{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T12:08:31Z","timestamp":1785326911625,"version":"3.55.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T00:00:00Z","timestamp":1508803200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Acta Radiol"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Identification of the source of postpartum hemorrhage (PPH) is important for embolization because PPH frequently originates from non-uterine arteries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To evaluate the clinical importance of identifying the non-uterine arteries causing the PPH and the results of their selective embolization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material and Methods<\/jats:title>\n                    <jats:p>This retrospective study enrolled 59 patients who underwent embolization for PPH from June 2009 to July 2016. Angiographic findings and medical records were reviewed to determine whether non-uterine arteries contributed to PPH. Arteries showing extravasation or hypertrophy accompanying uterine hypervascular staining were regarded as sources of the PPH. The results of their embolization were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 59 patients, 19 (32.2%) underwent embolization of non-uterine arteries. These arteries were ovarian (n\u2009=\u20097), vaginal (n\u2009=\u20095), round ligament (n\u2009=\u20095), inferior epigastric (n\u2009=\u20093), cervical (n\u2009=\u20092), internal pudendal (n\u2009=\u20092), vesical (n\u2009=\u20091), and rectal (n\u2009=\u20091) arteries. The embolic materials used included n-butyl cyanoacrylate (n\u2009=\u20099), gelatin sponge particles (n\u2009=\u20098), gelatin sponge particles with microcoils (n\u2009=\u20091), and polyvinyl alcohol particles (n\u2009=\u20091). In 13 patients, bilateral uterine arterial embolization was performed. Re-embolization was performed in two patients with persistent bleeding. Hemostasis was achieved in 17 (89.5%) patients. Two patients underwent immediate hysterectomy due to persistent bleeding. One patient experienced a major complication due to pelvic organ ischemia. One patient underwent delayed hysterectomy for uterine infarction four months later.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Non-uterine arteries are major sources of PPH. Detection and selective embolization are important for successful hemostasis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0284185117738547","type":"journal-article","created":{"date-parts":[[2017,10,25]],"date-time":"2017-10-25T02:06:27Z","timestamp":1508897187000},"page":"932-938","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Postpartum hemorrhage from non-uterine arteries: clinical importance of their detection and the results of selective embolization"],"prefix":"10.1177","volume":"59","author":[{"given":"Jeong-Eun","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Radiology, Hallym University Sacred Heart Hospital, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Ho","family":"So","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byoung Jae","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Young Ho","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chang Kyu","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Radiology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,10,24]]},"reference":[{"key":"bibr1-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2008.12.004"},{"key":"bibr2-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.208.2.9680559"},{"key":"bibr3-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-010-9864-4"},{"key":"bibr4-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1080\/02841850701370683"},{"key":"bibr5-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2009.04.058"},{"key":"bibr6-0284185117738547","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.172.4.10587133"},{"key":"bibr7-0284185117738547","doi-asserted-by":"publisher","DOI":"10.3348\/kjr.2014.15.3.356"},{"key":"bibr8-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2014.10.001"},{"key":"bibr9-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/S1051-0443(07)61825-9"},{"key":"bibr10-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1097\/01.RVI.0000094584.83406.3e"},{"key":"bibr11-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.14382"},{"key":"bibr12-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2010.09.031"},{"key":"bibr13-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-013-2830-1"},{"key":"bibr14-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-015-1054-y"},{"key":"bibr15-0284185117738547","doi-asserted-by":"publisher","DOI":"10.5468\/ogs.2014.57.1.17"},{"key":"bibr16-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1097\/01.ogx.0000271137.81361.93"},{"key":"bibr17-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01939.x"},{"key":"bibr18-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1159\/000367598"},{"key":"bibr19-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1007\/s00270-016-1309-2"},{"key":"bibr20-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.212.2.r99jl05385"},{"key":"bibr21-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-008-0876-2"},{"key":"bibr22-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2011.01527.x"},{"key":"bibr23-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.04.081"},{"key":"bibr24-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvir.2011.08.016"},{"key":"bibr25-0284185117738547","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.09.3073"},{"key":"bibr26-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12123"},{"key":"bibr27-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2014.02.026"},{"key":"bibr28-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2013.07.016"},{"key":"bibr29-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.12295"},{"key":"bibr30-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01451.x"},{"key":"bibr31-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1111\/anae.13895"},{"key":"bibr32-0284185117738547","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2014.08.021"},{"key":"bibr33-0284185117738547","volume-title":"Gray\u2019s anatomy","author":"Standring S","year":"2015","edition":"41"}],"container-title":["Acta Radiologica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0284185117738547","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0284185117738547","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0284185117738547","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:21:25Z","timestamp":1777389685000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0284185117738547"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10,24]]},"references-count":33,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1177\/0284185117738547"],"URL":"https:\/\/doi.org\/10.1177\/0284185117738547","relation":{},"ISSN":["0284-1851","1600-0455"],"issn-type":[{"value":"0284-1851","type":"print"},{"value":"1600-0455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,10,24]]}}}