Emergency and prophylactic uterine artery embolization in gynecology and obstetrics - a retrospective analysis
Categoria dell'articolo: Research Article
Pubblicato online: 15 set 2024
Pagine: 397 - 405
Ricevuto: 21 feb 2024
Accettato: 21 giu 2024
DOI: https://doi.org/10.2478/raon-2024-0037
Parole chiave
© 2024 Polona Vihtelic et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Background
This study aimed to evaluate the safety and efficacy of emergency and prophylactic uterine artery embolization (UAE) in our clinical practice, including technical success, clinical success, and associated complications.
Patients and methods
In this retrospective study, we analyzed 64 women who underwent emergency (
Results
The overall clinical success of UAE in our study was 97% (62/64). All embolization procedures were technically and clinically successful in the prophylactic group without life-threatening hemorrhages or hysterectomies (100% success rate, 46/46). However, while 100% technical success was similarly attained in the emergency group, bleeding was successfully controlled in 89% of cases (16/18). In two patients with significant blood loss (over 2000 mL), embolization failed to achieve hemostasis, resulting in persistent bleeding and subsequent hysterectomy.
Conclusions
UAE is a safe and effective procedure for managing primary postpartum hemorrhage or severe hemorrhage during pregnancy termination and for decreasing the risk of severe hemorrhage during surgical removal of RPOC, delivery with abnormal placental implantation, or pregnancy