Recent Update of Embolization of Postpartum Hemorrhage

Postpartum hemorrhage (PPH) is a life-threatening condition and remains a leading cause of maternal mortality. Transcatheter arterial embolization (TAE) is an effective therapeutic strategy for PPH with the advantages of fast speed, repeatability, and the possibility of fertility preservation. We reviewed the vascular anatomy relevant to PPH, the practical details of TAE emphasizing the timing of embolization, and various clinical conditions of PPH according to a recent literature review.

[1]  W. H. Pearse,et al.  American College of Obstetricians and Gynecologists , 2018, Definitions.

[2]  A. Caughey,et al.  ACOG practice bulletin: Clinical management guidelines for obstetrician-gynecologists , 2017 .

[3]  A. Dohan,et al.  Value of Round Ligament Artery Embolization in the Management of Postpartum Hemorrhage. , 2017, Journal of vascular and interventional radiology : JVIR.

[4]  J. Shin,et al.  Efficacy of Prophylactic Uterine Artery Embolization before Obstetrical Procedures with High Risk for Massive Bleeding , 2017, Korean journal of radiology.

[5]  F. Hirahara,et al.  Emergent Uterine Arterial Embolization Using N-Butyl Cyanoacrylate in Postpartum Hemorrhage with Disseminated Intravascular Coagulation , 2017, BioMed research international.

[6]  Zhengyu Jin,et al.  Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta. , 2016, Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih.

[7]  R. Djoudi,et al.  Postpartum hemorrhage: guidelines for clinical practice from the French College of Gynaecologists and Obstetricians (CNGOF): in collaboration with the French Society of Anesthesiology and Intensive Care (SFAR). , 2016, European journal of obstetrics, gynecology, and reproductive biology.

[8]  A. Dohan,et al.  Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications , 2015, CardioVascular and Interventional Radiology.

[9]  K. Sung,et al.  Postpartum hemorrhage from extravasation or pseudoaneurysm: efficacy of transcatheter arterial embolization using N-butyl cyanoacrylate and comparison with gelatin sponge particle. , 2015, Journal of vascular and interventional radiology : JVIR.

[10]  R. García-Mónaco,et al.  Feasibility and safety of prophylactic uterine artery catheterization and embolization in the management of placenta accreta. , 2015, Journal of vascular and interventional radiology : JVIR.

[11]  K. Sung,et al.  Transcatheter arterial embolization for secondary postpartum hemorrhage: outcome in 52 patients at a single tertiary referral center. , 2014, Journal of vascular and interventional radiology : JVIR.

[12]  L. Alio,et al.  Prophylactic use of intravascular balloon catheters in women with placenta accreta, increta and percreta. , 2014, European journal of obstetrics, gynecology, and reproductive biology.

[13]  W. Koike,et al.  Three-dimensional computerized tomographic angiography for diagnosis and management of intractable postpartum hemorrhage. , 2014, European journal of obstetrics, gynecology, and reproductive biology.

[14]  S. Arulkumaran,et al.  Menstrual and fertility outcomes following the surgical management of postpartum haemorrhage: a systematic review , 2014, BJOG : an international journal of obstetrics and gynaecology.

[15]  J. Souza,et al.  Postpartum haemorrhage management, risks, and maternal outcomes: findings from the World Health Organization Multicountry Survey on Maternal and Newborn Health , 2014, BJOG : an international journal of obstetrics and gynaecology.

[16]  K. Sung,et al.  Management of Bleeding Uterine Arteriovenous Malformation with Bilateral Uterine Artery Embolization , 2014, Yonsei medical journal.

[17]  I. Konishi,et al.  Treatment decision‐making for post‐partum hemorrhage using dynamic contrast‐enhanced computed tomography , 2014, The journal of obstetrics and gynaecology research.

[18]  E. Gayat,et al.  Delayed hysteroscopic resection of retained tissues and uterine conservation after conservative treatment for placenta accreta , 2013, The Australian & New Zealand journal of obstetrics & gynaecology.

[19]  M. Gipson,et al.  Endovascular Therapies for Primary Postpartum Hemorrhage: Techniques and Outcomes , 2013, Seminars in Interventional Radiology.

[20]  C. Yoon,et al.  Inferior Mesenteric Artery Collaterals to the Uterus during Uterine Artery Embolization: Prevalence, Risk Factors, and Clinical Outcomes. , 2013, Journal of vascular and interventional radiology : JVIR.

[21]  A. Dohan,et al.  Postpartum Hemorrhage Resulting from Pelvic Pseudoaneurysm: A Retrospective Analysis of 588 Consecutive Cases Treated by Arterial Embolization , 2013, CardioVascular and Interventional Radiology.

