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Usefulness of Pelvic Artery Embolization in Cesarean Section Compared with Vaginal Delivery in 176 Patients

DC Field Value Language
dc.contributor.author김만득-
dc.date.accessioned2014-12-18T08:29:16Z-
dc.date.available2014-12-18T08:29:16Z-
dc.date.issued2013-
dc.identifier.issn1051-0443-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/86400-
dc.description.abstractPURPOSE: To evaluate the efficacy and safety of transcatheter arterial embolization of the pelvic arteries for the treatment of postpartum hemorrhage (PPH) associated with cesarean section compared with vaginal delivery. MATERIALS AND METHODS: A retrospective analysis of 176 patients undergoing transcatheter arterial embolization of the pelvic arteries for PPH from January 2006 through August 2011 was conducted at two institutions. The mean patient age was 33.9 years (range, 24-46 years). Data including delivery details, hematology and coagulation results, embolization details, and clinical outcomes were collected. Technical success was defined as cessation of bleeding on angiography or angiographically successful embolization of the bleeding artery. Clinical success was defined as the obviation of repeated embolization or surgical intervention. RESULTS: The technical success rate was 98.8% (n = 174), and the clinical success rate was 89.7% (n = 158). Among 176 patients, 71 had cesarean sections, and 105 underwent normal vaginal deliveries. Of the 105 patients who underwent normal vaginal deliveries, 11 (10.5%) required repeat embolization or surgical intervention. Of the 71 patients who had cesarean sections, 7 (9.8%) required repeat embolization or surgical intervention. The clinical success rate and complication rate were not related to the mode of delivery. All women resumed menses after transcatheter arterial embolization, and most (n = 125) described their menses as unchanged. Subsequent spontaneous pregnancies occurred in 13 women. CONCLUSIONS: The cesarean mode of delivery is not a predictor of poorer outcomes of transcatheter arterial embolization; however, further study is needed to clarify this relationship.-
dc.description.statementOfResponsibilityopen-
dc.relation.isPartOfJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHCesarean Section/statistics & numerical data*-
dc.subject.MESHComorbidity-
dc.subject.MESHEmbolization, Therapeutic/statistics & numerical data*-
dc.subject.MESHFemale-
dc.subject.MESHHemostatics/therapeutic use*-
dc.subject.MESHHumans-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPelvis/blood supply*-
dc.subject.MESHPostoperative Complications/epidemiology*-
dc.subject.MESHPostpartum Hemorrhage/epidemiology*-
dc.subject.MESHPostpartum Hemorrhage/therapy*-
dc.subject.MESHPrevalence-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTreatment Outcome-
dc.titleUsefulness of Pelvic Artery Embolization in Cesarean Section Compared with Vaginal Delivery in 176 Patients-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학)-
dc.contributor.googleauthorHyun Joo Lee-
dc.contributor.googleauthorGyeong Sik Jeon-
dc.contributor.googleauthorMan Deuk Kim-
dc.contributor.googleauthorSang Heum Kim-
dc.contributor.googleauthorJong Tae Lee-
dc.contributor.googleauthorMin Jeong Choi-
dc.identifier.doi10.1016/j.jvir.2012.09.029-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00420-
dc.relation.journalcodeJ01922-
dc.identifier.eissn1535-7732-
dc.identifier.pmid23273701-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S1051044312010184-
dc.subject.keywordAdult-
dc.subject.keywordCesarean Section/statistics & numerical data*-
dc.subject.keywordComorbidity-
dc.subject.keywordEmbolization, Therapeutic/statistics & numerical data*-
dc.subject.keywordFemale-
dc.subject.keywordHemostatics/therapeutic use*-
dc.subject.keywordHumans-
dc.subject.keywordMiddle Aged-
dc.subject.keywordPelvis/blood supply*-
dc.subject.keywordPostoperative Complications/epidemiology*-
dc.subject.keywordPostpartum Hemorrhage/epidemiology*-
dc.subject.keywordPostpartum Hemorrhage/therapy*-
dc.subject.keywordPrevalence-
dc.subject.keywordRepublic of Korea/epidemiology-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordTreatment Outcome-
dc.contributor.alternativeNameKim, Man Deuk-
dc.contributor.affiliatedAuthorKim, Man Deuk-
dc.rights.accessRightsnot free-
dc.citation.volume24-
dc.citation.number1-
dc.citation.startPage103-
dc.citation.endPage109-
dc.identifier.bibliographicCitationJOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY, Vol.24(1) : 103-109, 2013-
dc.identifier.rimsid28958-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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