title: Results of endovascular treatment in cases of abnormal placentation with post-partum hemorrhage.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the clinical success of selective arterial embolization in cases of post-partum hemorrhage due to abnormal placentation.
  
  
  METHODS
  Six patients with persistent hemorrhage and abnormal placental implantation underwent uterine artery embolization over a period of three years.
  
  
  RESULTS
  In four patients, the placenta was left in place after a gentle attempt at removal and post-partum hemorrhage was controlled during or shortly after the procedure. In all cases, embolization was possible even when there was previous arterial ligation (two cases). In one case, a hysterectomy was required at 21 d later due to uterus and bladder necrosis. Arterial embolization in cases of abnormal placental implantation remains an uncommon treatment and is less efficient in these cases than in normal placental implantation.
  
  
  CONCLUSIONS
  Our results confirmed that even in cases of moderate bleeding, conservation treatment and embolization are possible, but that complications may be more common than in normal placentation.
authors.affiliation: Diagnostic Radiology Department, Military Hospital Laveran, Marseille, France. trevlafolie@wanadoo.fr
authors.forename: Trévor
authors.initials: T
authors.lastname: La Folie
authors.forename: Vincent
authors.initials: V
authors.lastname: Vidal
authors.forename: Mayssoun
authors.initials: M
authors.lastname: Mehanna
authors.forename: Marianne
authors.initials: M
authors.lastname: Capelle
authors.forename: Alexis
authors.initials: A
authors.lastname: Jaquier
authors.forename: Guy
authors.initials: G
authors.lastname: Moulin
authors.forename: Jean Michel
authors.initials: JM
authors.lastname: Bartoli
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D006801:Humans; D010921:Placenta Accreta / Q000628:therapy*; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy; D012189:Retrospective Studies