Narula Monica, Phan Tuan, Atmuri Kiran
Mercy Hospital for Women, Heidelberg, Victoria, Australia.
Peninsula Health, Frankston, Victoria, Australia.
Obstet Gynecol Int. 2025 Aug 17;2025:9932410. doi: 10.1155/ogi/9932410. eCollection 2025.
Obstetric and gynaecological haemorrhage contributes significantly to morbidity and mortality globally. Pelvic arterial embolisation has been described as a management option for emergency haemorrhage not responsive to conservative measures. Despite encouraging outcomes, it is not widely utilised. This study aims to assess efficacy and early complications of pelvic arterial embolisation as a therapy for obstetric and gynaecological haemorrhage not controlled by conservative methods. This retrospective single-centre case series reviewed all cases of acute haemorrhage from obstetric or gynaecological causes referred for angiographic embolisation between 2014 and 2020. Twelve patients underwent pelvic arterial embolisation with a 100% technical success rate and 91.6% clinical success rate. There were no major early complications. Pelvic arterial embolisation is a safe and effective option for obstetric and gynaecological haemorrhage not responsive to conservative management.
妇产科出血在全球范围内对发病率和死亡率有重大影响。盆腔动脉栓塞已被描述为对保守措施无反应的紧急出血的一种治疗选择。尽管结果令人鼓舞，但它并未得到广泛应用。本研究旨在评估盆腔动脉栓塞作为治疗保守方法无法控制的妇产科出血的疗效和早期并发症。本回顾性单中心病例系列研究回顾了2014年至2020年间因产科或妇科原因导致急性出血并接受血管造影栓塞治疗的所有病例。12例患者接受了盆腔动脉栓塞，技术成功率为100%，临床成功率为91.6%。没有严重的早期并发症。对于对保守治疗无反应的妇产科出血，盆腔动脉栓塞是一种安全有效的选择。
