Pelvic Arterial Embolisation in Obstetric and Gynaecological Haemorrhage: A Single-Centre Case Series

Background: Obstetric and gynaecological haemorrhage contributes significantly to morbidity and mortality globally. Pelvic arterial embolisation has been described as a management option for emergency haemorrhage not responsive to conservative measures. Despite encouraging outcomes, it is not widely utilised. Aim: This study aims to assess efficacy and early complications of pelvic arterial embolisation as a therapy for obstetric and gynaecological haemorrhage not controlled by conservative methods. Materials and Methods: This retrospective single-centre case series reviewed all cases of acute haemorrhage from obstetric or gynaecological causes referred for angiographic embolisation between 2014 and 2020. Results: Twelve patients underwent pelvic arterial embolisation with a 100% technical success rate and 91.6% clinical success rate. There were no major early complications. Conclusion: Pelvic arterial embolisation is a safe and effective option for obstetric and gynaecological haemorrhage not responsive to conservative management.