efficacy of selective arterial embolisation for the treatment of life-threatening post-partum haemorrhage in a large population选择性动脉的功效embolisation治疗危及生命的产后出血的庞大的人口.pdfVIP

Efficacy of Selective Arterial Embolisation for the Treatment of Life-Threatening Post-Partum Haemorrhage in a Large Population 1. 1. 1 2 3 4 Cyril Touboul , Wassim Badiou , Julien Saada , Jean-Pierre Pelage , Didier Payen , Eric Vicaut , Denis 1 5 Jacob , Arash Rafii * ˆ ` ˆ ` 1 Department of Obstetrics and Gynaecology, Hopital Lariboisiere, AP-HP, Paris, France, 2 Department of Vascular Imaging, Hopital Lariboisiere, AP-HP, Paris, France, ˆ ` ˆ ` 3 Department of Anaesthesiology and Critical Care, Hopital Lariboisiere, AP-HP, Paris, France, 4 Department of Nuclear Medicine, Hopital Lariboisiere, AP-HP, Paris, France, 5 Department of Genetic Medicine and Obstetrics and Gynecology, Weill Cornell Medical College, Paris, France Abstract Background: The objective of this study was to assess efficacy and determine the optimal indication of selective arterial embolisation (SAE) in patients with life-threatening post-partum haemorrhage (PPH). Methodology/Principal Findings: One hundred and two patients with PPH underwent SAE and were included from January 1998 to January 2002 in our university care center. Embolisation was considered effective when no other surgical procedure was required. Univariate and multivariate statistical analysis were performed. SAE was effective for 73 patients (71.5%), while 29 required surgical procedures. SAE was effective in 88.6% of women with uterine atony that was associated with positive outcome (OR 4.13, 1