SynthesisEuropean radiology2017
Short & long term adverse outcomes after arterial embolisation for the treatment of postpartum haemorrhage: a systematic review.
Synthesis in European radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 5 syntheses or guidelines pooled it, 59 citations in OpenAlex.
- Prophylactic Intraoperative Uterine Artery Embolization During Cesarean Section or Cesarean Hysterectomy in Patients with Abnormal Placentation: A Systematic Review and Meta-Analysis.Cardiovascular and interventional radiology · 2022Pooled it
- A systematic review and meta-analysis of obstetric and maternal outcomes after prior uterine artery embolization.Scientific reports · 2021Pooled it
- The Emergent Pelvic Artery Embolization in the Management of Postpartum Hemorrhage: A Systematic Review and Meta-analysis.Obstetrical & gynecological survey · 2021Pooled it
- Mechanical and surgical interventions for treating primary postpartum haemorrhage.The Cochrane database of systematic reviews · 2020Pooled it
- Endovascular interventional modalities for haemorrhage control in abnormal placental implantation deliveries: a systematic review and meta-analysis.European radiology · 2018Pooled it
- The role of interventional radiology in managing placenta accreta spectrum.BJA education · 2025Review
- Hypothermic machine perfusion in uterus transplantation in a porcine model: A proof of concept and the first results in graft preservation.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Uterine artery embolization in the management of postpartum hemorrhage.World journal of emergency surgery : WJES · 2025Article
- Article
- 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
- [Reply to the letter to the Editor "Treatment of ectopic pregnancy implanted on cesarean scar: other therapeutic approaches"].Revista colombiana de obstetricia y ginecologia · 2024Article
- Association between uterine artery embolization for postpartum hemorrhage and second delivery on maternal and offspring outcomes: a nationwide cohort study.Human reproduction open · 2024Article
- Patient blood management to minimize transfusions during the postpartum period.Obstetrics & gynecology science · 2023Article
- [Treatment of ectopic pregnancy implanted on cesarea scar: cohort study 2018-2022, Lima, Peru].Revista colombiana de obstetricia y ginecologia · 2023Article
- Uterine Artery Embolization of Uterine Arteriovenous Malformation: A Systematic Review of Success Rate, Complications, and Posterior Pregnancy Outcomes.Journal of personalized medicine · 2022Article
- Paternal and maternal long-term psychological outcomes after uterine artery embolization for severe post-partum hemorrhage.Scientific reports · 2021Article
- Gynecological, reproductive and sexual outcomes after uterine artery embolization for post-partum haemorrage.Scientific reports · 2021Article
- Can uterine artery embolization be an alternative to plastic and reconstructive uterus operation by minimally invasive surgery?GMS Interdisciplinary plastic and reconstructive surgery DGPW · 2021Review
- MRI of placenta accreta: diagnostic accuracy and impact of interventional radiology on foetal-maternal delivery outcomes in high-risk women.The British journal of radiology · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesArterial embolisation (AE) plays a major role in current practice in the management of postpartum haemorrhage (PPH) that fails to respond to conservative treatment. While its benefit is well known, long-term outcomes of AE have been poorly investigated. The objective of this review is to assess its potential complications and long-term effects on the patients' quality of life.
methodsUsing the terms "embolisation" and "postpartum haemorrhage", we searched the Cochrane Central Register of Controlled Trials, Medline and PubMed for published studies. We limited the search to articles in English and French reporting "complications", "fertility", "menstruation" or "menstrual cycle" in humans. To ensure completeness, the references of extracted articles and review articles were also searched.
resultsThe fertility rate in patients attempting another pregnancy reaches 70-80 %. Pregnancies following AE for PPH are not associated with a higher rate of intrauterine growth restriction. Pathological placentation (placenta accreta/increta/percreta) occurs more frequently after AE than in the general population. Psychological wellbeing, post-traumatic stress and sexual dysfunction after a life-threatening PPH requiring AE will require further investigation.
conclusionAE does not appear to adversely affect menstrual cycle, fertility and subsequent pregnancies, but may affect placentation. The experience of a life-threatening PPH, however, might prevent couples from pursuing another pregnancy. KEY POINTS: • Embolisation for PPH does not adversely affect menstrual cycle and fertility • Experience of life-threatening PPH might prevent couples from pursuing another pregnancy • Pathological placentation seems to occur more frequently after embolisation for PPH.
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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.