nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-90222022-11-4-637-644nmp-1520Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSЭмболизация маточных артерий в терапии послеродовых гипотонических кровотеченийUterine Artery Embolization in the Treatment of Postpartum Hypotonic Bleedinghttps://orcid.org/0000-0003-0175-1968КурцерМ. А.KurtserM. A.

Курцер Марк Аркадьевич, академик РАН, доктор медицинских наук, профессор, заведующий кафедрой акушерства и гинекологии педиатрического факультета

117997, Москва, ул. Островитянова, д. 1

Mark A. Kurtser, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Head of the Department of Obstetrics and Gynecology, Faculty of Pediatrics

1, Ostrovityanova St., Moscow, 117997

m.kurtser@mcclinics.ruhttps://orcid.org/0000-0002-0245-4968БреславИ. Ю.BreslavI. Yu.

Бреслав Ирина Юрьевна, доктор медицинских наук, врач акушер-гинеколог, заведующая акушерским отделением

патологии беременности

117209, Москва, Севастопольский проспект, д. 24, корп. 1

Irina Yu. Breslav, Doctor of Medical Sciences, Obstetrician-gynecologist, Head of the Obstetric Department of Pregnancy Disorders

24-1, Sevastopolsky Prospect, Moscow, 117209

irina_breslav@mail.ruhttps://orcid.org/0000-0001-6347-4375КоноплевБ. А.KonoplyovB. A.

Коноплев Борис Александрович, врач акушер-гинеколог, генеральный директор

143030, Московская область, 1-е Успенское ш., д. 111

Boris A. Konoplyov, Obstetrician-gynecologist, General Director

111, 1st Uspenskoye Highway, Moscow region, 143030

b.konoplev@mcclinics.ruhttps://orcid.org/0000-0001-9923-8833КоноплянниковА. Г.KonoplyannikovA. G.

Коноплянников Александр Георгиевич, доктор медицинских наук, профессор кафедры акушерства и гинекологии педиатрического факультета

117997, Москва, ул. Островитянова, д. 1

Aleksandr G. Konoplyannikov, Doctor of Medical Sciences, Professor of the Department of Obstetrics and Gynecology, Faculty of Pediatrics

1, Ostrovityanova St., Moscow, 117997

npo.med@gmail.comФГАОУ ВО «Российский национальный исследовательский медицинский университет им. Н.И. Пирогова» Минздрава РоссииРоссияN.I. Pirogov Russian National Research Medical UniversityRussian FederationКлинический Госпиталь MD GROUP группы компаний «Мать и дитя»РоссияClinical Hospital MD GROUP of the group of companies Mother and ChildRussian FederationКлинический госпиталь «Лапино» группы компаний «Мать и дитя» (ООО «ХАВЕН»)РоссияClinical hospital Lapino of the group of companies Mother and Child (HAVEN, OOO)Russian Federation202202022023114637644Copyright © Курцер М.А., Бреслав И.Ю., Коноплев Б.А., Коноплянников А.Г., 20232023Курцер М.А., Бреслав И.Ю., Коноплев Б.А., Коноплянников А.Г.Kurtser M.A., Breslav I.Y., Konoplyov B.A., Konoplyannikov A.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1520

Послеродовые кровотечения являются серьезным акушерским осложнением вследствие опасности для жизни и здоровья женщины. Одной из частых причин кровотечения в послеродовом периоде является гипотония матки. При неэффективности консервативных методов лечения гипотонического кровотечения проводится наложение гемостатических компрессионных швов на тело матки, перевязка/клипирование магистральных сосудов матки и(или) перевязка внутренних подвздошных артерий. При наличии возможности выполняется эндоваскулярная эмболизация маточных артерий (ЭМА). Обзор посвящен эффективности и безопасности ЭМА у родильниц с послеродовым гипотоническим кровотечением, а также отдаленным результатам наблюдения таких пациенток.

