Role of interventional radiology in treating obstetric haemorrhages

Raffaella Niola, Carlo Cavaliere, Lorenza Marcello, Franco Maglione, Rosaria de Ritis, Francesco Di Pietto, Giuseppe Albano, Giuseppe Nazzaro, Fabio Sirimarco, Carmine Mocerino, Maria Loreto, Maria Antonella Di Pasquale, Gennaro Nasti

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: The aim of this study was to evaluate the efficacy and the safety of selective uterine artery embolisation in patients with a high risk of haemorrhage due to obstetric issues. Materials and methods: We retrospectively reviewed the angiographic examinations of 63 patients (average age ± SD, 32.6 years ± 4.8), affected by an obstetric disease with a high risk of haemorrhage (22 cases of ectopic pregnancy, 41 of postpartum haemorrhage) and treated with an interventional approach. In particular, we considered the rate of second treatment with interventional technique or conservative or radical surgery, the incidence of postprocedural complications, and the absorbed radiation dose. Results: Immediate technical success, defined as the cessation of active bleeding, was achieved in all cases. Uterine artery embolisation was able alone to control the haemorrhage in 95.24 % of cases. Three patients required a second treatment to achieve haemostasis. No peri- or postprocedural complications were observed. At the 12-month follow-up after embolisation, 22/49 conservatively treated patients were found to be pregnant and successfully completed their pregnancy. Conclusions: Selective uterine artery embolisation allows for safe and complete control of haemorrhage in patients with obstetric disease, with a very low incidence of complications and preservation of fertility.

Original languageEnglish
Pages (from-to)607-615
Number of pages9
JournalRadiologia Medica
Volume119
Issue number8
DOIs
Publication statusPublished - Jan 10 2014

Fingerprint

Interventional Radiology
Obstetrics
Uterine Artery Embolization
Hemorrhage
Fertility Preservation
Postpartum Hemorrhage
Ectopic Pregnancy
Incidence
Hemostasis
Radiation
Safety
Pregnancy
Therapeutics

Keywords

  • Conservative management
  • Ectopic pregnancy
  • Obstetric haemorrhages
  • Postpartum haemorrhage
  • Selective embolization

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

Cite this

Niola, R., Cavaliere, C., Marcello, L., Maglione, F., de Ritis, R., Di Pietto, F., ... Nasti, G. (2014). Role of interventional radiology in treating obstetric haemorrhages. Radiologia Medica, 119(8), 607-615. https://doi.org/10.1007/s11547-013-0380-x

Role of interventional radiology in treating obstetric haemorrhages. / Niola, Raffaella; Cavaliere, Carlo; Marcello, Lorenza; Maglione, Franco; de Ritis, Rosaria; Di Pietto, Francesco; Albano, Giuseppe; Nazzaro, Giuseppe; Sirimarco, Fabio; Mocerino, Carmine; Loreto, Maria; Di Pasquale, Maria Antonella; Nasti, Gennaro.

In: Radiologia Medica, Vol. 119, No. 8, 10.01.2014, p. 607-615.

Research output: Contribution to journalArticle

Niola, R, Cavaliere, C, Marcello, L, Maglione, F, de Ritis, R, Di Pietto, F, Albano, G, Nazzaro, G, Sirimarco, F, Mocerino, C, Loreto, M, Di Pasquale, MA & Nasti, G 2014, 'Role of interventional radiology in treating obstetric haemorrhages', Radiologia Medica, vol. 119, no. 8, pp. 607-615. https://doi.org/10.1007/s11547-013-0380-x
Niola R, Cavaliere C, Marcello L, Maglione F, de Ritis R, Di Pietto F et al. Role of interventional radiology in treating obstetric haemorrhages. Radiologia Medica. 2014 Jan 10;119(8):607-615. https://doi.org/10.1007/s11547-013-0380-x
Niola, Raffaella ; Cavaliere, Carlo ; Marcello, Lorenza ; Maglione, Franco ; de Ritis, Rosaria ; Di Pietto, Francesco ; Albano, Giuseppe ; Nazzaro, Giuseppe ; Sirimarco, Fabio ; Mocerino, Carmine ; Loreto, Maria ; Di Pasquale, Maria Antonella ; Nasti, Gennaro. / Role of interventional radiology in treating obstetric haemorrhages. In: Radiologia Medica. 2014 ; Vol. 119, No. 8. pp. 607-615.
@article{b5f2bbe00c814867bda6d5e0a0350436,
title = "Role of interventional radiology in treating obstetric haemorrhages",
abstract = "Purpose: The aim of this study was to evaluate the efficacy and the safety of selective uterine artery embolisation in patients with a high risk of haemorrhage due to obstetric issues. Materials and methods: We retrospectively reviewed the angiographic examinations of 63 patients (average age ± SD, 32.6 years ± 4.8), affected by an obstetric disease with a high risk of haemorrhage (22 cases of ectopic pregnancy, 41 of postpartum haemorrhage) and treated with an interventional approach. In particular, we considered the rate of second treatment with interventional technique or conservative or radical surgery, the incidence of postprocedural complications, and the absorbed radiation dose. Results: Immediate technical success, defined as the cessation of active bleeding, was achieved in all cases. Uterine artery embolisation was able alone to control the haemorrhage in 95.24 {\%} of cases. Three patients required a second treatment to achieve haemostasis. No peri- or postprocedural complications were observed. At the 12-month follow-up after embolisation, 22/49 conservatively treated patients were found to be pregnant and successfully completed their pregnancy. Conclusions: Selective uterine artery embolisation allows for safe and complete control of haemorrhage in patients with obstetric disease, with a very low incidence of complications and preservation of fertility.",
keywords = "Conservative management, Ectopic pregnancy, Obstetric haemorrhages, Postpartum haemorrhage, Selective embolization",
author = "Raffaella Niola and Carlo Cavaliere and Lorenza Marcello and Franco Maglione and {de Ritis}, Rosaria and {Di Pietto}, Francesco and Giuseppe Albano and Giuseppe Nazzaro and Fabio Sirimarco and Carmine Mocerino and Maria Loreto and {Di Pasquale}, {Maria Antonella} and Gennaro Nasti",
year = "2014",
month = "1",
day = "10",
doi = "10.1007/s11547-013-0380-x",
language = "English",
volume = "119",
pages = "607--615",
journal = "Radiologia Medica",
issn = "0033-8362",
publisher = "Springer-Verlag Italia s.r.l.",
number = "8",

}

TY - JOUR

T1 - Role of interventional radiology in treating obstetric haemorrhages

AU - Niola, Raffaella

AU - Cavaliere, Carlo

AU - Marcello, Lorenza

AU - Maglione, Franco

AU - de Ritis, Rosaria

AU - Di Pietto, Francesco

AU - Albano, Giuseppe

AU - Nazzaro, Giuseppe

AU - Sirimarco, Fabio

AU - Mocerino, Carmine

AU - Loreto, Maria

AU - Di Pasquale, Maria Antonella

AU - Nasti, Gennaro

PY - 2014/1/10

Y1 - 2014/1/10

N2 - Purpose: The aim of this study was to evaluate the efficacy and the safety of selective uterine artery embolisation in patients with a high risk of haemorrhage due to obstetric issues. Materials and methods: We retrospectively reviewed the angiographic examinations of 63 patients (average age ± SD, 32.6 years ± 4.8), affected by an obstetric disease with a high risk of haemorrhage (22 cases of ectopic pregnancy, 41 of postpartum haemorrhage) and treated with an interventional approach. In particular, we considered the rate of second treatment with interventional technique or conservative or radical surgery, the incidence of postprocedural complications, and the absorbed radiation dose. Results: Immediate technical success, defined as the cessation of active bleeding, was achieved in all cases. Uterine artery embolisation was able alone to control the haemorrhage in 95.24 % of cases. Three patients required a second treatment to achieve haemostasis. No peri- or postprocedural complications were observed. At the 12-month follow-up after embolisation, 22/49 conservatively treated patients were found to be pregnant and successfully completed their pregnancy. Conclusions: Selective uterine artery embolisation allows for safe and complete control of haemorrhage in patients with obstetric disease, with a very low incidence of complications and preservation of fertility.

AB - Purpose: The aim of this study was to evaluate the efficacy and the safety of selective uterine artery embolisation in patients with a high risk of haemorrhage due to obstetric issues. Materials and methods: We retrospectively reviewed the angiographic examinations of 63 patients (average age ± SD, 32.6 years ± 4.8), affected by an obstetric disease with a high risk of haemorrhage (22 cases of ectopic pregnancy, 41 of postpartum haemorrhage) and treated with an interventional approach. In particular, we considered the rate of second treatment with interventional technique or conservative or radical surgery, the incidence of postprocedural complications, and the absorbed radiation dose. Results: Immediate technical success, defined as the cessation of active bleeding, was achieved in all cases. Uterine artery embolisation was able alone to control the haemorrhage in 95.24 % of cases. Three patients required a second treatment to achieve haemostasis. No peri- or postprocedural complications were observed. At the 12-month follow-up after embolisation, 22/49 conservatively treated patients were found to be pregnant and successfully completed their pregnancy. Conclusions: Selective uterine artery embolisation allows for safe and complete control of haemorrhage in patients with obstetric disease, with a very low incidence of complications and preservation of fertility.

KW - Conservative management

KW - Ectopic pregnancy

KW - Obstetric haemorrhages

KW - Postpartum haemorrhage

KW - Selective embolization

UR - http://www.scopus.com/inward/record.url?scp=84907288452&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907288452&partnerID=8YFLogxK

U2 - 10.1007/s11547-013-0380-x

DO - 10.1007/s11547-013-0380-x

M3 - Article

VL - 119

SP - 607

EP - 615

JO - Radiologia Medica

JF - Radiologia Medica

SN - 0033-8362

IS - 8

ER -