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Oh Baby, Interventional Radiology Makes Childbirth Safer
Date:3/10/2009

tly, interventional radiologists have added to the treatment options by being able to find and stop the bleeding with embolization, said Stecker.

Over two and a half years, 13 women (ages 28-44) who urgently needed embolization to control bleeding after a C-section were referred to the interventional radiology service at Brigham and Women's Hospital. Since bleeding complications after C-sections are uncommon, there was limited information as to the outcome of the different treatment methods. In a retrospective study, researchers analyzed trends or patterns in their hospital course and treatment outcomes, finding that this severe bleeding can happen either immediately after the C-section or up to several weeks after the delivery. A specific type of injury to the blood vessel known as a pseudoaneurysm -- which is a contained blood vessel rupture -- tends to show up later. "Overall, regardless of any of the clinical circumstances, bleeding following C-section was stopped promptly and effectively with minimal complications by embolization procedures performed by interventional radiology," said Stecker. He added, "Interventional radiology treatments avoid open surgery, general anesthesia, a long recovery time and other serious risk factors associated with surgical control of the bleeding. In preventing the need for hysterectomy, embolization may preserve a woman's uterus, allowing her to have other children."

Canadian researchers studied 14 women (ages 23-40) over a six-year period who were diagnosed with invasive placenta that was confirmed by a predelivery MRI. Interventional radiologists worked in a multidisciplinary team with obstetricians. The interventional radiologists guided balloon catheters into a woman's left and right uterine artery (preoperative prophylactic insertion of bilateral internal iliac artery occlusion balloons) before delivery -- to be ready to inflate (just like in angioplasty), if needed at delivery to block ex
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SOURCE Society of Interventional Radiology
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