Journal List > J Korean Soc Radiol > v.65(6) > 1087044

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An, Kim, Kwon, and Kim: Transcatheter Arterial Embolization for Postpartum Hemorrhage with Disseminated Intravascular Coagulation: Outcome Assessment
Interventional Radiology
Original Article

Journal of the Korean Society of Radiology 2011; 65(6): 547-553.

Published online: 31 December 2011

DOI: https://doi.org/10.3348/jksr.2011.65.6.547

Transcatheter Arterial Embolization for Postpartum Hemorrhage with Disseminated Intravascular Coagulation: Outcome Assessment

Eun Jung An, MD, Young Hwan Kim, MD, Bo Ra Kwon, MD, See Hyung Kim, MD

Department of Radiology, Dongsan Medical Center, Keimyung University College of Medicine, Daegu, Korea.

Corresponding author: Young Hwan Kim, MD. Department of Radiology, Keimyung University College of Medicine, 216 Dalseong-ro, Jung-gu, Daegu 700-712, Korea. Tel. 82-53-250-7770, Fax. 82-53-250-7766, yhkim68@dsmc.or.kr

Received 24 July 2011       Accepted 14 September 2011

Copyright © 2011 The Korean Society of Radiology

Abstract

Purpose

We evaluated the efficacy and predictors of clinical outcome after transcatheter arterial embolization (TAE) for treatment of postpartum hemorrhage with disseminated intravascular coagulation (DIC).

Materials and Methods

Of 127 patients who underwent TAE for postpartum hemorrhage, 46 progressed to DIC (group 1), 81 showed normal range hematological parameters (group 2). We retrospectively evaluated etiology, embolization methods and the efficacy of TAE for intergroup comparison Pearson Chi-Square test and logistic regression model.

Results

Overall TAE failed to control bleeding in 9 patients in spite of technical success. Lower bleeding control rate was found in group 2 (82.6%) relative to group 1 (98.8%, p = 0.001). And embolization methods were not statistically different between two groups no statistically significant predictors associated with failed hemostasis except the amount of transfusion in group 1.

Conclusion

Although bleeding control rate is lower in postpartum hemorrhage with DIC than without DIC, we believe that TAE with correction of DIC is an effective method for postpartum hemorrhage with DIC.

Keywords: Arteries, Embolization, Postpartum Hemorrhage, Disseminated Intravascular Coagulation

Figures and Tables

Table 1

Pearson Chi-Square Test for Intergroup Comparison between DIC Group and Non-DIC Group

jksr-65-547-i001

Note.-AVM = arteriovenous malformation, DIC = disseminated intravascular coagulation

Table 2

Characteristic of Patients with Failed Hemostasis after TAE

jksr-65-547-i002

Note.-AVM = arteriovenous malformation, CS = cesarean section, DIC = disseminated intravascular coagulation, MP = multiparity, PP = primiparity, TAE = transcatheter arterial embolization, VD = vaginal delivery

Table 3

Univariate Analysis of Variables for Failed Hemostasis in DIC Group. Results Are Expressed as Count (%) or Median (Standard Deviation)

jksr-65-547-i003

Note.-DIC = disseminated intravascular coagulation

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