J Korean Soc Radiol.  2011 Dec;65(6):547-553. 10.3348/jksr.2011.65.6.547.

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

• An EJ
• Kim YH
• Kwon BR
• Kim SH

• KMID: 2002920
• DOI: http://doi.org/10.3348/jksr.2011.65.6.547

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.

MeSH Terms

Dacarbazine
Disseminated Intravascular Coagulation
Hemorrhage
Hemostasis
Humans
Logistic Models
Postpartum Hemorrhage
Postpartum Period
Reference Values
Retrospective Studies
Dacarbazine