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Published in: CardioVascular and Interventional Radiology 5/2010

01-10-2010 | Review/State of the Art

The Role of Interventional Radiology in Obstetric Hemorrhage

Authors: M. Gonsalves, A. Belli

Published in: CardioVascular and Interventional Radiology | Issue 5/2010

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Abstract

Obstetric hemorrhage remains a major cause of maternal morbidity and mortality worldwide. Traditionally, in cases of obstetric hemorrhage refractory to conservative treatment, obstetricians have resorted to major surgery with the associated risks of general anesthesia, laparotomy, and, in the case of hysterectomy, loss of fertility. Over the past two decades, the role of pelvic arterial embolization has evolved from a novel treatment option to playing a key role in the management of obstetric hemorrhage. To date, interventional radiology offers a minimally invasive, fertility-preserving alternative to conventional surgical treatment. We review current literature regarding the role of interventional radiology in postpartum hemorrhage, abnormal placentation, abortion, and cervical ectopic pregnancy. We discuss techniques, success rates, and complications.
Literature
1.
go back to reference World Health Organization (WHO) Department of Reproductive Health and Research (2004) Maternal mortality in 2000: estimates developed by WHO, UNICEF, and UNFPA. WHO, Geneva World Health Organization (WHO) Department of Reproductive Health and Research (2004) Maternal mortality in 2000: estimates developed by WHO, UNICEF, and UNFPA. WHO, Geneva
2.
go back to reference Brace V, Penney G, Hall M (2004) Quantifying severe maternal morbidity: a Scottish population study. BJOG 111:481–484CrossRefPubMed Brace V, Penney G, Hall M (2004) Quantifying severe maternal morbidity: a Scottish population study. BJOG 111:481–484CrossRefPubMed
3.
go back to reference Waterstone M, Bewley S, Wolfe C (2001) Incidence and predictors of severe obstetric morbidity: case–control study. BMJ 322(7294):1089–1093CrossRefPubMed Waterstone M, Bewley S, Wolfe C (2001) Incidence and predictors of severe obstetric morbidity: case–control study. BMJ 322(7294):1089–1093CrossRefPubMed
4.
go back to reference Confidential Enquiries into Maternal and Child Health (2007) Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2003–2005. RCOG Press, London Confidential Enquiries into Maternal and Child Health (2007) Saving Mothers’ Lives: reviewing maternal deaths to make motherhood safer: 2003–2005. RCOG Press, London
5.
go back to reference Heaston DK, Mineau DE, Brown BJ et al (1979) Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation. AJR Am J Roentgenol 133:152–154PubMed Heaston DK, Mineau DE, Brown BJ et al (1979) Transcatheter arterial embolization for control of persistent massive puerperal hemorrhage after bilateral surgical hypogastric artery ligation. AJR Am J Roentgenol 133:152–154PubMed
7.
go back to reference Pelage JP, Le Dref O, Mateo J et al (1998) Life-threatening primary postpartum hemorrhage: treatment with emergency selective arterial embolization. Radiology 208:359–362PubMed Pelage JP, Le Dref O, Mateo J et al (1998) Life-threatening primary postpartum hemorrhage: treatment with emergency selective arterial embolization. Radiology 208:359–362PubMed
8.
go back to reference Deux JF, Bazot M, Le Blanche AF et al (2001) Is selective embolization of uterine arteries a safe alternative to hysterectomy in patients with postpartum hemorrhage? AJR Am J Roentgenol 177:145–149PubMed Deux JF, Bazot M, Le Blanche AF et al (2001) Is selective embolization of uterine arteries a safe alternative to hysterectomy in patients with postpartum hemorrhage? AJR Am J Roentgenol 177:145–149PubMed
9.
go back to reference Ratnam LA, Gibson M, Sandhu C et al (2008) Transcatheter pelvic arterial embolisation for control of obstetric and gynaecological haemorrhage. J Obstet Gynaecol 28:573–579CrossRefPubMed Ratnam LA, Gibson M, Sandhu C et al (2008) Transcatheter pelvic arterial embolisation for control of obstetric and gynaecological haemorrhage. J Obstet Gynaecol 28:573–579CrossRefPubMed
10.
