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AJR 2001; 177:145-149
© American Roentgen Ray Society


Is Selective Embolization of Uterine Arteries a Safe Alternative to Hysterectomy in Patients with Postpartum Hemorrhage?

Jean-François Deux1, Marc Bazot1, Alain Ferdinand Le Blanche1, Marc Tassart1, Antoine Khalil1, Nadia Berkane2, Serge Uzan2 and Frank Boudghène1

1 Service de Radiologie Hôpital Tenon, 20 Rue de la Chine, 75020 Paris, France.
2 Service de Gynécologie Obstétrique Hôpital Tenon, 75020 Paris, France.

OBJECTIVE. The purpose of this study was to evaluate the efficacy and safety of selective arterial embolization to control severe postpartum hemorrhage.

MATERIALS AND METHODS. Twenty-five women with intractable postpartum hemorrhage underwent uterine embolization in our institution during a 6-year period.

RESULTS. Angiography revealed arterial extravasation in 13 patients (52%). Sixty-nine arteries were embolized. External bleeding resolved immediately or was markedly decreased in 24 women. In one patient, embolization failed to control the bleeding, and surgical treatment was required. No major complication of embolization therapy was observed. Ten women were followed up for an average of 2 years. Menstruation resumed in all patients, and one woman became pregnant.

CONCLUSION. Embolization of acute postpartum hemorrhage is a safe and effective alternative to hysterectomy.


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