Postpartum hemorrhage is a serious obstetric complication due to the threat to the life and health of a woman. One of the common causes of bleeding in the postpartum period is uterine hypotension. If conservative methods of treating hypotonic bleeding are ineffective, hemostatic compression sutures are applied to the body of the uterus, ligation/clipping of the main vessels of the uterus and (or) ligation of the internal iliac arteries. If available, endovascular uterine artery embolization (UAE) is performed. The review is devoted to the efficacy and safety of UAE in pregnant women with postpartum hypotonic bleeding, as well as to the long-term results of follow-up.

 

послеродовое кровотечениеатония маткиэмболизация маточных артерийотдаленные результатыфертильностьpostpartum hemorrhageatony of the uterusembolization of uterine arterieslong-term resultsfertilityReferencesОленев А.С., Новикова В.А., Радзинский В.Е. Мировые концептуальные подходы к снижению материнской смертности. Акушерство и гинекология: новости, мнения, обучение. 2018;S3:5–17. https://doi.org/10.24411/2303-9698-2018-13901Olenev AS, Novikova VA, Radzinsky VE. World conceptual approaches to reduce maternal mortality. Obstetrics and Gynecology. News. Views. Education. 2018;6(3):5–17. (In Russ.). https://dx.doi.org/10.24411/23039698-2018-13901Зиганшин А.М., Мудров В.А., Пекарев О.Г., Кулавский Е.В. Возможности 3D-моделирования полости матки в диагностике раннего гипотонического кровотечения. Акушерство и гинекология. 2021;2:113–118. https://doi.org/10.X8565/aig.2021.2.H3-118Ziganshin AM, Mudrov VA, Pekarev OG, Kulavsky EV. Possibilities of 3D modeling of the uterine cavity the diagnosis of early hypotonic bleeding. Obstetrics and Gynecology. 2021;2:113–118. (In Russ.). https://dx.doi.Org/10.X8565/aig.2021.2.H3-118Котова Е.Г., Кобякова О.С., Стародубов В.И., Александрова Г.А., Голубев Н.А., Огрызко Е.В., и др. Основные показатели здоровья матери и ребенка, деятельность службы охраны детства и родовспоможения в Российской Федерации: статистические материалы. Москва: ЦНИИОИЗ Минздрава России; 2021.Kotova EG, Kobyakova OS, Starodubov VI, Aleksandrova GA, Golubev NA, Ogryzko EV, et al. Osnovnye pokazateli zdorov’ya materi i rebenka, deyatel’nost’ sluzhby okhrany detstva i rodovspomozheniya v Rossiyskoy Federatsii: statisticheskie materialy. Moscow: TsNIIOIZ Minzdrava Rossii Publ.; 2021. (In Russ.).Буянова С.Н., Мгелиашвили М.В., Пучкова Н.В., Гукасян С.А. Непосредственные результаты комплексной кровоостанавливающей терапии при послеродовом кровотечении. Российский вестник акушера-гинеколога. 2019;19(5):72–76. https://doi.org/10.17116/rosakush20191905172Buianova SN, Mgeliashvili MV, Puchkova NV, Gukasian SA. The initial results of complex hemostatic therapy for postpartum hemorrhage. Russian Bulletin of Obstetrician-Gynecologist. 2019;19(5):72–76. (In Russ.). https://doi.org/10.17116/rosakush20191905172Fadel MG, Das S, Nesbitt A, Killicoat K, Gafson I, Lodhi W, et al. Maternal outcomes following massive obstetric haemorrhage in an inner-city maternity unit. J Obstet Gynaecol. 2019;39(5):601–605. PMID: 30821181 https://doi.org/10.1080/01443615.2018.1534814Fadel MG, Das S, Nesbitt A, Killicoat K, Gafson I, Lodhi W, et al. Maternal outcomes following massive obstetric haemorrhage in an inner-city maternity unit. J Obstet Gynaecol. 