Comparison of Rates of Bleeding and Vascular Complications Before, During, and After Trial Enrollment in the SAFE-PCI Trial for Women.

Background: SAFE-PCI for Women (Study of Access Site for Enhancement of PCI for Women), a randomized controlled trial comparing radial and femoral access in women undergoing cardiac catheterization or percutaneous coronary intervention (PCI), was terminated early for lower than expected event rates. Whether this was because of patient selection or better access site practice among trial patients is unknown.

Methods And Results: SAFE-PCI was conducted within the National Cardiovascular Data Registry CathPCI registry.

Midterm results of uterine artery embolization for symptomatic adenomyosis: initial experience.

Purpose: To prospectively evaluate the midterm results of uterine artery embolization for symptomatic adenomyosis.

Materials And Methods: The study protocol was approved by the institutional review board, and all participants gave written informed consent. Eighteen women (mean age, 44.

Limited uterine artery embolization with tris-acryl gelatin microspheres for uterine fibroids.

Purpose: To evaluate the midterm results of limited embolization of the uterine arteries in the management of symptomatic uterine fibroids and to evaluate the efficacy and safety of limited uterine artery embolization (UAE) with use of calibrated tris-acryl gelatin microspheres in the management of symptomatic uterine fibroids.

Materials And Methods: Twenty women (mean age, 43 years) with symptomatic uterine fibroids underwent bilateral embolization of the uterine arteries with use of calibrated microspheres. Devascularization of the fibroids was achieved and the main uterine artery was left patent in all women.

[Interventional radiology in managing post-partum hemorrhage].

Unlabelled: EMBOLISATION OF THE UTERINE ARTERIES: Is the technique of choice for the management of post-partum hemorrhage, since it is efficient and virtually non-invasive. However, initial obstetrical measures and appropriate reanimation should never be neglected. The decision for embolisation must be made by all of the competent staff (obstetrician, reanimator, interventional radiologist).

[Uterine artery embolization: anatomical and technical considerations, indications, results, and complications].

The first reported use of transcatheter arterial embolization in the management of intractable bleeding related to pelvic trauma appeared in the literature in 1973. Other indications for pelvic embolization in women include postoperative and postpartum hemorrhage and bleeding related to gynecologic malignancy. Recently, the use of uterine artery embolization in the management of symptomatic leiomyoma has been reported as an alternative to surgery.

Selective arterial embolization of the uterine arteries in the management of intractable post-partum hemorrhage.

Background: To evaluate the efficacy and safety of selective arterial embolization in the management of intractable post-partum hemorrhage.

Methods: Thirty-five consecutive women with severe post-partum hemorrhage (primary, n=25; secondary, n=10) were treated by selective embolization of the uterine arteries. The main cause of immediate post-partum hemorrhage was atonic uterus.

Secondary postpartum hemorrhage: treatment with selective arterial embolization.

Purpose: To evaluate the efficacy and safety of selective arterial embolization of the uterine arteries in the management of intractable delayed postpartum hemorrhage.

Materials And Methods: Fourteen consecutive women with secondary postpartum hemorrhage were treated with selective embolization of the uterine arteries. In all cases, hemostatic embolization was performed because of intractable hemorrhage that could not be controlled with the administration of uterotonic drugs or with uterine curettage.

[Management of severe post-partum hemorrhage using selective arterial embolization].

Objectives: To evaluate the efficacy and safety of uterine embolization in the management of intractable post-partum hemorrhage.

Materials And Methods: From July 1994 to December 1997, 51 patients with severe primary (n = 37) or secondary (n = 14) post-partum hemorrhage were treated by arterial uterine embolization. In all cases, hemostatic uterine embolization was performed because of persistent hemorrhage despite adapted obstetrical measures and early introduction of uterotonic drugs.

Life-threatening primary postpartum hemorrhage: treatment with emergency selective arterial embolization.

Purpose: To prospectively evaluate the efficacy and safety of emergency selective arterial embolization in the management of intractable primary postpartum hemorrhage.

Materials And Methods: Twenty-seven consecutively seen women with life-threatening primary postpartum hemorrhage underwent uterine embolization. In all cases, hemostatic embolization was performed because of intractable hemorrhage that could not be controlled with vaginal packing and administration of uterotonic drugs.