title: The factors associated with the failure of transcatheter pelvic arterial embolization for intractable postpartum hemorrhage.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  The advanced age and retained placenta were independent factors associated with TAE failure for intractable PPH.
authors: Yui
authors: Y
authors: Yamasaki
authors: Hiroki
authors: H
authors: Morita
authors: Yoshiya
authors: Y
authors: Miyahara
authors: Yasuhiko
authors: Y
authors: Ebina
authors: Takuya
authors: T
authors: Okada
authors: Masato
authors: M
authors: Yamaguchi
authors: Hideto
authors: H
authors: Yamada
mesh_terms: D000328:Adult; D002406:Catheterization, Peripheral; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D016015:Logistic Models; D008875:Middle Aged; D006473:Postpartum Hemorrhage / Q000628:therapy*; D011247:Pregnancy; D012189:Retrospective Studies; D017211:Treatment Failure; D055815:Young Adult