2019;39(5):601–605. https://dx.doi.org/10.1080/01443615.2018.1534814D’Alton M, Rood K, Simhan H, Goffman D. Profile of the Jada® System: the vacuum-induced hemorrhage control device for treating abnormal postpartum uterine bleeding and postpartum hemorrhage. Expert Rev Med Devices. 2021;18(9):849–853. PMID: 34355991 https://doi.org/10.1080/17434440.2021.1962288D’Alton M, Rood K, Simhan H, Goffman D. Profile of the Jada® System: the vacuum-induced hemorrhage control device for treating abnormal postpartum uterine bleeding and postpartum hemorrhage. Expert Rev Med Devices. 2021;18(9):849–853. https://dx.doi.org/10.1080/17434440.2021.1962288Win SS, Lasimbang HB, Lynn AUng SN, Yeap TB. How B-Lynch suture and bilateral internal iliac artery ligation saved the uterus of a young patient with severe postpartum haemorrhage. BMJ Case Rep. 2021;14(8): e244226. PMID: 34385222 https://doi.org/10.1136/bcr-2021-244226Win SS, Lasimbang HB, Lynn AUng SN, Yeap TB. How B-Lynch suture and bilateral internal iliac artery ligation saved the uterus of a young patient with severe postpartum haemorrhage. BMJ Case Rep. 2021;14(8): e244226. https://dx.doi.org/10.1136/bcr-2021-244226Ramavhoya TI, Maputle MS, Lebese RT, Makhado L. Midwives’ challenges in the management of postpartum haemorrhage at rural PHC facilities of Limpopo province, South Africa: an explorative study. Afr Health Sci. 2021;21(1):311–319. PMID: 34394312 https://doi.org/10.4314/ahs.v21i1.40Ramavhoya TI, Maputle MS, Lebese RT, Makhado L. Midwives’ challenges in the management of postpartum haemorrhage at rural PHC facilities of Limpopo province, South Africa: an explorative study. Afr Health Sci. 2021;21(1):311–319. (In Russ.). https://dx.doi.org/10.4314/ahs.v21i1.40Курцер М.А., Бреслав И.Ю., Кутакова Ю.Ю., Лукашина М.В., Панин А.В., Бобров Б.Ю. Гипотонические послеродовые кровотечения. Использование перевязки внутренних подвздошных и эмболизации маточных артерий в раннем послеродовом периоде. Акушерство и гинекология. 2012;7:36–41.Kurtser MA, Breslav IYu, Kutakova YuYu, Lukashina MV, Panin AV, Bobrov BYu. Postpartum hypotonic bleeding. Use of internal iliac artery ligation and uterine artery embolization in the early postpartum period. Obstetrics and Gynecology. 2012;7:36–41. (In Russ.).Агеева У.Ю., Гайдуков С.Н., Комиссаров М.И., Алешин И.Ю. Клинико-экономическая эффективность рентгенэндоваскулярных и хирургических методов гемостаза у пациенток с высоким риском развития раннего послеродового кровотечения. Здоровье и образование в XXI веке. 2018;20(3):8–12. https://doi.org/10.26787/nydha2226-7425-2018-20-3-9-12Ageeva UYu, Gaidukov SN, Komissarov MI, Aleshin IU. Clinical and economic efficiency of endovascular and surgical hemostatic methods in patients with high risk of early postpartum bleeding. The Journal of Scientific Articles Health and Education Millennium. 2018;3:9–12. (In Russ.). http://dx.doi.org/10.26787/nydha-2226-7425-2018-20-3-9-12Ahmadzia HK, Grotegut CA, James AH. A national update on rates of postpartum haemorrhage and related interventions. Blood Transfus. 