Evidence map›Paper›PMID 40512219›Full record

ArticleEuropean radiology2025

The efficacy of uterine artery embolization for postpartum hemorrhage with placenta accreta spectrum disorder: clinical outcomes in a cohord of 112 pregnant women.

Byung Soo Im, Ji Hoon Shin, Ji Hoon Kim, Gun Ha Kim, Hee Ho Chu, Heung Kyu Ko, Mi Young Lee, Jin Hoon Chung, Hye Sung Won

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Article in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Byung Soo ImDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Ji Hoon ShinDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea. jhshin@amc.seoul.kr.ORCID http://orcid.org/0000-0001-6598-9049
Ji Hoon KimDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Gun Ha KimDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Hee Ho ChuDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Heung Kyu KoDepartment of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Mi Young LeeDepartment of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Jin Hoon ChungDepartment of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.
Hye Sung WonDepartment of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the outcomes of uterine artery embolization (UAE) for postpartum hemorrhage in pregnant women with placenta accreta spectrum disorder (PASD) and to assess the risk factors for rebleeding. MATERIALS AND

methodsThis retrospective study evaluated 112 patients with PASD (62 accreta, 40 increta, 10 percreta) who underwent UAE for postpartum hemorrhage between January 2002 and February 2024. The clinical outcomes and rebleeding risk factors were analyzed.

resultsA total of 90 patients (80.4%) were successfully embolized without major complications. Rebleeding occurred in the remaining 22 patients after initial embolization, requiring surgery (n = 11) or repeated embolization (n = 11). The mean time interval between initial UAE and rebleeding was 52.1 h (range, 1-648 h; interquartile range (IQR), 4.0-11.25 h). There were no maternal deaths. Multivariate Cox regression analysis showed that overt disseminated intravascular coagulation (p < 0.001), remnant placenta (p < 0.001), extravasation of contrast media on angiogram (p = 0.005), and the transfused packed red blood cell (p = 0.005) were significant independent factors associated with clinical failure of the embolization.

conclusionUAE represents an effective initial treatment option with a high success rate for postpartum hemorrhage in patients with PASD, especially for those aiming to preserve fertility. However, the possibility of rebleeding should be considered in high-risk patients, and achieving complete hemostasis using permanent embolic agents can be beneficial in such cases. KEY POINTS: Question Does uterine artery embolization effectively manage postpartum hemorrhage in patients with placenta accreta spectrum disorder (PASD), minimizing rebleeding and associated complications? Findings Uterine artery embolization effectively controlled postpartum hemorrhage in PASD. Rebleeding was associated with disseminated intravascular coagulation, remnant placenta, transfused red blood cells, and contrast extravasation. Clinical relevance Uterine artery embolization is a reliable and minimally invasive method for managing postpartum hemorrhage in PASD, with a low complication rate and the potential to preserve fertility. Identifying risk factors can enhance patient outcomes and personalized treatment strategies.

Indexed as

Placenta AccretaPostpartum HemorrhageUterine Artery EmbolizationAdultFemaleHumansPregnancyRecurrenceRetrospective StudiesRisk FactorsTreatment OutcomePlacenta accretaPostpartum hemorrhageRecurrent bleedingUterine artery embolization

Identifiers

PMID40512219

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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.