Angiographic and interventional options in obstetric and gynecologic emergencies.
This article describes the role of angiographic and interventional techniques in the management of obstetrical and gynecologic hemorrhage. The complementary role of endovascular therapy is discussed and a review of management options for both peripartum hemorrhage and gynecologic hemorrhage is presented. The article describes special management options involving angiographic techniques for placentation abnormalities and arteriovenous malformations, and discusses a limited role for embolization in the management of ectopic pregnancies. The authors also present the outcomes of embolotherapy, associated complications, and implications for future fertility. This article describes the role of embolotherapy as it has evolved over the last three decades and clarifies the endovascular management options available to patients.
Banovac
Filip
F
Department of Radiology, Georgetown University Hospital, 3800 Reservoir Road NW, Washington, DC 20007, USA. banovac@isis.georgetown.edu
Lin
Ralph
R
Shah
Dimple
D
White
Amy
A
Pelage
Jean-Pierre
JP
Spies
James
J
D000792:Angiography; D017130:Angioplasty; D004621:Embolization, Therapeutic; D004630:Emergencies; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D006473:Postpartum Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D011247:Pregnancy