2020;18(4):247–253. PMID: 32530404 https://doi.org/10.2450/2020.0319-19Ahmadzia HK, Grotegut CA, James AH. A national update on rates of postpartum haemorrhage and related interventions. Blood Transfus. 2020;18(4):247–253. https://dx.doi.org/10.2450/2020.0319-19Легалова Т.В., Кукарская И.И. Современный подход к консервативному лечению послеродовых гипотонических кровотечений методом баллонной тампонады матки. Доктор. Ру. 2017;9(138):52–57.Legalova TV, Kukarskaya II. The Current Approach to Conservative Treatment of Hypotonic Postpartum Hemorrhage Using Intrauterine Balloon Tamponade. Doctor.Ru. 2017; 9(138): 52–57.(In Russ.).Послеродовое кровотечение. Клинические рекомендации. Москва; 2021. URL: https://www.arfpoint.ru/wp-content/uploads/2021/05/poslerodovoe-krovotechenie.pdf [Дата обращения 14 октября 2022 г.]Poslerodovoe krovotechenie. Klinicheskie rekomendatsii. Moscow, 2021. (In Russ.). Available at: https://www.arfpoint.ru/wp-content/uploads/2021/05/poslerodovoe-krovotechenie.pdf [Accessed Feb 10, 2022]Ries JJ, Jeker L, Neuhaus M, Vogt DR, Girard T, Hoesli I. Implementation of the D-A-CH postpartum haemorrhage algorithm after severe postpartum bleeding accelerates clinical management: A retrospective case series. Eur J Obstet Gynecol Reprod Biol. 2020;247:225–231. PMID: 31980289 https://doi.org/10.1016/j.ejogrb.2020.01.001Ries JJ, Jeker L, Neuhaus M, Vogt DR, Girard T, Hoesli I. Implementation of the D-A-CH postpartum haemorrhage algorithm after severe postpartum bleeding accelerates clinical management: A retrospective case series. Eur J Obstet Gynecol Reprod Biol. 2020;247:225–231. PMID: 31980289 https://dx.doi.org/10.1016/j.ejogrb.2020.01.001Идрисова Х.С. Современные технологии в лечении послеродовых кровотечений. Проблемы репродукции. 2017;23(3):101–107. https:// doi.org/10.17116/repro2017233101-107Idrisova HS. Modern technologies in treatment of postnatal bleedings. Russian Journal of Human Reproduction. 2017;23(3):101–107. (In Russ.). https://doi.org/10.17116/repro2017233101-107Evensen A, Anderson JM, Fontaine P. Postpartum Hemorrhage: Prevention and Treatment. Am Fam Physician. 2017;95(7):442-449. PMID: 28409600Evensen A, Anderson JM, Fontaine P. Postpartum Hemorrhage: Prevention and Treatment. Am Fam Physician. 2017;95(7):442–449. PMID: 28409600Gonzalez-Brown V, Schneider P. Prevention of postpartum hemorrhage. Semin Fetal Neonatal Med. 2020;25(5):101129. https://doi.org/10.1016/j.siny.2020.101129Gonzalez-Brown V, Schneider P. Prevention of postpartum hemorrhage. Semin Fetal Neonatal Med. 2020;25(5):101129. https://dx.doi.org/10.1016/j.siny.2020.101129Аскеров А.А., Назаралиева С.Б., Осмонова С.К. Опыт применения баллонной тампонады полости матки при послеродовых гипотонических кровотечениях. Акушерство и гинекология. 2018;3:52–56. https://doi.org/10.18565/aig.2018.3.52-56Askerov AA, Nazaralieva SB, Osmonova SK. Experience with uterine balloon tamponade in postpartum hypotonic bleedings. Obstetrics and Gynecology. 2018;(3):52–56. (In Russ.) https://dx.doi.org/10.18565/aig.2018.3.52-56Wang CY, Pan HH, Chang CC, Lin CK. Outcomes of hypogastric artery ligation and transcatheter uterine artery embolization in women with postpartum hemorrhage. Taiwan J Obstet Gynecol. 