go back to reference Boulleret C, Chahid D, Gallot D et al (2004) Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases. Cardiovasc Intervent Radiol 27:334–348CrossRef Boulleret C, Chahid D, Gallot D et al (2004) Hypogastric arterial selective and superselective embolization for severe postpartum hemorrhage: a retrospective review of 36 cases. Cardiovasc Intervent Radiol 27:334–348CrossRef
11.
go back to reference Ojala K, Perala J, Kariniemi J et al (2005) Arterial embolization and prophylactic catheterization for the treatment of severe obstetric hemorrhage. Acta Obstet Gynecol Scand 84:1075–1080PubMed Ojala K, Perala J, Kariniemi J et al (2005) Arterial embolization and prophylactic catheterization for the treatment of severe obstetric hemorrhage. Acta Obstet Gynecol Scand 84:1075–1080PubMed
12.
go back to reference Tsang ML, Wong WC, Kun KY et al (2004) Arterial embolisation in intractable primary post-partum haemorrhage: case series. Hong Kong Med J 10:301–306PubMed Tsang ML, Wong WC, Kun KY et al (2004) Arterial embolisation in intractable primary post-partum haemorrhage: case series. Hong Kong Med J 10:301–306PubMed
13.
go back to reference Tourne G, Colleta F, Seffert P et al (2003) Place of embolization of the uterine arteries in the managementof post-partum haemorrhage: a study of 12 cases. Eur J Obstet Gynecol Reprod Biol 110:29–34CrossRefPubMed Tourne G, Colleta F, Seffert P et al (2003) Place of embolization of the uterine arteries in the managementof post-partum haemorrhage: a study of 12 cases. Eur J Obstet Gynecol Reprod Biol 110:29–34CrossRefPubMed
14.
go back to reference Tixier H, Loffroy R, Guiu B et al (2009) Complications and failure of uterine artery embolisation for intractable postpartum haemorrhage. BJOG 116:55–61 Tixier H, Loffroy R, Guiu B et al (2009) Complications and failure of uterine artery embolisation for intractable postpartum haemorrhage. BJOG 116:55–61
15.
go back to reference Yamashita Y, Takahashi M, Ito M et al (1991) Transcatheter arterial embolization in the management of post-partum hemorrhage due to genital tract injury. Obstet Gynecol 77:160–163PubMed Yamashita Y, Takahashi M, Ito M et al (1991) Transcatheter arterial embolization in the management of post-partum hemorrhage due to genital tract injury. Obstet Gynecol 77:160–163PubMed
16.
go back to reference Moussa HA, Alferic Z (2003) Treatment for primary postpartum hemorrhage: a meta analysis of randomised trials on the use of misoprostol for the treatment of postpartum hemorrhage. Cochrane Database Syst Rev (1):CD003249 Moussa HA, Alferic Z (2003) Treatment for primary postpartum hemorrhage: a meta analysis of randomised trials on the use of misoprostol for the treatment of postpartum hemorrhage. Cochrane Database Syst Rev (1):CD003249
17.
go back to reference Zelop CM, Harlow BL, Frigoletto et al (1993) Emergency peripartum hysterectomy. Am J Obstet Gynecol 168:1443–1448PubMed Zelop CM, Harlow BL, Frigoletto et al (1993) Emergency peripartum hysterectomy. Am J Obstet Gynecol 168:1443–1448PubMed
18.
go back to reference Vedantham S, Goodwin SC, McLucas B, Mohr G (1997) Uterine artery embolization: an underused method of controlling pelvic hemorrhage. Am J Obstet Gynecol 176:938–948CrossRefPubMed Vedantham S, Goodwin SC, McLucas B, Mohr G (1997) Uterine artery embolization: an underused method of controlling pelvic hemorrhage. Am J Obstet Gynecol 176:938–948CrossRefPubMed
19.
go back to reference Greenwood LH, Glickman MG, Schwartz PE et al (1987) Obstetric and non-malignant gynaecologic bleeding: treatment with angiographic embolization. Radiology 164:155–159PubMed Greenwood LH, Glickman MG, Schwartz PE et al (1987) Obstetric and non-malignant gynaecologic bleeding: treatment with angiographic embolization. Radiology 164:155–159PubMed
20.
go back to reference Brown BJ, Heaston DK, Poulson AM et al (1979) Uncontrollable postpartum bleeding: a new approach to hemostasis through angiographic arterial embolization. Obstet Gynecol 154:361–365 Brown BJ, Heaston DK, Poulson AM et al (1979) Uncontrollable postpartum bleeding: a new approach to hemostasis through angiographic arterial embolization. Obstet Gynecol 154:361–365
21.
