Interventional radiology in pregnancy complications

Indications, technique, and methods for minimizing radiation exposure

Ashraf Thabet, Sanjeeva P. Kalva, Bob Liu, Peter R. Mueller, Susanna I. Lee

Research output: Contribution to journalArticle

31 Citations (Scopus)

Abstract

Complications of pregnancy, whether they occur during gestation or postpartum, often pose complex challenges because they affect two patients (mother and fetus or infant) and because both short- and longterm outcomes must be considered in management decision making. Interventional radiologists play a critical role in treating complications such as ectopic implantation, postpartum hemorrhage, symptomatic ovarian cyst, post-cesarean section fluid collection, obstructive uropathy, and vesicouterine fistula. Interventional radiology offers therapeutic options that obviate surgery, thereby minimizing morbidity and mortality and maximizing the potential for fertility preservation. Such options include chemical injection of an ectopic gestational sac, uterine artery embolization, aspiration and drainage, percutaneous nephrostomy, and suprapubic cystostomy catheter placement. All these procedures are performed with the use of radiologic imaging for guidance. The levels of radiation to which the mother and fetus may be exposed during such procedures are of concern because of potential negative effects on longterm health. However, various methods can be used to lower maternal and fetal radiation dose levels to the minimum needed to accomplish the clinical objective.

Original languageEnglish (US)
Pages (from-to)255-274
Number of pages20
JournalRadiographics
Volume32
Issue number1
DOIs
StatePublished - Jan 2012

Fingerprint

Interventional Radiology
Pregnancy Complications
Mothers
Fetus
Gestational Sac
Cystostomy
Uterine Artery Embolization
Fertility Preservation
Radiation
Percutaneous Nephrostomy
Postpartum Hemorrhage
Ovarian Cysts
Cesarean Section
Postpartum Period
Fistula
Drainage
Decision Making
Catheters
Morbidity
Pregnancy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

Interventional radiology in pregnancy complications : Indications, technique, and methods for minimizing radiation exposure. / Thabet, Ashraf; Kalva, Sanjeeva P.; Liu, Bob; Mueller, Peter R.; Lee, Susanna I.

In: Radiographics, Vol. 32, No. 1, 01.2012, p. 255-274.

Research output: Contribution to journalArticle

Thabet, Ashraf ; Kalva, Sanjeeva P. ; Liu, Bob ; Mueller, Peter R. ; Lee, Susanna I. / Interventional radiology in pregnancy complications : Indications, technique, and methods for minimizing radiation exposure. In: Radiographics. 2012 ; Vol. 32, No. 1. pp. 255-274.
@article{08dd6eac653d497e8cc2cf066dc2baaf,
title = "Interventional radiology in pregnancy complications: Indications, technique, and methods for minimizing radiation exposure",
abstract = "Complications of pregnancy, whether they occur during gestation or postpartum, often pose complex challenges because they affect two patients (mother and fetus or infant) and because both short- and longterm outcomes must be considered in management decision making. Interventional radiologists play a critical role in treating complications such as ectopic implantation, postpartum hemorrhage, symptomatic ovarian cyst, post-cesarean section fluid collection, obstructive uropathy, and vesicouterine fistula. Interventional radiology offers therapeutic options that obviate surgery, thereby minimizing morbidity and mortality and maximizing the potential for fertility preservation. Such options include chemical injection of an ectopic gestational sac, uterine artery embolization, aspiration and drainage, percutaneous nephrostomy, and suprapubic cystostomy catheter placement. All these procedures are performed with the use of radiologic imaging for guidance. The levels of radiation to which the mother and fetus may be exposed during such procedures are of concern because of potential negative effects on longterm health. However, various methods can be used to lower maternal and fetal radiation dose levels to the minimum needed to accomplish the clinical objective.",
author = "Ashraf Thabet and Kalva, {Sanjeeva P.} and Bob Liu and Mueller, {Peter R.} and Lee, {Susanna I.}",
year = "2012",
month = "1",
doi = "10.1148/rg.321115064",
language = "English (US)",
volume = "32",
pages = "255--274",
journal = "Radiographics",
issn = "0271-5333",
publisher = "Radiological Society of North America Inc.",
number = "1",

}

TY - JOUR

T1 - Interventional radiology in pregnancy complications

T2 - Indications, technique, and methods for minimizing radiation exposure

AU - Thabet, Ashraf

AU - Kalva, Sanjeeva P.

AU - Liu, Bob

AU - Mueller, Peter R.

AU - Lee, Susanna I.

PY - 2012/1

Y1 - 2012/1

N2 - Complications of pregnancy, whether they occur during gestation or postpartum, often pose complex challenges because they affect two patients (mother and fetus or infant) and because both short- and longterm outcomes must be considered in management decision making. Interventional radiologists play a critical role in treating complications such as ectopic implantation, postpartum hemorrhage, symptomatic ovarian cyst, post-cesarean section fluid collection, obstructive uropathy, and vesicouterine fistula. Interventional radiology offers therapeutic options that obviate surgery, thereby minimizing morbidity and mortality and maximizing the potential for fertility preservation. Such options include chemical injection of an ectopic gestational sac, uterine artery embolization, aspiration and drainage, percutaneous nephrostomy, and suprapubic cystostomy catheter placement. All these procedures are performed with the use of radiologic imaging for guidance. The levels of radiation to which the mother and fetus may be exposed during such procedures are of concern because of potential negative effects on longterm health. However, various methods can be used to lower maternal and fetal radiation dose levels to the minimum needed to accomplish the clinical objective.

AB - Complications of pregnancy, whether they occur during gestation or postpartum, often pose complex challenges because they affect two patients (mother and fetus or infant) and because both short- and longterm outcomes must be considered in management decision making. Interventional radiologists play a critical role in treating complications such as ectopic implantation, postpartum hemorrhage, symptomatic ovarian cyst, post-cesarean section fluid collection, obstructive uropathy, and vesicouterine fistula. Interventional radiology offers therapeutic options that obviate surgery, thereby minimizing morbidity and mortality and maximizing the potential for fertility preservation. Such options include chemical injection of an ectopic gestational sac, uterine artery embolization, aspiration and drainage, percutaneous nephrostomy, and suprapubic cystostomy catheter placement. All these procedures are performed with the use of radiologic imaging for guidance. The levels of radiation to which the mother and fetus may be exposed during such procedures are of concern because of potential negative effects on longterm health. However, various methods can be used to lower maternal and fetal radiation dose levels to the minimum needed to accomplish the clinical objective.

UR - http://www.scopus.com/inward/record.url?scp=84862967715&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84862967715&partnerID=8YFLogxK

U2 - 10.1148/rg.321115064

DO - 10.1148/rg.321115064

M3 - Article

VL - 32

SP - 255

EP - 274

JO - Radiographics

JF - Radiographics

SN - 0271-5333

IS - 1

ER -