2019;58(1):72–76. PMID: 30638485 https://doi.org/10.1016/j.tjog.2018.11.014Wang CY, Pan HH, Chang CC, Lin CK. Outcomes of hypogastric artery ligation and transcatheter uterine artery embolization in women with postpartum hemorrhage. Taiwan J Obstet Gynecol. 2019;58(1):72–76. https://dx.doi.org/10.1016/j.tjog.2018.11.014.Баринов С.В., Тирская Ю.И., Медянникова И.В., Жилин А.В., Шавкун И.А., Шамина И.В. Способ остановки послеродового кровотечения путем наложения гемостатического наружно-маточного сборочного надплацентарного шва. Российский вестник акушера-гинеколога. 2017;17(1):53–61. https://doi.org/10.17116/rosakush201717153-61Barinov SV, Tirskaya YuI, Medyannikova IV, Zhilin AV, Shavkun IA, Shamina IV. Procedure for stopping postpartum hemorrhage with a hemostatic external uterine assembly supraplacental suture. Russian Bulletin of Obstetrician-Gynecologist. 2017;17(1):53–61. (In Russ.). https://dx.doi.org/10.17116/rosakush201717153-61Dahlke JD, Mendez-Figueroa H, Maggio L, Hauspurg AK, Sperling JD, Chauhan SP, et al. Prevention and management of postpartum hemorrhage: a comparison of 4 national guidelines. Am J Obstet Gynecol. 2015;213(1):76.e1–76.e10. PMID: 25731692 https://doi.org/10.1016/j.ajog.2015.02.023Dahlke JD, Mendez-Figueroa H, Maggio L, Hauspurg AK, Sperling JD, Chauhan SP, et al. Prevention and management of postpartum hemorrhage: a comparison of 4 national guidelines. Am J Obstet Gynecol. 2015;213(1):76.e1–76.e10. PMID: 25731692. https://dx.doi.org/10.1016/j.ajog.2015.02.023Lee SM, Shin JH, Shim JJ, Yoon KW, Cho YJ, Kim JW, et al. Postpartum haemorrhage due to genital tract injury after vaginal delivery: safety and efficacy of transcatheter arterial embolisation. Eur Radiol. 2018;28(11):4800–4809. PMID: 29808429 https://doi.org/10.1007/s00330-018-5490-3Lee SM, Shin JH, Shim JJ, Yoon KW, Cho YJ, Kim JW, et al. Postpartum haemorrhage due to genital tract injury after vaginal delivery: safety and efficacy of transcatheter arterial embolisation. Eur Radiol. 2018;28(11):4800–4809. PMID: 29808429. https://dx.doi.org/10.1007/s00330-018-5490-3Kellie FJ, Wandabwa JN, Mousa HA, Weeks AD. Mechanical and surgical interventions for treating primary postpartum haemorrhage. Cochrane Database Syst Rev. 2020;7(7):CD013663. PMID: 32609374 https://doi.org/10.1002/14651858Kellie FJ, Wandabwa JN, Mousa HA, Weeks AD. Mechanical and surgical interventions for treating primary postpartum haemorrhage. Cochrane Database Syst Rev. 2020;7(7):CD013663. PMID: 32609374 https://dx.doi.org/10.1002/14651858Perkins S, Drews E, Li G, Martin J. Endovascular treatment of postpartum haemorrhage in a woman with genitourinary and vascular congenital malformations. BMJ Case Rep. 2021;14(3):e240608. PMID: 33758047 https://doi.org/10.1136/bcr-2020-240608Perkins S, Drews E, Li G, Martin J. Endovascular treatment of postpartum haemorrhage in a woman with genitourinary and vascular congenital malformations. BMJ Case Rep. 2021;14(3):e240608. PMID: 33758047 https://dx.doi.org/10.1136/bcr-2020-240608Soro MP, Denys A, de Rham M, Baud D. Short & long term adverse outcomes after arterial embolisation for the treatment of postpartum haemorrhage: a systematic review. Eur Radiol. 2017;27(2):749–762. PMID: 27229338 https://doi.org/10.1007/s00330-016-4395-2Soro MP, Denys A, de Rham M, Baud D. Short & long term adverse outcomes after arterial embolisation for the treatment of postpartum haemorrhage: a systematic review. Eur Radiol. 