go back to reference Collins CD, Jackson JE (1995) Pelvic arterial embolization following hysterectomy and bilateral internal iliac ligation for intractable primary postpartum haemorrhage. Clin Radiol 50:710–714CrossRefPubMed Collins CD, Jackson JE (1995) Pelvic arterial embolization following hysterectomy and bilateral internal iliac ligation for intractable primary postpartum haemorrhage. Clin Radiol 50:710–714CrossRefPubMed
22.
go back to reference Sentilhes L, Gromez A, Clavier E et al (2009) Predictors of failed pelvic arterial embolization for severe postpartum hemorrhage. Obstet Gynaecol 113:992–999 Sentilhes L, Gromez A, Clavier E et al (2009) Predictors of failed pelvic arterial embolization for severe postpartum hemorrhage. Obstet Gynaecol 113:992–999
23.
go back to reference Gaia G, Chabrot P, Cassagnes L et al (2009) Menses recovery and fertility after artery embolization for PPH: a single-center retrospective observational study. Eur Radiol 19:481–487CrossRefPubMed Gaia G, Chabrot P, Cassagnes L et al (2009) Menses recovery and fertility after artery embolization for PPH: a single-center retrospective observational study. Eur Radiol 19:481–487CrossRefPubMed
24.
go back to reference Miller DA, Chollet JA, Murphy TM (1997) Clinical risk factors for placenta previa-placenta accreta. Am J Obstet Gynecol 177:210–214CrossRefPubMed Miller DA, Chollet JA, Murphy TM (1997) Clinical risk factors for placenta previa-placenta accreta. Am J Obstet Gynecol 177:210–214CrossRefPubMed
26.
go back to reference Wu S, Kocherginsky M, Hibbard JU (2005) Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 192:1458–1461CrossRefPubMed Wu S, Kocherginsky M, Hibbard JU (2005) Abnormal placentation: twenty-year analysis. Am J Obstet Gynecol 192:1458–1461CrossRefPubMed
27.
go back to reference Silver RM, Landon MB, Rouse DJ et al (2006) Maternal morbidity associated with multiple repeat caesarean deliveries. Obstet Gynecol 107:1226–1232PubMed Silver RM, Landon MB, Rouse DJ et al (2006) Maternal morbidity associated with multiple repeat caesarean deliveries. Obstet Gynecol 107:1226–1232PubMed
28.
go back to reference Hudon L, Belfort MA, Broome DR (1998) Diagnosis and management of placenta percreta: a review. Obstet Gynecol Surv 53:509–517CrossRefPubMed Hudon L, Belfort MA, Broome DR (1998) Diagnosis and management of placenta percreta: a review. Obstet Gynecol Surv 53:509–517CrossRefPubMed
29.
go back to reference Stanco LM, Schrimmer DB, Paul RH et al (1993) Emergency peripartum hysterectomy and associated risk factors. Am J Obstet Gynecol 168:879–883PubMed Stanco LM, Schrimmer DB, Paul RH et al (1993) Emergency peripartum hysterectomy and associated risk factors. Am J Obstet Gynecol 168:879–883PubMed
30.
go back to reference Vela G, Tulandi T (2007) Cervical pregnancy: the importance of early diagnosis and treatment. J Minim Invasive Gynecol 14:481–484CrossRefPubMed Vela G, Tulandi T (2007) Cervical pregnancy: the importance of early diagnosis and treatment. J Minim Invasive Gynecol 14:481–484CrossRefPubMed
31.
go back to reference Yu B, Douglas NC, Guarnaccia MM et al (2009) Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy. Arch Gynecol Obstet 279:721–724CrossRefPubMed Yu B, Douglas NC, Guarnaccia MM et al (2009) Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy. Arch Gynecol Obstet 279:721–724CrossRefPubMed
32.
go back to reference Oki T, Baba Y, Yoshinaga M (2008) Super-selective arterial embolization for uncontrolled bleeding in abdominal pregnancy. Obstet Gynecol 112:427–429PubMed Oki T, Baba Y, Yoshinaga M (2008) Super-selective arterial embolization for uncontrolled bleeding in abdominal pregnancy. Obstet Gynecol 112:427–429PubMed
33.
