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KMID : 1103720110650060547
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Journal of the Korean Society of Radiology
2011 Volume.65 No. 6 p.547 ~ p.553
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Transcatheter Arterial Embolization for Postpartum Hemorrhage with Disseminated Intravascular Coagulation: Outcome Assessment
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Ahn Eun-Jung
Kim Young-Hwan
Kwon Bo-Ra
Kim Si-Hyung
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Abstract
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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.
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KEYWORD
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Arteries, Embolization, Postpartum Hemorrhage, Disseminated Intravascular Coagulation
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