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Endovascular Treatment of Postpartum Hemorrhage

LEE, JUSTIN S. MD*; SHEPHERD, SUZANNE M. MD, MS

Clinical Obstetrics & Gynecology: March 2010 - Volume 53 - Issue 1 - pp 209-218
doi: 10.1097/GRF.0b013e3181ce09f5
Postpartum Hemorrhage

Transcatheter arterial embolization is a minimally invasive intervention developed from diagnostic angiography. The evolution of endovascular techniques, including arterial embolization and the use of occlusion balloons, has established a role for the interventional radiologist in the setting of uncontrolled postpartum hemorrhage. Arterial embolization of the uterine arteries as an alternative to hysterectomy has the advantages of being a minimally invasive treatment that preserves uterus without eliminating the possibility of future surgical intervention if necessary. Although arterial embolization has progressively become a standard of care over the last 30 years, its impact on future fertility still remains controversial.

*Division of Vascular and Interventional Radiology

Department of Radiology, Georgetown University Hospital, Washington, District of Columbia

Correspondence: Justin S. Lee, MD, Department of Radiology, Georgetown University Hospital, 3800 Reservoir Road, NW CG201, Washington, DC 20007. E-mail: Jsl108@gunet.georgetown.edu

© 2010 Lippincott Williams & Wilkins, Inc.