go back to reference Veerareddy S, Sriemevan A, Cockburn J et al (2004) Non-surgical management of a mid-trimester abdominal pregnancy. BJOG 111:281–283 Veerareddy S, Sriemevan A, Cockburn J et al (2004) Non-surgical management of a mid-trimester abdominal pregnancy. BJOG 111:281–283
34.
go back to reference Ferris LE, McMain-Klein M, Colodny N et al (1996) Factors associated with immediate abortion complications. CMAJ 154:1677–1685PubMed Ferris LE, McMain-Klein M, Colodny N et al (1996) Factors associated with immediate abortion complications. CMAJ 154:1677–1685PubMed
35.
go back to reference Steinauer JE, Diedrich JT, Wilson MW et al (2008) Uterine artery embolization in postabortion hemorrhage. Obstet Gynecol 111:881–889PubMed Steinauer JE, Diedrich JT, Wilson MW et al (2008) Uterine artery embolization in postabortion hemorrhage. Obstet Gynecol 111:881–889PubMed
36.
go back to reference Bratby MJ, Ramachandran N, Sheppard EN et al (2007) Prospective study of elective bilateral versus unilateral femoral arterial puncture for uterine artery embolization. Cardiovasc Intervent Radiol 30:1139–1143CrossRefPubMed Bratby MJ, Ramachandran N, Sheppard EN et al (2007) Prospective study of elective bilateral versus unilateral femoral arterial puncture for uterine artery embolization. Cardiovasc Intervent Radiol 30:1139–1143CrossRefPubMed
37.
go back to reference Hong TM, Tseng HS, Lee RC et al (2004) Uterine artery embolization: an effective treatment for intractable obstetric hemorrhage. Clin Radiol 59:96–101CrossRefPubMed Hong TM, Tseng HS, Lee RC et al (2004) Uterine artery embolization: an effective treatment for intractable obstetric hemorrhage. Clin Radiol 59:96–101CrossRefPubMed
38.
go back to reference Pelage JP, Soyer P, Repiquet D et al (1999) Secondary postpartum hemorrhage: treatment with selective arterial embolization. Radiology 212:385–389PubMed Pelage JP, Soyer P, Repiquet D et al (1999) Secondary postpartum hemorrhage: treatment with selective arterial embolization. Radiology 212:385–389PubMed
39.
go back to reference Ornan D, White R, Pollak J et al (2003) Pelvic embolization for intractable postpartum hemorrhage: long-term follow-up and implications for fertility. Obstet Gynecol 102(5 pt 1):904–910CrossRefPubMed Ornan D, White R, Pollak J et al (2003) Pelvic embolization for intractable postpartum hemorrhage: long-term follow-up and implications for fertility. Obstet Gynecol 102(5 pt 1):904–910CrossRefPubMed
40.
go back to reference Rosenthal DM, Colapinto R (1985) Angiographic arterial embolization in the management of post-operative vaginal hemorrhage. Am J Obstet Gynecol 151:227–231PubMed Rosenthal DM, Colapinto R (1985) Angiographic arterial embolization in the management of post-operative vaginal hemorrhage. Am J Obstet Gynecol 151:227–231PubMed
41.
go back to reference Kelly SM, Belli AM, Campbell S (2003) Arteriovenous malformation of the uterus associated with secondary postpartum hemorrhage. Ultrasound Obstet Gynecol 21:602–605CrossRefPubMed Kelly SM, Belli AM, Campbell S (2003) Arteriovenous malformation of the uterus associated with secondary postpartum hemorrhage. Ultrasound Obstet Gynecol 21:602–605CrossRefPubMed
42.
go back to reference Mitty HA, Sterling KM, Alvarez M et al (1993) Obstetric hemorrhage: prophylactic and emergency arterial catheterization and embolotherapy. Radiology 188:183–187PubMed Mitty HA, Sterling KM, Alvarez M et al (1993) Obstetric hemorrhage: prophylactic and emergency arterial catheterization and embolotherapy. Radiology 188:183–187PubMed
43.
go back to reference Cottier JP, Fignon A, Tranquart F et al (2002) Uterine necrosis after arterial embolization for postpartum hemorrhage. Obstet Gynecol 100:1074–1077CrossRefPubMed Cottier JP, Fignon A, Tranquart F et al (2002) Uterine necrosis after arterial embolization for postpartum hemorrhage. Obstet Gynecol 100:1074–1077CrossRefPubMed
44.
