title: Cesarean delivery in the interventional radiology suite: a novel approach to obstetric hemostasis.
abstract: 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.
authors: Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA. nmorourke@partners.org
authors: Nollag
authors: N
authors: O'Rourke
authors: Thomas
authors: T
authors: McElrath
authors: Richard
authors: R
authors: Baum
authors: William
authors: W
authors: Camann
authors: Ruth
authors: R
authors: Tuomala
authors: Alison
authors: A
authors: Stuebe
authors: Bhavani Shankar
authors: BS
authors: Kodali
mesh_terms: 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