Interventional radiology in pregnancy

Sheena A. Pimpalwar, Michael A. Belfort

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The interventional radiologist may be called upon to play an extremely important role in the management of several obstetric and non-obstetric conditions during pregnancy. Although some procedures can be performed under local anesthetic, many interventional radiology procedures do require sedation. In keeping with modern practice, ultrasound should be used for procedural guidance whenever possible. Procedures such as chemical ablation of an ectopic pregnancy can be accomplished with the use of ultrasound alone. Venous thrombosis in both pregnant and non-pregnant patients is associated with a significant risk of post-thrombotic syndrome. Refractory primary and secondary postpartum hemorrhage due to uterine atony, retained products of conception, vaginal or uterine lacerations, or arterial injury can be managed with trans-arterial embolization of the uterine arteries or the anterior division of the internal iliac arteries. Besides the risks of exposure to sedation medications and radiation, it is important to have an awareness of possible complications from interventional procedures.

Original languageEnglish (US)
Title of host publicationCritical Care Obstetrics
Publisherwiley
Pages115-122
Number of pages8
ISBN (Electronic)9781119129400
ISBN (Print)9781119129370
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

Fingerprint

Interventional Radiology
Pregnancy
Uterine Inertia
Uterine Artery Embolization
Postpartum Hemorrhage
Lacerations
Iliac Artery
Ectopic Pregnancy
Local Anesthetics
Venous Thrombosis
Obstetrics
Radiation
Wounds and Injuries

Keywords

  • Interventional radiology
  • Post-thrombotic syndrome
  • Postpartum hemorrhage
  • Pregnancy
  • Ultrasound
  • Venous thrombosis

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Pimpalwar, S. A., & Belfort, M. A. (2018). Interventional radiology in pregnancy. In Critical Care Obstetrics (pp. 115-122). wiley. https://doi.org/10.1002/9781119129400.ch7

Interventional radiology in pregnancy. / Pimpalwar, Sheena A.; Belfort, Michael A.

Critical Care Obstetrics. wiley, 2018. p. 115-122.

Research output: Chapter in Book/Report/Conference proceedingChapter

Pimpalwar, SA & Belfort, MA 2018, Interventional radiology in pregnancy. in Critical Care Obstetrics. wiley, pp. 115-122. https://doi.org/10.1002/9781119129400.ch7
Pimpalwar SA, Belfort MA. Interventional radiology in pregnancy. In Critical Care Obstetrics. wiley. 2018. p. 115-122 https://doi.org/10.1002/9781119129400.ch7
Pimpalwar, Sheena A. ; Belfort, Michael A. / Interventional radiology in pregnancy. Critical Care Obstetrics. wiley, 2018. pp. 115-122
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