go back to reference Doumouchtsis SK, Papageorghiou AT, Arulkumaran A (2007) Systematic review of conservative management of postpartum hemorrhage: what to do when medical treatment fails. Obstetr Gynecol Surv 62:540–547CrossRef Doumouchtsis SK, Papageorghiou AT, Arulkumaran A (2007) Systematic review of conservative management of postpartum hemorrhage: what to do when medical treatment fails. Obstetr Gynecol Surv 62:540–547CrossRef
45.
go back to reference Alanis M, Hurst BS, Marshburn PB et al (2006) Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in favourable outcome in subsequent pregnancies. Fertil Steril 86:1514.e3–7 Alanis M, Hurst BS, Marshburn PB et al (2006) Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in favourable outcome in subsequent pregnancies. Fertil Steril 86:1514.e3–7
46.
go back to reference Weeks S, Stroud T, Sandhu J et al (2000) Temporary balloon occlusion of the internal iliac arteries for control of hemorrhage during cesarean hysterectomy in a patient with placenta previa and placenta increta. J Vasc Interv Radiol 11:622–624CrossRefPubMed Weeks S, Stroud T, Sandhu J et al (2000) Temporary balloon occlusion of the internal iliac arteries for control of hemorrhage during cesarean hysterectomy in a patient with placenta previa and placenta increta. J Vasc Interv Radiol 11:622–624CrossRefPubMed
47.
go back to reference Kidney DD, Nguyen AM, Ahdoot D et al (2001) Prophylactic perioperative hypogastric artery balloon occlusion in abnormal placentation. AJR Am J Roentgenol 176:1521–1542PubMed Kidney DD, Nguyen AM, Ahdoot D et al (2001) Prophylactic perioperative hypogastric artery balloon occlusion in abnormal placentation. AJR Am J Roentgenol 176:1521–1542PubMed
48.
go back to reference Shih JC, Liu KL, Shyu MK (2005) Temporary balloon occlusion of the common iliac artery: new approach to bleeding control during cesarean hysterectomy for placenta percreta. Am J Obstet Gynecol 193:1756–1758CrossRefPubMed Shih JC, Liu KL, Shyu MK (2005) Temporary balloon occlusion of the common iliac artery: new approach to bleeding control during cesarean hysterectomy for placenta percreta. Am J Obstet Gynecol 193:1756–1758CrossRefPubMed
49.
go back to reference Levine AB, Kulhman K, Bonn J (1999) Placenta accreta: comparison of cases managed with and without pelvic artery balloon catheters. J Matern Fetal Med 8:173–176CrossRefPubMed Levine AB, Kulhman K, Bonn J (1999) Placenta accreta: comparison of cases managed with and without pelvic artery balloon catheters. J Matern Fetal Med 8:173–176CrossRefPubMed
50.
go back to reference Shirvastava V, Nageotte M, Major C et al (2007) Case–control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta. Am J Obstet Gynecol 197:402.e1–5 Shirvastava V, Nageotte M, Major C et al (2007) Case–control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta. Am J Obstet Gynecol 197:402.e1–5
51.
go back to reference Chait A, Moltz A, Nelson JH (1968) The collateral arterial circulation in the pelvis: an angiographic study. AJR Am J Roentgenol 102:392–400 Chait A, Moltz A, Nelson JH (1968) The collateral arterial circulation in the pelvis: an angiographic study. AJR Am J Roentgenol 102:392–400
52.
go back to reference Evans S, McShane P (1985) The efficacy of internal iliac artery ligation in obstetric hemorrhage. Surg Gynecol Obstet 160:250–253PubMed Evans S, McShane P (1985) The efficacy of internal iliac artery ligation in obstetric hemorrhage. Surg Gynecol Obstet 160:250–253PubMed
53.
go back to reference Tan CH, Tay KH, Sheah K et al (2007) Perioperative endovascular internal iliac artery occlusion balloon placement in management of placenta accreta. AJR Am J Roentgenol 189:1158–1163CrossRefPubMed Tan CH, Tay KH, Sheah K et al (2007) Perioperative endovascular internal iliac artery occlusion balloon placement in management of placenta accreta. AJR Am J Roentgenol 189:1158–1163CrossRefPubMed
54.
