Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience

Objective: PPH is usually unpredictable; and such fast, urgent and sudden massive life-threating hemorrhage. This study is to assess the efficacy of transarterial embolization (TAE) in treating severe PPH in a single institution over a period of 20 years. Materials and methods: From January 2000 to...

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Autores principales:	Chin-Yi Lin, Lee-Wen Huang, Yieh-Loong Tsai, Kok-Min Seow
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Postpartum hemorrhage Uterine atony Hysterectomy Transarterial embolization Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/2476d65af356482a9557b26d1de03479
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spelling	oai:doaj.org-article:2476d65af356482a9557b26d1de034792021-11-18T04:44:39ZOutcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience1028-455910.1016/j.tjog.2021.09.008https://doaj.org/article/2476d65af356482a9557b26d1de034792021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1028455921002485https://doaj.org/toc/1028-4559Objective: PPH is usually unpredictable; and such fast, urgent and sudden massive life-threating hemorrhage. This study is to assess the efficacy of transarterial embolization (TAE) in treating severe PPH in a single institution over a period of 20 years. Materials and methods: From January 2000 to October 2019, all women with acute PPH more than 1500 cc and/or DIC were enrolled in this retrospective study. These women were divided into two groups according to whether they have received TAE as the second-line treatment. Group 1 (n = 27) included women without receiving TAE from January 1, 2000 to October 31, 2009, and group 2 (n = 30) included those who receiving TAE from November 1, 2009 to October 31, 2019. Results: The overall success rate of TAE in control the PPH and preserved the uterus is 80%. The hemoglobin 12 h after PPH in group 2 is significantly lower than in group 1 (7.64 ± 1.6 vs. 8.58 ± 1.9, respectively. P = 0.05). Total unit of packed red blood cell (pRBC) transfusion is significantly higher in the group 2 than group 1 (9.8 ± 5.7 vs. 6.8 ± 3.9; p = 0.03). The rate of hysterectomy is significantly higher in group 1 than group 2 (46.7 vs. 20%; p < 0.001). Conclusion: In conclusion, TAE is safe and effective in control bleeding in PPH with a high success rate to preserve uterus and prevent DIC. TAE should be routinely used as a secondary line of treatment during PPH in all hospitals.Chin-Yi LinLee-Wen HuangYieh-Loong TsaiKok-Min SeowElsevierarticlePostpartum hemorrhageUterine atonyHysterectomyTransarterial embolizationGynecology and obstetricsRG1-991ENTaiwanese Journal of Obstetrics & Gynecology, Vol 60, Iss 6, Pp 995-998 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Postpartum hemorrhage Uterine atony Hysterectomy Transarterial embolization Gynecology and obstetrics RG1-991
spellingShingle	Postpartum hemorrhage Uterine atony Hysterectomy Transarterial embolization Gynecology and obstetrics RG1-991 Chin-Yi Lin Lee-Wen Huang Yieh-Loong Tsai Kok-Min Seow Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience
description	Objective: PPH is usually unpredictable; and such fast, urgent and sudden massive life-threating hemorrhage. This study is to assess the efficacy of transarterial embolization (TAE) in treating severe PPH in a single institution over a period of 20 years. Materials and methods: From January 2000 to October 2019, all women with acute PPH more than 1500 cc and/or DIC were enrolled in this retrospective study. These women were divided into two groups according to whether they have received TAE as the second-line treatment. Group 1 (n = 27) included women without receiving TAE from January 1, 2000 to October 31, 2009, and group 2 (n = 30) included those who receiving TAE from November 1, 2009 to October 31, 2019. Results: The overall success rate of TAE in control the PPH and preserved the uterus is 80%. The hemoglobin 12 h after PPH in group 2 is significantly lower than in group 1 (7.64 ± 1.6 vs. 8.58 ± 1.9, respectively. P = 0.05). Total unit of packed red blood cell (pRBC) transfusion is significantly higher in the group 2 than group 1 (9.8 ± 5.7 vs. 6.8 ± 3.9; p = 0.03). The rate of hysterectomy is significantly higher in group 1 than group 2 (46.7 vs. 20%; p < 0.001). Conclusion: In conclusion, TAE is safe and effective in control bleeding in PPH with a high success rate to preserve uterus and prevent DIC. TAE should be routinely used as a secondary line of treatment during PPH in all hospitals.
format	article
author	Chin-Yi Lin Lee-Wen Huang Yieh-Loong Tsai Kok-Min Seow
author_facet	Chin-Yi Lin Lee-Wen Huang Yieh-Loong Tsai Kok-Min Seow
author_sort	Chin-Yi Lin
title	Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience
title_short	Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience
title_full	Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience
title_fullStr	Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience
title_full_unstemmed	Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience
title_sort	outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: a 20-year experience
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/2476d65af356482a9557b26d1de03479
work_keys_str_mv	AT chinyilin outcomesandcomplicationsofsevereacutepostpartumhemorrhagetreatedwithorwithouttransarterialembolizationinasingletertiaryreferralcentera20yearexperience AT leewenhuang outcomesandcomplicationsofsevereacutepostpartumhemorrhagetreatedwithorwithouttransarterialembolizationinasingletertiaryreferralcentera20yearexperience AT yiehloongtsai outcomesandcomplicationsofsevereacutepostpartumhemorrhagetreatedwithorwithouttransarterialembolizationinasingletertiaryreferralcentera20yearexperience AT kokminseow outcomesandcomplicationsofsevereacutepostpartumhemorrhagetreatedwithorwithouttransarterialembolizationinasingletertiaryreferralcentera20yearexperience
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Outcomes and complications of severe acute postpartum hemorrhage treated with or without transarterial embolization in a single tertiary referral center: A 20-year experience

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