2017;27(2):749–762. PMID: 27229338. https://dx.doi.org/10.1007/s00330-016-4395-2Spreu A, Abgottspon F, Baumann MU, Kettenbach J, Surbek D. Efficacy of pelvic artery embolisation for severe postpartum hemorrhage. Arch Gynecol Obstet. 2017;296(6):1117–1124. PMID: 28993867 https://doi.org/10.1007/s00404-017-4554-ySpreu A, Abgottspon F, Baumann MU, Kettenbach J, Surbek D. Efficacy of pelvic artery embolisation for severe postpartum hemorrhage. Arch Gynecol Obstet. 2017;296(6):1117–1124. https://dx.doi.org/10.1007/s00404-017-4554-yZhang XQ, Chen XT, Zhang YT, Mai CX. The Emergent Pelvic Artery Embolization in the Management of Postpartum Hemorrhage: A Systematic Review and Meta-analysis. Obstet Gynecol Surv. 2021;76(4):234–244. PMID: 33908615 https://doi.org/10.1097/OGX.0000000000000887Zhang XQ, Chen XT, Zhang YT, Mai CX. The Emergent Pelvic Artery Embolization in the Management of Postpartum Hemorrhage: A Systematic Review and Meta-analysis. Obstet Gynecol Surv. 2021;76(4):234–244. https://dx.doi.org/10.1097/OGX.0000000000000887Dinc G, Oğuz Ş. The efficacy of pelvic arterial embolisation for the treatment in massive vaginal haemorrhage in obstetric and gynaecological emergencies: a single-centre experience. J Obstet Gynaecol. 2019;39(6):774–781. PMID: 31023116 https://doi.org/10.1080/01443615.2019.1586858Dinc G, Oğuz Ş. The efficacy of pelvic arterial embolisation for the treatment in massive vaginal haemorrhage in obstetric and gynaecological emergencies: a single-centre experience. J Obstet Gynaecol. 2019;39(6):774–781. https://dx.doi.org/10.1080/01443615.2019.1586858Aguilar-Crespo A, Morales-Roselló J, Sánchez-Ajenjo C, Valle-Tejero A, García-Marcos R, Perales-Marín A. Postpartum hemorrhage with pelvic arterial embolization, study of 33 cases. J Matern Fetal Neonatal Med. 2019;32(4):573–578. PMID: 28965438 https://doi.org/10.1080/14767058.2017.1387527Aguilar-Crespo A, Morales-Roselló J, Sánchez-Ajenjo C, Valle-Tejero A, García-Marcos R, Perales-Marín A. Postpartum hemorrhage with pelvic arterial embolization, study of 33 cases. J Matern Fetal Neonatal Med. 2019;32(4):573–578. https://dx.doi.org/10.1080/14767058.2017.1387527Ikeda A, Kondoh E, Chigusa Y, Mogami H, Kameyama Nakao K, Kido A, et al. Novel subtype of atonic postpartum hemorrhage: dynamic computed tomography evaluation of bleeding characteristics and the uterine cavity. J Matern Fetal Neonatal Med. 2020;33(19):3286–3292. PMID: 30651015 https://doi.org/10.1080/14767058.2019.1571033Ikeda A, Kondoh E, Chigusa Y, Mogami H, Kameyama Nakao K, Kido A, et al. Novel subtype of atonic postpartum hemorrhage: dynamic computed tomography evaluation of bleeding characteristics and the uterine cavity. J Matern Fetal Neonatal Med. 2020;33(19):3286–3292. https://dx.doi.org/10.1080/14767058.2019.1571033Aoki M, Tokue H, Miyazaki M, Shibuya K, Hirasawa S, Oshima K. Primary postpartum hemorrhage: outcome of uterine artery embolization. Br J Radiol. 2018;91(1087):20180132. PMID: 29641227 https://doi.org/10.1259/bjr.20180132Aoki M, Tokue H, Miyazaki M, Shibuya K, Hirasawa S, Oshima K. Primary postpartum hemorrhage: outcome of uterine artery embolization. Br J Radiol. 