ArticleThe British journal of radiology2018
Primary postpartum hemorrhage: outcome of uterine artery embolization.
Article in The British journal of radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- A systematic review and meta-analysis of obstetric and maternal outcomes after prior uterine artery embolization.Scientific reports · 2021Pooled it
- Transradial Embolization, an Underused Type of Uterine Artery Embolization Approach: A Systematic Review.Medicina (Kaunas, Lithuania) · 2021Pooled it
- Effect of Uterine Artery Ligation and Uterine Artery Embolization on Postpartum Hemorrhage Due to Uterine Asthenia after Cesarean Section and Its Effect on Blood Flow and Function of Uterine and Ovarian Arteries.Journal of healthcare engineering · 2022Trial
- Influence of Uterine Balloon Tamponade Prevalence on Uterine Artery Embolization in the Management of Postpartum Hemorrhage.Journal of clinical medicine · 2026Article
- Article
- Uterine artery embolization in the management of postpartum hemorrhage.World journal of emergency surgery : WJES · 2025Article
- Temporary Embolic Agents.Seminars in interventional radiology · 2024Review
- Placenta Accreta Spectrum: An Overview.Seminars in interventional radiology · 2023Review
- Short-term outcomes of uterine artery embolization for urgent or emergent abnormal uterine bleeding.Abdominal radiology (New York) · 2023Article
- Ultrasound-Guided Urokinase in the Remedy of Spontaneous Vaginal Hematoma After Vaginal Delivery: A Case Report.International journal of women's health · 2023Article
- Repeat Uterine Artery Embolization for Obstetric Hemorrhages: A Rare Event in a Single Patient.Cureus · 2022Article
- Adenomyosis - An Overview.Seminars in interventional radiology · 2022Review
- Efficacy and safety of prophylactic Bakri balloon tamponade after vaginal delivery in women with low-lying placenta: a retrospective cohort study.Annals of translational medicine · 2022Article
- Diagnostic value of fibrinogen combined with thromboelastogram in postpartum hemorrhage after vaginal delivery.American journal of translational research · 2022Article
- Successful repeated uterine artery embolization in postpartum hemorrhage with disseminated intravascular coagulation: a case report and literature review.BMC pregnancy and childbirth · 2021Review
- Effects of Fu Fang Yi Mu Cao capsules combined with Yiqi Xiaoyu decoction on lochia.American journal of translational research · 2021Article
- The role of interventional radiology in the management of abnormally invasive placenta: a systematic review of current evidences.Quantitative imaging in medicine and surgery · 2020Review
- Obstetric Outcomes of Pregnancy After Uterine Artery Embolization.International journal of women's health · 2020Article
- Uterine Artery Embolization following Cesarean Delivery but prior to Hysterectomy in the Management of Patients with Invasive Placenta.Journal of vascular and interventional radiology : JVIR · 2019Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the efficacy of uterine artery embolization (UAE) for the management of primary postpartum hemorrhage (PPH) and to determine the factors associated with clinical outcomes especially in relation to the ovarian artery.
methodsA retrospective analysis of 33 patients who underwent UAE for primary PPH was performed. Clinical data were used regarding maternal characteristics, cause of bleeding, mode of delivery, bleeding onset after delivery, risk factors for PPH, presence of coagulopathy, details regarding the UAE procedure, and types of ovarian artery flow. We defined two types of ovarian artery flow by initial aortography before UAE (Type A: ovarian artery flow arose directly from the aorta to the uterine artery; Type B: ovarian artery flow that did not obviously arise from the aorta). Clinical success was defined as cessation of bleeding after UAE without the need for hysterectomy. Univariate analysis was performed to determine factors related to clinical outcomes.
resultsThe major indication of UAE was uterine atony (82%; 27/33). Extravasation of contrast medium was observed in 15 (45%) patients. The clinical success rate was 85% (28/33). In five patients, embolization failed, and these patients were managed by hysterectomy. Univariate analysis showed that retained placental tissue (p < 0.001), type of ovarian artery (p < 0.001) and the existence of extravasation of contrast medium (p = 0.049) were related to the clinical success rate.
conclusionThe clinical success rate was 85% (28/33), and some PPH patients were thought to need ovarian artery embolization in addition to UAE. Advances in knowledge: Initial aortography before UAE may be useful to predict the failure of UAE and the need of ovarian artery embolization. Obvious ovarian arterial blood flow to the uterus by aortography could be a warning sign.
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