¼ 263,991; 58% of total volume) compared to inpatient (N ¼ 183,386; 40%). Radiologists performed the majority of these procedures (N ¼ 164,580; 36% of the total volume), followed by cardiologists (N ¼ 138,949; 31%) and vascular surgeons (N ¼ 75,431; 17%). However, radiologists saw the greatest decline in procedure volumes (25,907 to 13,108; -49%), compared with cardiologists (20,514 to 12,629; -35%) and vascular surgeons (9684 to 7921; -18%). Conclusions: The volume of percutaneous extremity venography procedures performed in the Medicare population declined from 2010 to 2018, most likely related to more stringent patient selection. Radiologists performed the majority of procedures but were closely followed by cardiologists.
using the search terms "uterine" and "bleed." Among the 208 results, 15 patients underwent UAE for hemorrhage within 24 hours of delivery. Etiologies, embolic agent(s), and technical success were reviewed. Follow-up data on resumption of normal menses and future pregnancy were also evaluated where available. Results: The median age was 34 (range, 24-43) years-old. The most common post-partum hemorrhage etiologies were due to uterine atony (6 patients), cervical laceration (5), abnormal placentation (3) and coagulopathy (1). Radial artery access was performed in 12 cases. Gelfoam-only was used in 5 cases, glueonly in 3, Gelfoam and particles in 5, Gelfoam and glue in 1, and particles-only in 1. The technical success rate was 92.3% with 1 patient requiring hysterectomy after UAE for persistent bleeding. The median time to follow-up was 75 (range, 1-327) days, excluding 3 patients who were lost to follow-up. Four patients had documented resumption of normal menses and 1 patient had a documented future pregnancy. Documentation of desired pregnancy following UAE was not available. Conclusions: UAE with glue, particles and/or Gelfoam is an effective management option for patients with post-partum hemorrhage and return of menses and future pregnancy was observed. However, larger, prospective, multicenter studies are needed, as well as assessment for desired pregnancy, to determine fertility in patients following UAE for post-partum hemorrhage.
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