Evaluation of the Non-inferiority of Resorbable Gelatin Embolization Compared to Embolization Combined With Endometrial Aspiration for the Management of Hemorrhagic Uterine Vascular Abnormalities Following Premature Termination of Pregnancy
NCT07206342 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 110
Last updated 2025-10-03
Summary
The goal of this clinical trial is to determine the best treatment for patients who experience vaginal bleeding following a premature termination of pregnancy.
The main questions it aims to answer are:
* Evaluate the effectiveness of embolization alone versus embolization followed by aspiration in stopping bleeding
* Evaluate its effectiveness in restoring the menstrual cycle.
* What are the complications associated with the two procedures?
* What is their impact on future fertility?
The researchers will evaluate the patients over a period of 12 months.
Participants will:
* Undergo one of the two procedures (procedure 1: embolization alone and procedure 2: embolization combined with aspiration).
* Will participate in regular follow-ups to monitor the risk of recurrence of -bleeding and complications associated with the two treatments
* Will undergo imaging tests to assess the persistence of bleeding after the procedure
Conditions
- Hemorrhage, Obstetric
- Uterine Abnormality
- Uterine Artery Embolization
- Vaginal Bleeding During Pregnancy
- Vaginal Bleeding
Interventions
- PROCEDURE
-
embolization therapy
Patients will undergo embolization alone, which involves temporarily blocking the uterine artery or arteries supplying a hypervascular abnormality using resorbable gelatin fragments.
- PROCEDURE
-
embolization followed by aspiration
Patients will undergo embolization prior to endometrial aspiration. Embolization will be performed in the same manner as in group "Embolization alone" but will be followed within 48 hours by a second procedure to remove the intrauterine residue that will have been devascularized (= deprived of blood) by the embolization.
Sponsors & Collaborators
-
University Hospital, Bordeaux
collaborator OTHER -
University Hospital, Clermont-Ferrand
collaborator OTHER -
Centre Hospitalier Universitaire Saint Etienne, France, 43055
collaborator UNKNOWN -
University Hospital, Grenoble
lead OTHER
Principal Investigators
-
Julien Ghelfi · CHU Grenoble Alpes
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-01
- Primary Completion
- 2028-03-01
- Completion
- 2028-12-31
Countries
- France
Study Locations
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