2018;91(1087):20180132. PMID: 29641227 https://dx.doi.org/10.1259/bjr.20180132Dabrowiecki A, Newsome J, Bercu ZL, Martin JG. Postpartum haemorrhage requiring embolisation of a hypertrophied round ligament artery. BMJ Case Rep. 2019;12(8):e230071. PMID: 31473635 https://doi.org/10.1136/bcr-2019-230071Dabrowiecki A, Newsome J, Bercu ZL, Martin JG. Postpartum haemorrhage requiring embolisation of a hypertrophied round ligament artery. BMJ Case Rep. 2019;12(8):e230071. PMID: 31473635 https://dx.doi.org/10.1136/bcr-2019-230071Lai BM, Shum JS, Chu CY, Lo SS, Lau KY. Predictors of the success and failure of emergency pelvic artery embolisation for primary postpartum haemorrhage: a 12-year review. Singapore Med J. 2017;58(5):272–278. PMID: 27090601 https://doi.org/10.11622/smedj.2016079Lai BM, Shum JS, Chu CY, Lo SS, Lau KY. Predictors of the success and failure of emergency pelvic artery embolisation for primary postpartum haemorrhage: a 12-year review. Singapore Med J. 2017;58(5):272–278. PMID: 27090601 https://dx.doi.org/10.11622/smedj.2016079Choi W, Shin JH, Kim PH, Han K, Ohm JY, Kim JH, et al. Clinical outcomes of 23 patients who had repeat pelvic arterial embolisation for uncontrolled post-partum haemorrhage at a single centre. Clin Radiol. 2018;73(7):665–671. PMID: 29622362 https://doi.org/10.1016/j.crad.2018.02.019Choi W, Shin JH, Kim PH, Han K, Ohm JY, Kim JH, et al. Clinical outcomes of 23 patients who had repeat pelvic arterial embolisation for uncontrolled post-partum haemorrhage at a single centre. Clin Radiol. 2018;73(7):665–671. PMID: 29622362 https://dx.doi.org/10.1016/j.crad.2018.02.019Liu Z, Wang Y, Yan J, Li J, Liu X, Zhang L, et al. Uterine artery embolization versus hysterectomy in the treatment of refractory postpartum hemorrhage: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2020;33(4):693–705. PMID: 30354858 https://doi.org/10.1080/14767058.2018.1497599Liu Z, Wang Y, Yan J, Li J, Liu X, Zhang L, et al. Uterine artery embolization versus hysterectomy in the treatment of refractory postpartum hemorrhage: a systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2020;33(4):693–705. PMID: 30354858 https://dx.doi.org/10.1080/14767058.2018.1497599Калмыков Е.Л., Рахимов Ф.Р., Умарзода С.Г., Баратов А.К. Эмболизация маточных артерий при лейомиоме матки: состояние проблемы. Акушерство и гинекология. 2020;9:18–26. https://doi.org/10.18565/aig.2020.9.18-26Kalmykov EL, Rakhimov FR, Umarzoda SG, Baratov AK. Uterine artery embolization for uterine leiomyoma: the state of the problem. Obstetrics and gynecology. 2020;9:18–26. (In Russ.). https://dx.doi.org/10.18565/aig.2020.9.18-26Сюткина И.П., Хабаров Д.В., Ракитин Ф.А., Кочеткова М.В., Инёшина А.Д. Комплексная оценка изменений свертывающей системы крови в периоперационном периоде при эмболизации маточных артерий. Акушерство и гинекология. 2019;12:133–139. https://doi.org/10.18565/aig.2019.12.133-139Syutkina IP, Khabarov DV, Rakitin FA, Kochetkova MV, Ineshina AD. Integrated assessment of perioperative changes in the blood coagulating system during uterine artery embolization. Obstetrics and gynecology. 2019;12:133–139. https://dx.doi.org/10.18565/aig.2019.12.133-139Ruiz Sánchez E, Peinado Rodenas J, Gil Martínez-Acacio L, Arones Collantes M, Villar García M, García de la Torre JP. Uterine necrosis. A rare complication of embolisation due to post-partum haemorrhage. J Gynecol Obstet Hum Reprod. 