[22]  M. Noventa,et al.  Fertility rate and subsequent pregnancy outcomes after conservative surgical techniques in postpartum hemorrhage: 15 years of literature. , 2013, Fertility and sterility.

[23]  C. Yoon,et al.  Failed pelvic arterial embolization for postpartum hemorrhage: clinical outcomes and predictive factors. , 2013, Journal of vascular and interventional radiology : JVIR.

[24]  A. Ogunfowokan,et al.  The prevalence, management and outcome of primary postpartum haemorrhage in selected health care facilities in Nigeria , 2013 .

[25]  C. Yoon,et al.  Postpartum haemorrhage from ruptured pseudoaneurysm: efficacy of transcatheter arterial embolisation using N-butyl-2-cyanoacrylate , 2013, European Radiology.

[26]  Hyun Joo Lee,et al.  Usefulness of pelvic artery embolization in cesarean section compared with vaginal delivery in 176 patients. , 2013, Journal of vascular and interventional radiology : JVIR.

[27]  K. Sung,et al.  Primary postpartum hemorrhage: outcome of pelvic arterial embolization in 251 patients at a single institution. , 2012, Radiology.

[28]  A. Radosevic,et al.  Utility of multidetector CT in severe postpartum hemorrhage. , 2012, Radiographics : a review publication of the Radiological Society of North America, Inc.

[29]  A. Mebazaa,et al.  Value of pelvic embolization in the management of severe postpartum hemorrhage due to placenta accreta, increta or percreta. , 2011, European journal of radiology.

[30]  B. Burbridge,et al.  Uterine Artery Pseudoaneurysm in the Setting of Delayed Postpartum Hemorrhage: Successful Treatment with Emergency Arterial Embolization , 2011, Case reports in radiology.

[31]  L. Machado.  Emergency peripartum hysterectomy: Incidence, indications, risk factors and outcome , 2011, North American journal of medical sciences.

[32]  Tomomi Sato,et al.  Vaginal artery embolization with a permanent embolic agent for intractable postpartum hemorrhage , 2011, The journal of obstetrics and gynaecology research.

[33]  S. Y. Ko,et al.  Interventional management for complications following caesarean section. , 2011, The British journal of radiology.

[34]  R. Baum,et al.  Uterine artery embolization in the treatment of postpartum uterine hemorrhage. , 2011, Journal of vascular and interventional radiology : JVIR.

[35]  A. Maubon,et al.  Fertility after embolization of the uterine arteries to treat obstetrical hemorrhage: a review of 53 cases. , 2010, Fertility and sterility.

[36]  Y. Taketani,et al.  Uterine artery pseudoaneurysm after cesarean section: case report and literature review. , 2010, Journal of minimally invasive gynecology.

[37]  G. Tse,et al.  Radiation exposure and uterine artery embolization: current risks and risk reduction. , 2010, Techniques in vascular and interventional radiology.

[38]  M. Rabilloud,et al.  Multifaceted intervention to decrease the rate of severe postpartum haemorrhage: the PITHAGORE6 cluster‐randomised controlled trial , 2010, BJOG : an international journal of obstetrics and gynaecology.

[39]  A. Belli,et al.  The Role of Interventional Radiology in Obstetric Hemorrhage , 2010, CardioVascular and Interventional Radiology.

[40]  M. Berman,et al.  The Epidemiology of Postpartum Hemorrhage in a Large, Nationwide Sample of Deliveries , 2010, Anesthesia and analgesia.

[41]  L. Cassagnes,et al.  Placenta accreta: management with uterine artery embolization in 17 cases. , 2010, Journal of vascular and interventional radiology : JVIR.

[42]  D. Suh,et al.  Postpartum hemorrhage: Clinical and radiologic aspects. , 2010, European journal of radiology.

[43]  H. Kim,et al.  Prophylactic Hypogastric Artery Ballooning in a Patient with Complete Placenta Previa and Increta , 2010, Journal of Korean medical science.

[44]  D. Suh,et al.  Identification of bleeding sites in patients with postpartum hemorrhage: MDCT compared with angiography. , 2010, AJR. American journal of roentgenology.

[45]  L. Marpeau,et al.  Fertility and pregnancy following pelvic arterial embolisation for postpartum haemorrhage , 2010, BJOG : an international journal of obstetrics and gynaecology.

[46]  P. Chevallier,et al.  Obstetrical prognosis and pregnancy outcome following pelvic arterial embolisation for post-partum hemorrhage. , 2009, European journal of obstetrics, gynecology, and reproductive biology.

[47]  J. Kingdom,et al.  Arterial embolization for primary postpartum hemorrhage. , 2009, Journal of vascular and interventional radiology : JVIR.

