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The factors associated with the failure of transcatheter pelvic arterial embolization for intractable postpartum hemorrhage

  • Yui Yamasaki , Hiroki Morita , Yoshiya Miyahara , Yasuhiko Ebina , Takuya Okada , Masato Yamaguchi and Hideto Yamada EMAIL logo
Published/Copyright: December 5, 2013
Journal of Perinatal Medicine
From the journal Journal of Perinatal Medicine Volume 42 Issue 3

Abstract

Objective: The transcatheter pelvic arterial embolization (TAE) is effective for postpartum hemorrhage (PPH). There has been a little information about the factors for ineffectiveness of TAE. The aim of this study was to determine factors associated with TAE failure for PPH.

Study design: Fifty-five women who underwent TAE for intractable PPH were included. Clinical factors involving age, history of pregnancy, gestational weeks of delivery, mode of delivery, causes of PPH, complete blood count, blood loss volume, transfusion amount, shock index and disseminated intravascular coagulation (DIC) score were compared between TAE success group (n=48) and TAE failure group (n=7).

Results: The uni- and multi-variate analyses revealed that advanced maternal age (OR 1.46, 95% CI 1.12–2.18) and retained placenta as a cause of PPH (15.48, 2.04–198.12) were found to be significant factors for TAE failure.

Conclusion: The advanced age and retained placenta were independent factors associated with TAE failure for intractable PPH.

Keywords: Advanced age; failure of embolization; retained placenta
Corresponding author: Hideto Yamada, MD, PhD, Professor and Chairman, Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe 650-0017, Japan, E-mail:

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The authors stated that there are no conflicts of interest regarding the publication of this article.

Received: 2013-9-6
Accepted: 2013-10-28
Published Online: 2013-12-5
Published in Print: 2014-5-1

©2014 by Walter de Gruyter Berlin Boston

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. Academy’s Corner – a new section at JPM
  4. Academy’s Corner
  5. Global education in perinatal medicine: will the bureaucracy or smartocracy prevail?
  6. Review articles
  7. Placental chorioangioma: literature review
  8. Sonographic measurement of cervical length as a predictor of preterm delivery: a systematic review
  9. Original articles – Obstetrics
  10. Peripartum anesthetic management of patients with Factor XI deficiency
  11. Risk of inferior vena cava compression syndrome during fetal MRI in the supine position – a retrospective analysis
  12. Fetal behavioral states are stable over daytime – evidence by longitudinal and cross-sectional fetal biomagnetic recordings
  13. Diet or medically treated gestational diabetes: is there any difference for obstetrical and neonatal complications? A French cohort study
  14. Cerebroplacental Doppler ratio and placental histopathological features in pregnancies complicated by fetal growth restriction
  15. Placental syndecan-1 and sulphated glycosaminoglycans are decreased in preeclampsia
  16. Pharmacological anti-thrombotic prophylaxis after elective caesarean delivery in thrombophilia unscreened women: should maternal age have a role in decision making?
  17. Values of T/QRS ratios measured during normal and post-term pregnancies
  18. The factors associated with the failure of transcatheter pelvic arterial embolization for intractable postpartum hemorrhage
  19. Hysteroscopic and laparoscopic management of uterine defects on previous cesarean delivery scars
  20. Chemerin concentrations in maternal and fetal compartments: implications for metabolic adaptations to normal human pregnancy
  21. Repetitive administration of acetylcholine receptor agonist rescues brain inflammation and brain damage after hypoxia-ischemia in newborn rat
  22. Original article – Fetus
  23. Fetal hydronephrosis: natural history and risk factors for postnatal surgery
  24. Original article – Newborn
  25. Cytomegalovirus infection among infants in California neonatal intensive care units, 2005–2010
  26. Letter to the Editors
  27. Origin of the long-term variability and acceleration of FHR studied for the prevention of cerebral palsy in fetal hypoxia and general insults
  28. Neonatal phototherapy, fluids, and photorelaxation
  29. Congress Calendar
  30. Congress Calendar
https://doi.org/10.1515/jpm-2013-0242
Keywords for this article
Advanced age; failure of embolization; retained placenta

Articles in the same Issue

  1. Frontmatter
  2. Editorial
  3. Academy’s Corner – a new section at JPM
  4. Academy’s Corner
  5. Global education in perinatal medicine: will the bureaucracy or smartocracy prevail?
  6. Review articles
  7. Placental chorioangioma: literature review
  8. Sonographic measurement of cervical length as a predictor of preterm delivery: a systematic review
  9. Original articles – Obstetrics
  10. Peripartum anesthetic management of patients with Factor XI deficiency
  11. Risk of inferior vena cava compression syndrome during fetal MRI in the supine position – a retrospective analysis
  12. Fetal behavioral states are stable over daytime – evidence by longitudinal and cross-sectional fetal biomagnetic recordings
  13. Diet or medically treated gestational diabetes: is there any difference for obstetrical and neonatal complications? A French cohort study
  14. Cerebroplacental Doppler ratio and placental histopathological features in pregnancies complicated by fetal growth restriction
  15. Placental syndecan-1 and sulphated glycosaminoglycans are decreased in preeclampsia
  16. Pharmacological anti-thrombotic prophylaxis after elective caesarean delivery in thrombophilia unscreened women: should maternal age have a role in decision making?
  17. Values of T/QRS ratios measured during normal and post-term pregnancies
  18. The factors associated with the failure of transcatheter pelvic arterial embolization for intractable postpartum hemorrhage
  19. Hysteroscopic and laparoscopic management of uterine defects on previous cesarean delivery scars
  20. Chemerin concentrations in maternal and fetal compartments: implications for metabolic adaptations to normal human pregnancy
  21. Repetitive administration of acetylcholine receptor agonist rescues brain inflammation and brain damage after hypoxia-ischemia in newborn rat
  22. Original article – Fetus
  23. Fetal hydronephrosis: natural history and risk factors for postnatal surgery
  24. Original article – Newborn
  25. Cytomegalovirus infection among infants in California neonatal intensive care units, 2005–2010
  26. Letter to the Editors
  27. Origin of the long-term variability and acceleration of FHR studied for the prevention of cerebral palsy in fetal hypoxia and general insults
  28. Neonatal phototherapy, fluids, and photorelaxation
  29. Congress Calendar
  30. Congress Calendar
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