2021;50(2):101773. PMID: 32325270 https://doi.org/10.1016/j.jogoh.2020.101773Ruiz Sánchez E, Peinado Rodenas J, Gil Martínez-Acacio L, Arones Collantes M, Villar García M, García de la Torre JP. Uterine necrosis. A rare complication of embolisation due to post-partum haemorrhage. J Gynecol Obstet Hum Reprod. 2021;50(2):101773. PMID: 32325270 https://dx.doi.org/10.1016/j.jogoh.2020.101773Corvino F, Giurazza F, Vallone M, Mosca S, Fischer MJ, Corvino A, et al. Postpartum Hemorrhage: Rescue. Semin Ultrasound CT MR. 2021;42(1):75-84. PMID: 33541591 https://doi.org/10.1053/j.sult.2020.09.001Corvino F, Giurazza F, Vallone M, Mosca S, Fischer MJ, Corvino A, et al. Postpartum Hemorrhage: Rescue. Semin Ultrasound CT MR. 2021;42(1):75–84. PMID: 33541591 https://dx.doi.org/10.1053/j.sult.2020.09.001Sentilhes L, Gromez A, Clavier E, Resch B, Verspyck E, Marpeau L. Fertility and pregnancy following pelvic arterial embolisation for postpartum haemorrhage. BJOG. 2010;117(1):84–93. PMID: 19832826 https://doi.org/10.1111/j.1471-0528.2009.02381.xSentilhes L, Gromez A, Clavier E, Resch B, Verspyck E, Marpeau L. Fertility and pregnancy following pelvic arterial embolisation for postpartum haemorrhage. BJOG. 2010;117(1):84–93. https://dx.doi.org/10.1111/j.1471-0528.2009.02381.xToguchi M, Iraha Y, Ito J, Makino W, Azama K, Heianna J, et al. Uterine artery embolization for postpartum and postabortion hemorrhage: a retrospective analysis of complications, subsequent fertility and pregnancy outcomes. Jpn J Radiol. 2020;38(3):240–247. PMID: 31811462 https://doi.org/10.1007/s11604-019-00907-2Toguchi M, Iraha Y, Ito J, Makino W, Azama K, Heianna J, et al. Uterine artery embolization for postpartum and postabortion hemorrhage: a retrospective analysis of complications, subsequent fertility and pregnancy outcomes. Jpn J Radiol. 2020;38(3):240–247. PMID: 31811462 https://dx.doi.org/10.1007/s11604-019-00907-2Imafuku H, Yamada H, Morizane M, Tanimura K. Recurrence of post-partum hemorrhage in women with a history of uterine artery embolization. J Obstet Gynaecol Res. 2020;46(1):119–123. PMID: 31608524 https://doi.org/10.1111/jog.14129Imafuku H, Yamada H, Morizane M, Tanimura K. Recurrence of post-partum hemorrhage in women with a history of uterine artery embolization. J Obstet Gynaecol Res. 2020;46(1):119–123 PMID: 31608524 https://dx.doi.org/10.1111/jog.14129Saiga A, Yokota H, Higashide T, Takishima H, Omoto A, Kubota Y, et al. The Relationship Between Gelatin Sponge Preparation Methods and the Incidence of Intrauterine Synechia Following Uterine Artery Embolization for Postpartum Hemorrhage. Cardiovasc Intervent Radiol. 2019;42(2):195–204. PMID: 30238332 https://doi.org/10.1007/s00270018-2078-xSaiga A, Yokota H, Higashide T, Takishima H, Omoto A, Kubota Y, et al. The Relationship Between Gelatin Sponge Preparation Methods and the Incidence of Intrauterine Synechia Following Uterine Artery Embolization for Postpartum Hemorrhage. Cardiovasc Intervent Radiol. 2019;42(2):195–204. PMID: 30238332 https://dx.doi.org/10.1007/s00270-018-2078-x

The authors declare that there are no conflicts of interest present.