorrhage: A Single-Centre Case Series.Obstetrics and gynecology international · 2025Article
- Patient blood management to minimize transfusions during the postpartum period.Obstetrics & gynecology science · 2023Article
- Usefulness of transcatheter arterial embolization for eighty-three patients with secondary postpartum hemorrhage: Focusing on difference in angiographic findings.World journal of clinical cases · 2023Article
- Uterine Perforation as a Complication of the Intrauterine Procedures Causing Omentum Incarceration: A Review.Diagnostics (Basel, Switzerland) · 2023Review
- Hysterectomy Sparing Management of Uterine Necrosis following Uterine Artery Embolization for Postpartum Hemorrhage.Case reports in obstetrics and gynecology · 2023Article
- Review of Current Insights and Therapeutic Approaches for the Treatment of Refractory Postpartum Hemorrhage.International journal of women's health · 2023Review
- Uterine artery Embolization: Interventional Radiologist's Perspective in Management of Uncontrolled Obstetric Hemorrhage.Journal of obstetrics and gynaecology of India · 2022Article
- Uterine Artery Embolization as an Effective Management and Diagnostic Tool for Puerperal Uterine Inversion with Severe Postpartum Bleeding: A Case Report.Taehan Yongsang Uihakhoe chi · 2022Article
- FIGO recommendations on the management of postpartum hemorrhage 2022.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2022Article
- Postpartum hemorrhage - what the interventional radiologist should know.CVIR endovascular · 2021Review
- Efficacy of superselective transcatheter arterial embolization for intractable postpartum hemorrhage due to genital tract trauma after vaginal delivery.Emergency radiology · 2021Article
- Successful repeated uterine artery embolization in postpartum hemorrhage with disseminated intravascular coagulation: a case report and literature review.BMC pregnancy and childbirth · 2021Review
- Imaging evaluation of uterine perforation and rupture.Abdominal radiology (New York) · 2021Review
- The Efficacy of Transarterial Embolization for Postpartum Hemorrhage Complicated with Disseminated Intravascular Coagulation: A Single-Center Experience.Journal of clinical medicine · 2021Article
- Large concealed paravaginal haematoma: A case report of an occult postpartum haemorrhage.Case reports in women's health · 2021Article
- Three-dimensional computed tomography is effective in diagnosing uterine arterial pseudoaneurysm, a cause of secondary postpartum hemorrhage: A case report.SAGE open medical case reports · 2021Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the safety and efficacy of pelvic arterial embolization (PAE) for the treatment of primary postpartum hemorrhage (PPH) and to determine the factors associated with clinical outcomes. MATERIALS AND
methodsThis retrospective single-center study was institutional review board approved, and informed consent was waived. Outcomes were analyzed in 251 patients who underwent PAE for primary PPH between January 2000 and February 2011. Mode of delivery, causes of bleeding, detailed laboratory and treatment records, and clinical outcomes were recorded. Clinical success was defined as cessation of bleeding after initial session of PAE without the need for additional PAE or surgery. Univariate and multivariate analyses were performed to determine the factors related to clinical outcomes.
resultsThe clinical success rate was 86.5% (217 of 251). Among the 34 failed cases, 12 underwent repeat PAE, 16 underwent additional surgery, and three recovered with conservative management. Overall bleeding control was achieved in 98.0% (246 of 251) of the patients. Overall mortality was 2% (five of 251) after the first (n = 3) or second (n = 1) session of PAE or additional surgery (n = 1). Among the 113 patients with long-term follow-up, 110 (97.3%) maintained a regular menstrual cycle and 11 had successful pregnancies. Univariate analysis showed that cesarean section delivery, disseminated intravascular coagulation (DIC), and massive transfusion of more than 10 red blood cell units were related to failed PAE. Multivariate analysis showed that DIC (odds ratio, 0.36; P = .04) and massive transfusion (odds ratio, 0.10; P < .001) were significantly related to clinical failure.
conclusionPAE is safe and effective for managing primary PPH. Patients with DIC and massive transfusion were likely to have poor results after PAE.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.