IMR Press / CEOG / Volume 45 / Issue 2 / DOI: 10.12891/ceog4315.2018
Open Access Review
Interventional radiology in the management of post-partum hemorrhage
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1 Radiology Unit, Santa Maria della Misericordia University Hospital, Department of Surgical and Biomedical Science, Perugia University, Perugia, Italy
2 Obstetrics and Gynecology Unit, Santa Maria della Misericordia University Hospital, Department of Surgical and Biomedical Science, Perugia University, Perugia, Italy
3 Department of Radiology, Sant’Andrea Hospital, Faculty of Medicine and Psychology, Sapienza University, Rome, Italy
Clin. Exp. Obstet. Gynecol. 2018 , 45(2), 163–165; https://doi.org/10.12891/ceog4315.2018
Published: 10 April 2018
Abstract

Post-partum hemorrhage (PPH) remains a major issue in the management of deliveries and is still burdened by significant morbidity and mortality. Several conservative treatments were developed to aid obstetric surgeons dealing with PPH, but in life-threatening cases, hysterectomy cannot be avoided. Interventional radiology had a significant development in last years. The improvement of embolization materials and techniques lead to new application scenarios. Several embolization protocols were proposed in last years showing the effectiveness of uterine artery embolization in the management of PPH. Nevertheless, many concerns remain on the modalities, indication and on timing of UAE. The aim of this article is to resume the state of the art-on these topics.
Keywords
Abnormally invasive placenta
Post-partum hemorrhage
High-risk pregnancy
Hysterectomy
Uterine artery embolization
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