Author's response

Abstract

We thank Dr Dohan and colleagues for their interest in our work and their comments. Uterine necrosis following pelvic arterial embolization for post-partum hemorrhage: review of the literatureEuropean Journal of Obstetrics and Gynecology and Reproductive BiologyVol. 170Issue 2PreviewUterine necrosis is one of the rarest complications following pelvic arterial embolization for postpartum hemorrhage (PPH). With the increasing incidence of cesarean section and abnormal placental localization (placenta previa) or placental invasion (placenta accreta/increta/percreta), more and more cases of uterine necrosis after embolization are being diagnosed and reported. Pelvic computed tomography or magnetic resonance imaging provides high diagnostic accuracy, and surgical management includes hysterectomy. Full-Text PDF How to avoid uterine necrosis after arterial embolization for post-partum hemorrhage: a proposal based on a single center experience of 600 casesEuropean Journal of Obstetrics and Gynecology and Reproductive BiologyVol. 171Issue 2PreviewWe read with great interest the systematic review by Poujade and colleagues [1] made to identify predictive factors for uterine necrosis after pelvic arterial embolization for postpartum hemorrhage (PPH). The factors they identified among the 19 cases reported in the literature were the nature and size of embolic agents, the absence of visible anastomoses between the uterine and ovarian arteries on the first angiography and the use of free-flow embolization. Full-Text PDF