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LETTER TO THE EDITOR–CORRESPONDENCE| Volume 171, ISSUE 2, P392-393, December 2013

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How to avoid uterine necrosis after arterial embolization for post-partum hemorrhage: a proposal based on a single center experience of 600 cases

  • Anthony Dohan
    Correspondence
    Corresponding author at: Department of Body & Interventional Imaging, Hôpital Lariboisière - APHP, 2 Rue Ambroise Paré, 75 475 Paris Cedex 10, France. Tel.: +33 1 49 95 61 72; fax: +33 1 49 95 85 46.
    Affiliations
    Department of Body and Interventional Imaging, Hôpital Lariboisière, AP-HP, 2 rue Ambroise Paré, 75475 Paris Cedex 10, France

    Université Paris-Diderot, Sorbonne Paris Cité, 10 rue de Verdun, 75010 Paris, France
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  • Jean-Pierre Pelage
    Affiliations
    Department of Diagnostic Imaging and Interventional Radiology, Caen University and Medical Center, Avenue de la Côte de Nacre, CS 30001, 14033 Caen cedex 9, France
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  • Philippe Soyer
    Affiliations
    Department of Body and Interventional Imaging, Hôpital Lariboisière, AP-HP, 2 rue Ambroise Paré, 75475 Paris Cedex 10, France

    Université Paris-Diderot, Sorbonne Paris Cité, 10 rue de Verdun, 75010 Paris, France
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Published:October 07, 2013DOI:https://doi.org/10.1016/j.ejogrb.2013.09.030
      We read with great interest the systematic review by Poujade and colleagues [
      • Poujade O.
      • Ceccaldi P.F.
      • Davitian C.
      • et al.
      Uterine necrosis following pelvic arterial embolization for post-partum hemorrhage: review of the literature.
      ] made to identify predictive factors for uterine necrosis after pelvic arterial embolization for postpartum hemorrhage (PPH). The factors they identified among the 19 cases reported in the literature were the nature and size of embolic agents, the absence of visible anastomoses between the uterine and ovarian arteries on the first angiography and the use of free-flow embolization.
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      References

        • Poujade O.
        • Ceccaldi P.F.
        • Davitian C.
        • et al.
        Uterine necrosis following pelvic arterial embolization for post-partum hemorrhage: review of the literature.
        Eur J Obstet Gynecol Reprod Biol. 2013; https://doi.org/10.1016/j.ejogrb.2013.07.016
        • Pelage J.P.
        • Le Dref O.
        • Mateo J.
        • et al.
        Life-threatening primary postpartum hemorrhage: treatment with emergency selective arterial embolization.
        Radiology. 1998; 208: 359-362
        • Soyer P.
        • Morel O.
        • Fargeaudou Y.
        • et al.
        Value of pelvic embolization in the management of severe postpartum hemorrhage due to placenta accreta, increta or percreta.
        Eur J Radiol. 2011; 80: 729-735
        • Dohan A.
        • Soyer P.
        • Subhani A.
        • et al.
        Postpartum hemorrhage resulting from pelvic pseudoaneurysm: a retrospective analysis of 588 consecutive cases treated by arterial embolization.
        Cardiovasc Intervent Radiol. 2013; 36: 1247-1255
        • Soyer P.
        • Fargeaudou Y.
        • Morel O.
        • Boudiaf M.
        • Le Dref O.
        • Rymer R.
        Severe postpartum haemorrhage from ruptured pseudoaneurysm: successful treatment with transcatheter arterial embolization.
        Eur Radiol. 2008; 18: 1181-1187

      Linked Article

      • Author's response
        European Journal of Obstetrics and Gynecology and Reproductive BiologyVol. 171Issue 2