go back to reference Alvarez M, Lockwood CJ, Ghidini A et al (1992) Prophylactic and emergent arterial catheterization for selective embolization in obstetric hemorrhage. Am J Perinatol 9:441–444CrossRefPubMed Alvarez M, Lockwood CJ, Ghidini A et al (1992) Prophylactic and emergent arterial catheterization for selective embolization in obstetric hemorrhage. Am J Perinatol 9:441–444CrossRefPubMed
55.
go back to reference Dubois J, Garel L, Grignon A et al (1997) Placenta percreta: balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses. Am J Obstet Gynecol 176:723–726CrossRefPubMed Dubois J, Garel L, Grignon A et al (1997) Placenta percreta: balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses. Am J Obstet Gynecol 176:723–726CrossRefPubMed
56.
go back to reference Bodner LJ, Nosher JL, Gribbin C (2006) Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta. Cardiovasc Intervent Radiol 29:354–361CrossRefPubMed Bodner LJ, Nosher JL, Gribbin C (2006) Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta. Cardiovasc Intervent Radiol 29:354–361CrossRefPubMed
57.
go back to reference Yu PC, Ou HY, Tsang LL et al (2009) Prophylactic intraoperative uterine artery embolization to control hemorrhage in abnormal placentation during late gestation. Fertil Steril 91:1951–1955CrossRefPubMed Yu PC, Ou HY, Tsang LL et al (2009) Prophylactic intraoperative uterine artery embolization to control hemorrhage in abnormal placentation during late gestation. Fertil Steril 91:1951–1955CrossRefPubMed
58.
go back to reference Haddad L, Delli-Bovi L (2009) Uterine artery embolization to treat hemorrhage following second-trimester abortion by dilatation and surgical evacuation. Contraception 79:452–455CrossRefPubMed Haddad L, Delli-Bovi L (2009) Uterine artery embolization to treat hemorrhage following second-trimester abortion by dilatation and surgical evacuation. Contraception 79:452–455CrossRefPubMed
59.
go back to reference Borgatta L, Chen A, Reid SK et al (2001) Pelvic embolization for treatment of hemorrhage related to spontaneous and induced abortion. Am J Obstet Gynecol 185:530–536CrossRefPubMed Borgatta L, Chen A, Reid SK et al (2001) Pelvic embolization for treatment of hemorrhage related to spontaneous and induced abortion. Am J Obstet Gynecol 185:530–536CrossRefPubMed
60.
go back to reference Soncini E, Pelicelli A, Larini P et al (2007) Uterine artery embolization in the treatment and prevention of postpartum hemorrhage. Int J Gynaecol Obstet 96:181–185CrossRefPubMed Soncini E, Pelicelli A, Larini P et al (2007) Uterine artery embolization in the treatment and prevention of postpartum hemorrhage. Int J Gynaecol Obstet 96:181–185CrossRefPubMed
61.
go back to reference Hirakawa M, Tajima T, Yoshimitsu K et al (2009) Uterine artery embolization along with administration of methotrexate for cervical ectopic pregnancy: technical and clinical outcomes. AJR Am J Roentgenol 192:1601–1607CrossRefPubMed Hirakawa M, Tajima T, Yoshimitsu K et al (2009) Uterine artery embolization along with administration of methotrexate for cervical ectopic pregnancy: technical and clinical outcomes. AJR Am J Roentgenol 192:1601–1607CrossRefPubMed
62.
go back to reference Xu B, Wang YK, Zhang YH et al (2007) Angiographic uterine artery embolization followed by immediate curettage: an efficient treatment for controlling heavy bleeding and avoiding recurrent bleeding in cervical pregnancy. J Obstet Gynaecol Res 33:2636–2642CrossRef Xu B, Wang YK, Zhang YH et al (2007) Angiographic uterine artery embolization followed by immediate curettage: an efficient treatment for controlling heavy bleeding and avoiding recurrent bleeding in cervical pregnancy. J Obstet Gynaecol Res 33:2636–2642CrossRef
63.
go back to reference Nakao Y, Yokoyama M, Iwasaka T (2008) Uterine artery embolization followed by dilation and curettage for cervical pregnancy. Obstet Gynecol 111(2 pt 2):505–507PubMed Nakao Y, Yokoyama M, Iwasaka T (2008) Uterine artery embolization followed by dilation and curettage for cervical pregnancy. Obstet Gynecol 111(2 pt 2):505–507PubMed
64.
