naa a22 4500 510748287 CHVBK 20180411083055.0 cr unu---uuuuu 180411e20130301xx s 000 0 eng 10.1007/s11547-012-0821-y doi (NATIONALLICENCE)springer-10.1007/s11547-012-0821-y Endovascular treatment in postpartum haemorrhage [Elektronische Daten] [G. Mansueto, A. Contro, G. Carbognin, F. Liessi, G. Zanconato, M. Franchi, R. Pozzi Mucelli] Trattamento endovascolare dell'emorragia post-partum Purpose: Postpartum haemorrhage (PPH) is one of the main causes of maternal mortality and occurs in 5% of total deliveries. In this study we consider the indications for and technique and results of endovascular treatment for this serious event. Materials and methods: Between January 2004 and December 2010, we conducted a nonrandomised prospective study on ten women with severe PPH who were treated endovascularly in an emergency setting. The procedure was considered to be clinically successful when the PPH resolved completely without the need for further surgical intervention. Laboratory values and the number of transfused blood packs were assessed for each patient. Results: The endovascular procedure completely stopped the bleeding in 8/10 women. After embolisation, the remaining two patients underwent a second laparotomy, which completely arrested the bleeding. No patient died as a result of PPH, and no patient with PPH who avoided hysterectomy before endovascular treatment underwent it after the procedure. Conclusions: In keeping with the literature, our study indicates that endovascular therapy can significantly help reduce the rates of hysterectomy and mortality due to PPH. This treatment, when performed in the angiography room, is safe and effective and is probably relatively uncommon and underused. Springer-Verlag Italia, 2012 Postpartum haemorrhage nationallicence Arterial embolization nationallicence Bleeding nationallicence Hysterectomy nationallicence Emorragia post-partum nationallicence Embolizzazione arteriosa nationallicence Sanguinamento nationallicence Isterectomia nationallicence Mansueto G. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut Contro A. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut Carbognin G. Istituto Clinico S. Anna, Brescia, Italy aut Liessi F. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut Zanconato G. U.O. Ginecologia e Ostetricia, Azienda Ospedaliera Universitaria Integrata, Verona, Italy aut Franchi M. U.O. Ginecologia e Ostetricia, Azienda Ospedaliera Universitaria Integrata, Verona, Italy aut Pozzi Mucelli R. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut La radiologia medica Springer Milan 118/2(2013-03-01), 215-228 0033-8362 118:2<215 2013 118 11547 https://doi.org/10.1007/s11547-012-0821-y text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11547-012-0821-y text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mansueto G. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut NATIONALLICENCE 700 1- Contro A. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut NATIONALLICENCE 700 1- Carbognin G. Istituto Clinico S. Anna, Brescia, Italy aut NATIONALLICENCE 700 1- Liessi F. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut NATIONALLICENCE 700 1- Zanconato G. U.O. Ginecologia e Ostetricia, Azienda Ospedaliera Universitaria Integrata, Verona, Italy aut NATIONALLICENCE 700 1- Franchi M. U.O. Ginecologia e Ostetricia, Azienda Ospedaliera Universitaria Integrata, Verona, Italy aut NATIONALLICENCE 700 1- Pozzi Mucelli R. U.O. Radiologia, Azienda Ospedaliera Universitaria Integrata Verona, Verona, Italy aut NATIONALLICENCE 773 0- La radiologia medica Springer Milan 118/2(2013-03-01), 215-228 0033-8362 118:2<215 2013 118 11547 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer