Kim BM, Jeon GS, Choi MJ, Hong NS. Usefulness of transcatheter arterial embolization for eighty-three patients with secondary postpartum hemorrhage: Focusing on difference in angiographic findings. World J Clin Cases 2023; 11(15): 3471-3480 [PMID: 37383902 DOI: 10.12998/wjcc.v11.i15.3471]
Corresponding Author of This Article
Gyeong Sik Jeon, MD, PhD, Associate Professor, Department of Radiology, CHA Bundang Medical Center, College of Medicine, CHA University, 59, Yatap-ro, Bundang-gu, Seongnam-si 13496, Gyeonggi-do, South Korea. hae0820@naver.com
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. May 26, 2023; 11(15): 3471-3480 Published online May 26, 2023. doi: 10.12998/wjcc.v11.i15.3471
Usefulness of transcatheter arterial embolization for eighty-three patients with secondary postpartum hemorrhage: Focusing on difference in angiographic findings
Bong Man Kim, Gyeong Sik Jeon, Min Jeong Choi, Nam-Soo Hong
Bong Man Kim, Min Jeong Choi, Department of Radiology, Dankook University Hospital, Dankook University College of Medicine, Cheonan-si 31116, Chungcheongnam-do, South Korea
Gyeong Sik Jeon, Department of Radiology, CHA Bundang Medical Center, College of Medicine, CHA University, Seongnam-si 13496, Gyeonggi-do, South Korea
Nam-Soo Hong, Department of Preventive Medicine, School of Medicine, Kyungpook National University, Daegu 41944, South Korea
Author contributions: Kim BM collected the data and wrote the paper; Jeon GS designed the study and collected the data and supervised the report; Choi MJ provided clinical advice; Hong NS contributed to the analysis of the data.
Institutional review board statement: This study was reviewed and approved by the Institutional Review Board of Dankook University Hospital, Dankook University College of Medicine.
Informed consent statement: The requirement for informed consent was waived by the Institutional Review Board at our institution.
Conflict-of-interest statement: All the authors declare no conflicts of interest.
Data sharing statement: The data and materials described in the current study are available from the corresponding author on reasonable request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gyeong Sik Jeon, MD, PhD, Associate Professor, Department of Radiology, CHA Bundang Medical Center, College of Medicine, CHA University, 59, Yatap-ro, Bundang-gu, Seongnam-si 13496, Gyeonggi-do, South Korea. hae0820@naver.com
Received: January 30, 2023 Peer-review started: January 30, 2023 First decision: February 17, 2023 Revised: March 13, 2023 Accepted: April 20, 2023 Article in press: April 20, 2023 Published online: May 26, 2023 Processing time: 115 Days and 13.7 Hours
ARTICLE HIGHLIGHTS
Research background
Transcatheter arterial embolization (TAE) has been widely used as an effective and a safe treatment method and was often used as an alternative to the surgical management, but there are limited studies on the efficacy and the safety for patients undergoing their secondary postpartum hemorrhage (PPH).
Research perspectives
A study with a large number of patients is needed.
Research conclusions
TAE is an effective and a safe treatment method for controlling secondary PPH regardless of angiographic findings.
Research results
TAE was performed in 83 patients, 46 (55.4%) patients with active bleeding signs while 37 (44.6%) patients did not. In the active bleeding sign group there were more multiparous patients, low platelet count, prothrombin time prolongation, and high transfusion requirements. The technical success rates were 97.8% (45/46) in active bleeding sign group and 91.9% (34/37) in non-active bleeding sign group, and the overall clinical success rates were 95.7% (44/46) and 97.3% (36/37).
Research methods
Patients were divided into two groups according to the presence or absence of active bleeding signs and analyzed.
Research objectives
To evaluate the usefulness of TAE for secondary PPH focusing on the angiographic findings.
Research motivation
To identify the usefulness of TAE and the differences according to the presence and the absence of their active bleeding signs on angiography.
