title: Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications.
abstract: Postpartum hemorrhage (PPH) is a potentially life-threatening condition, which needs multidisciplinary management. Uterine atony represents up to 80 % of all causes of PPH. Transcatheter arterial embolization (TAE) has now a well-established role in the management of severe PPH. TAE allows stopping the bleeding in 90 % of women with severe PHH, obviating surgery. Pledgets of gelatin sponge as torpedoes are commonly used for safe TAE, and coils, glue, and microspheres have been primarily used in specific situations such as arterial rupture, pseudoaneurysm, and arteriovenous fistula. TAE is a minimally invasive procedure with a low rate of complications, which preserves future fertility. Knowledge of causes of PPH, potential risks, and limitations of TAE is essential for a timely decision, optimizing TAE, preventing irreversible complications, avoiding hysterectomy, and ultimately preserving fertility.
authors: Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. philippe.soyer@lrb.aphp.fr.|Diderot-Paris 7, Université-Sorbonne Paris-Cité, 10 Avenue de Verdun, 75010, Paris, France. philippe.soyer@lrb.aphp.fr.
authors: Philippe
authors: P
authors: Soyer
authors: Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. anthony.dohan@lrb.aphp.fr.|Diderot-Paris 7, Université-Sorbonne Paris-Cité, 10 Avenue de Verdun, 75010, Paris, France. anthony.dohan@lrb.aphp.fr.
authors: Anthony
authors: A
authors: Dohan
authors: Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. raphael_dautry@yahoo.fr.|Diderot-Paris 7, Université-Sorbonne Paris-Cité, 10 Avenue de Verdun, 75010, Paris, France. raphael_dautry@yahoo.fr.
authors: Raphael
authors: R
authors: Dautry
authors: Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. docyoucef05@yahoo.fr.
authors: Youcef
authors: Y
authors: Guerrache
authors: Department of Obstetrics and Gynecology, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. aude.ricbourg@lrb.aphp.fr.
authors: Aude
authors: A
authors: Ricbourg
authors: Diderot-Paris 7, Université-Sorbonne Paris-Cité, 10 Avenue de Verdun, 75010, Paris, France. etienne.gayat@lrb.aphp.fr.|Department of Anesthesiology, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. etienne.gayat@lrb.aphp.fr.
authors: Etienne
authors: E
authors: Gayat
authors: Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. mourad.boudiaf@lrb.aphp.fr.
authors: Mourad
authors: M
authors: Boudiaf
authors: Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. marc.sirol@lrb.aphp.fr.
authors: Marc
authors: M
authors: Sirol
authors: Department of Abdominal and Interventional Imaging, Hôpital Lariboisière-AP-HP, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France. olivier.ledref@lrb.aphp.fr.
authors: Olivier
authors: O
authors: Ledref
mesh_terms: D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000628:therapy*; D016896:Treatment Outcome
keywords: Arterial embolization; Emergency; Pelvic embolization; Postpartum hemorrhage; Review