Postpartum hemorrhage with pelvic arterial embolization, study of 33 cases

Fecha de publicación: 16/02/2019

Autores de IIS La Fe

Alejandra Aguilar Crespo

Autor
José Morales Roselló

Autor
Ana Valle Tejero

Autor
Raúl García Marcos

Autor
Alfredo José Perales Marín

Autor

Participantes ajenos a IIS La Fe

Sánchez-Ajenjo C

Grupos

Investigacion Biomédica en Imagen (GIBI 2-30)

Investigador Principal

Leonor Cerdá Alberich
Medicina Reproductiva

Investigador Principal

José Morales Roselló

Abstract

Objective: To describe our cases of postpartum hemorrhage (PPH) with pelvic arterial embolization (PAE). Material and methods: All patients with PPH who underwent PAE in our center in the interval 2011-1016 were retrospectively studied, evaluating the technical procedure, clinical results, and subsequent fertility. Results: There were 33 cases of PPH with PAE. The majority occurred in primiparous women (N = 22, 66.6%) who delivered vaginally (N = 20, 61%). In addition, most PPH with PAE cases had an early onset (N = 26, 79%) and were caused by uterine atony (N = 14, 42.4%). Success of PAE occurred in 27 (81.8%) cases and a satisfactory clinical follow-up was the rule, with 21 (64%) women recovering their normal menstruation, and six (18.2%) becoming pregnant in the following years. Conclusions: PAE is a safe and efficacious technique with minor complications. Moreover, it allows conservation of the uterus with preservation of fertility.

Datos de la publicación

ISSN/ISSNe:: 1476-7058, 1476-4954
Tipo:: Article
Páginas:: 573-578
DOI:: 10.1080/14767058.2017.1387527
Factor de Impacto:: 0,703 SCImago ℠
Cuartil:: Q2 SCImago ℠

Documentos

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Métricas

Filiaciones

Aguilar-Crespo A:: a Obstetrics and Gynecology Department , Hospital Universitario y Politécnico la Fe , Valencia , Spain
Morales-Roselló J:: a Obstetrics and Gynecology Department , Hospital Universitario y Politécnico la Fe , Valencia , Spain
Sánchez-Ajenjo C:: a Obstetrics and Gynecology Department , Hospital Universitario y Politécnico la Fe , Valencia , Spain
Valle-Tejero A:: a Obstetrics and Gynecology Department , Hospital Universitario y Politécnico la Fe , Valencia , Spain
García-Marcos R:: b Vascular and Interventional Radiology Department , Hospital Universitario y Politécnico la Fe , Valencia , Spain
Perales-Marín A:: a Obstetrics and Gynecology Department , Hospital Universitario y Politécnico la Fe , Valencia , Spain

Keywords

Postpartum hemorrhage; pelvic arteries embolization; uterine atony; interventional radiology; labor complications

Campos de estudio

Proyectos asociados

APLICACION DE TECNICAS LAPLACIANAS PARA LA MONITORIZACION DE LA ACTIVIDAD ELECTRICA DEL MUSCULO LISO HUMANO:ENFASIS EN ELECTROHISTEROGRAMA (LAMOHIS)

Investigador Principal: ALFREDO JOSÉ PERALES MARÍN

LAMOHIS PLAN NACIONAL I+D+I 2008-2011 . 2010

DISEÑO Y DESARROLLO DE UNA PLATAFORMA MULTIESCALA-IN VITRO-IN VIVO PARA LA PREVENCIÓN DE LA FRACTURA ÓSEA OSTEOPORÓTICA MEDIANTE CEMENTACIÓN FEMORAL: UNA HERRAMIENTA PRECLÍNICA

Investigador Principal: ÁNGEL ALBERICH BAYARRI

DPI2014-53401-C2-2-R . MINISTERIO DE ECONOMIA Y COMPETITIVIDAD; FUNDACIÓN PARA LA INVESTIGACIÓN DEL HOSPITAL UNIVERSITARIO LA FE DE LA COMUNIDAD VALENCIANA . 2015