Evidence map›Paper›PMID 34575193›Full record

ArticleJournal of clinical medicine2021

The Efficacy of Transarterial Embolization for Postpartum Hemorrhage Complicated with Disseminated Intravascular Coagulation: A Single-Center Experience.

Daigo Ochiai, Seishi Nakatsuka, Yushi Abe, Satoru Ikenoue, Yoshifumi Kasuga, Masanori Inoue, Masahiro Jinzaki, Mamoru Tanaka

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Daigo OchiaiDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Seishi NakatsukaDepartment of Diagnostic Radiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Yushi AbeDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, Japan.ORCID 0000-0003-0845-320X
Satoru IkenoueDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, Japan.ORCID 0000-0003-3652-5389
Yoshifumi KasugaDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Masanori InoueDepartment of Diagnostic Radiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Masahiro JinzakiDepartment of Diagnostic Radiology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Mamoru TanakaDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 160-8582, Japan.
Keio University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Indications for the use of transarterial embolization (TAE) for postpartum hemorrhage (PPH) have been established. However, the efficacy of TAE for PPH complicated by disseminated intravascular coagulation (DIC) remains controversial. In this study, we investigated the efficacy of TAE for PPH complicated by DIC. A database review was conducted to identify patients who were treated with TAE for PPH at our hospital. TAE was performed in 41 patients during the study period. Effective hemostasis was achieved in all cases, but additional procedures, such as re-embolization or hysterectomy, were required in five patients (12.2%). The typical causes of PPH included uterine atony (18 cases), placenta previa (15 cases), amniotic fluid embolism (DIC-type) (11 cases), and placenta accreta spectrum (10 cases). The mean blood loss was 3836 mL. The mean obstetrical DIC and the International Society on Thrombosis and Hemostasis DIC scores were 7.9 and 2.6, respectively. The efficacy of hemostasis was comparable between patients with and without DIC. However, the complete success rate of TAE was lower in patients with DIC as the condition worsened than that in non-DIC patients. Overall, TAE is effective as a minimally invasive treatment for PPH complicated by DIC.

Indexed as

disseminated intravascular coagulationplacenta accreta spectrumplacenta previapostpartum hemorrhagetransarterial embolizationuterine atony

Identifiers

PMID34575193
PMCPMC8468128
OpenAlexW3198064679

What OpenQuestion holds

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Registered trials

None linked

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.