[48]  J. Jun,et al.  Importance of angiographic visualization of round ligament arteries in women evaluated for intractable vaginal bleeding after uterine artery embolization. , 2009, Journal of vascular and interventional radiology : JVIR.

[49]  M. Sirol,et al.  Severe primary postpartum hemorrhage due to genital tract laceration after operative vaginal delivery: successful treatment with transcatheter arterial embolization , 2009, European Radiology.

[50]  C. Zeebregts,et al.  The persistent sciatic artery. , 2009, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[51]  F. Kung,et al.  Prophylactic intraoperative uterine artery embolization to control hemorrhage in abnormal placentation during late gestation. , 2009, Fertility and sterility.

[52]  R. Berkowitz,et al.  Optimizing outcomes through protocols, multidisciplinary drills, and simulation. , 2009, Seminars in perinatology.

[53]  E. Vicaut,et al.  Efficacy of Selective Arterial Embolisation for the Treatment of Life-Threatening Post-Partum Haemorrhage in a Large Population , 2008, PloS one.

[54]  J. Silberzweig,et al.  Transarterial Embolization for Inferior Epigastric Artery Injury , 2008, Vascular and endovascular surgery.

[55]  C. Larchez,et al.  Serious primary post-partum hemorrhage, arterial embolization and future fertility: a retrospective study of 46 cases. , 2008, Human reproduction.

[56]  D. Hori,et al.  Arterial catheterization and embolization for management of emergent or anticipated massive obstetrical hemorrhage , 2008, Radiation Medicine.

[57]  S. Rankin,et al.  Relative threshold of detection of active arterial bleeding: in vitro comparison of MDCT and digital subtraction angiography. , 2007, AJR. American journal of roentgenology.

[58]  L. Eriksson,et al.  Massive postpartum hemorrhage treated with transcatheter arterial embolization: technical aspects and long-term effects on fertility and menstrual cycle , 2007, Acta radiologica.

[59]  J. Jaraquemada,et al.  Lower uterine blood supply: extrauterine anastomotic system and its application in surgical devascularization techniques , 2007, Acta obstetricia et gynecologica Scandinavica.

[60]  D. Wing,et al.  Case-control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta. , 2006, American journal of obstetrics and gynecology.

[61]  John Thomas,et al.  Pseudoaneurysm of the Uterine Artery After an Uncomplicated Spontaneous Vaginal Delivery , 2006, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[62]  ACOG Practice Bulletin: Clinical Management Guidelines for Obstetrician-Gynecologists Number 76, October 2006: postpartum hemorrhage. , 2006, Obstetrics and gynecology.

[63]  D. Timmerman,et al.  Acquired uterine vascular malformations: radiological and clinical outcome after transcatheter embolotherapy , 2006, European Radiology.

[64]  J. Kariniemi,et al.  Arterial embolization and prophylactic catheterization for the treatment for severe obstetric hemorrhage * , 2005, Acta obstetricia et gynecologica Scandinavica.

[65]  J. Pelage,et al.  Bilateral persistent sciatic artery: a potential risk in pelvic arterial embolization for primary postpartum hemorrhage , 2005, Acta obstetricia et gynecologica Scandinavica.

[66]  D. Valenti,et al.  Ovarian function after uterine artery embolization and hysterectomy. , 2004, The Journal of the American Association of Gynecologic Laparoscopists.

[67]  D. Lyell,et al.  Postpartum Uterine Arteriovenous Fistula , 2004, Obstetrics and gynecology.

[68]  R. Worthington-kirsch.  Uterine artery embolization: state of the art. , 2004, Seminars in interventional radiology.

[69]  R. Frydman,et al.  Fertility and pregnancy outcome following pelvic arterial embolization for severe post-partum haemorrhage. A cohort study. , 2003, Human reproduction.

[70]  D. Herbreteau,et al.  Uterine Necrosis After Arterial Embolization for Postpartum Hemorrhage , 2002, Obstetrics and gynecology.

[71]  J. Deux,et al.  Is selective embolization of uterine arteries a safe alternative to hysterectomy in patients with postpartum hemorrhage? , 2001, AJR. American journal of roentgenology.

[72]  S. Abbara,et al.  Uterine artery embolization: reduced radiation with refined technique. , 2001, Journal of vascular and interventional radiology : JVIR.

[73]  R. Andrews,et al.  Uterine arterial embolization: factors influencing patient radiation exposure. , 2000, Radiology.

[74]  J. Pelage,et al.  Life-threatening primary postpartum hemorrhage: treatment with emergency selective arterial embolization. , 1998, Radiology.

[75]  F. Miller,et al.  Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation. , 1979, AJR. American journal of roentgenology.