Cesarean delivery in the interventional radiology suite: a novel approach to obstetric hemostasis.
BACKGROUND
The adjunctive use of interventional radiology procedures to minimize and control bleeding at the time of cesarean delivery has become increasingly common. These procedures require modern imaging equipment and supplies not available in traditional operating rooms.


METHODS
We describe three women who strongly desired continued reproductive function in clinical circumstances where postpartum hemorrhage and hysterectomy were likely.


RESULTS
Cesarean delivery was performed in the interventional radiology suite after selective uterine artery balloon placement and/or embolotherapy, which successfully minimized blood loss during delivery.


CONCLUSIONS
We propose that this novel surgical location is feasible, and may offer advantages in select patients.
O'Rourke
Nollag
N
Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. nmorourke@partners.org
McElrath
Thomas
T
Baum
Richard
R
Camann
William
W
Tuomala
Ruth
R
Stuebe
Alison
A
Kodali
Bhavani Shankar
BS
D000328:Adult; D002404:Catheterization / Q000379:methods / Q000639:trends; D002585:Cesarean Section / Q000379:methods* / Q000639:trends; D005260:Female; D006488:Hemostasis, Surgical / Q000379:methods* / Q000639:trends; D006801:Humans; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging* / Q000517:prevention & control; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging / Q000517:prevention & control; D011247:Pregnancy; D015641:Radiography, Interventional / Q000379:methods* / Q000639:trends