Alberto Alonso-Burgos, Ignacio Díaz-Lorenzo, Laura Muñoz-Saá, Guillermo Gallardo, Teresa Castellanos, Regina Cardenas, Luis Chiva de Agustín
Postpartum haemorrhage (PPH) is a significant cause of maternal mortality globally, necessitating prompt and efficient management. This review provides a comprehensive exploration of endovascular treatment dimensions for both primary and secondary PPH, with a focus on uterine atony, trauma, placenta accreta spectrum (PAS), and retained products of conception (RPOC). Primary PPH, occurring within 24 h, often results from uterine atony in 70% of causes, but also from trauma, or PAS. Uterine atony involves inadequate myometrial contraction, addressed through uterine massage, oxytocin, and, if needed, mechanical modalities like balloon tamponade...
February 13, 2024: CVIR Endovascular