Interventional (IR)Research

Emergency UAE for Postpartum Hemorrhage: NBCA Effective, Pregnancy Rates Similar to Gelatin Sponge

Journal of vascular and interventional radiology : JVIRyesterday

In emergency uterine artery embolization for postpartum hemorrhage, NBCA achieved hemostasis in all 7 initial and 8 salvage cases after GS failure, with final success 96.1%. Among 46 with uterine preservation, subsequent pregnancy rates were 19.4% after GS alone vs 20.0% after N…

  • Initial embolization succeeded in 34/44 (77.3%) with gelatin sponge and 7/7 (100%) with NBCA (p=0.320); all 8 conversions from failed GS to NBCA achieved hemostasis.
  • DIC score was higher in the initial NBCA group (median 9 vs 7, p=0.017), possibly reflecting more severe coagulopathy at presentation.

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