go back to reference Cipullo L, Cassese S, Fasolino L et al (2008) Cervical pregnancy: a case series and review of the current clinical practice. Eur J Contracept Reprod Health Care 13:313–319CrossRefPubMed Cipullo L, Cassese S, Fasolino L et al (2008) Cervical pregnancy: a case series and review of the current clinical practice. Eur J Contracept Reprod Health Care 13:313–319CrossRefPubMed
65.
go back to reference Chung JW, Jeong HJ, Joh JH et al (2003) Percutaneous transcatheter angiographic embolization in the management of obstetric hemorrhage. J Reprod Med 48:268–276PubMed Chung JW, Jeong HJ, Joh JH et al (2003) Percutaneous transcatheter angiographic embolization in the management of obstetric hemorrhage. J Reprod Med 48:268–276PubMed
66.
go back to reference Porcu G, Roger V, Jacquier A et al (2005) Uterus and bladder necrosis after uterine artery embolization for postpartum hemorrhage. BJOG 112:122–123CrossRefPubMed Porcu G, Roger V, Jacquier A et al (2005) Uterus and bladder necrosis after uterine artery embolization for postpartum hemorrhage. BJOG 112:122–123CrossRefPubMed
67.
go back to reference Pirard C, Squifflet J, Giles A et al (2002) Uterine necrosis and sepsis after vascular embolization and surgical ligation in a patient with postpartum hemorrhage. Fertil Steril 78:412–413CrossRefPubMed Pirard C, Squifflet J, Giles A et al (2002) Uterine necrosis and sepsis after vascular embolization and surgical ligation in a patient with postpartum hemorrhage. Fertil Steril 78:412–413CrossRefPubMed
68.
go back to reference Usadi R, Marshburn PB (2007) The impact of uterine artery embolization on fertility and pregnancy outcome. Curr Opin Obstet Gynecol 19:279–283CrossRefPubMed Usadi R, Marshburn PB (2007) The impact of uterine artery embolization on fertility and pregnancy outcome. Curr Opin Obstet Gynecol 19:279–283CrossRefPubMed
69.
go back to reference Salomon LJ, De Tayrac R, Castaigne-Meary V et al (2003) Fertility and pregnancy outcome following pelvic arterial embolization for severe post-partum haemorrhage. A cohort study. Hum Reprod 18:849–852CrossRefPubMed Salomon LJ, De Tayrac R, Castaigne-Meary V et al (2003) Fertility and pregnancy outcome following pelvic arterial embolization for severe post-partum haemorrhage. A cohort study. Hum Reprod 18:849–852CrossRefPubMed
70.
go back to reference Descargues G, Mauger Tinlot F, Dourvin F et al (2004) Menses, fertility, and pregnancy after arterial embolization for the control of postpartum haemorrhage. Hum Reprod 19:339–343CrossRefPubMed Descargues G, Mauger Tinlot F, Dourvin F et al (2004) Menses, fertility, and pregnancy after arterial embolization for the control of postpartum haemorrhage. Hum Reprod 19:339–343CrossRefPubMed
71.
go back to reference Stancato-Pasik A, Mitty HA, Richard HM et al (1997) Obstetric embolotherapy: effect on menses and pregnancy. Radiology 204:791–793PubMed Stancato-Pasik A, Mitty HA, Richard HM et al (1997) Obstetric embolotherapy: effect on menses and pregnancy. Radiology 204:791–793PubMed
72.
go back to reference Nikolic B, Spies JB, Lundsten JB et al (2000) Patient radiation dose associated with uterine artery embolization. Radiology 214:122–125 Nikolic B, Spies JB, Lundsten JB et al (2000) Patient radiation dose associated with uterine artery embolization. Radiology 214:122–125
73.
go back to reference Cordonnier C, Ha-Vien DE, Depret S (2002) Foetal growth restriction in the next pregnancy after uterine artery embolization for post-partum haemorrhage. Eur J Obstet Gynecol Reprod Biol 103:183–184CrossRefPubMed Cordonnier C, Ha-Vien DE, Depret S (2002) Foetal growth restriction in the next pregnancy after uterine artery embolization for post-partum haemorrhage. Eur J Obstet Gynecol Reprod Biol 103:183–184CrossRefPubMed
Metadata
Title
The Role of Interventional Radiology in Obstetric Hemorrhage
Authors
M. Gonsalves
A. Belli
Publication date
01-10-2010
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 5/2010
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-010-9864-4

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