Challenges in Interventional Radiology: The Pregnant Patient

Moon, Eunice; Wang, Weiping; Newman, James S.; Bayona-Molano, Maria Del Pilar

doi:10.1055/s-0033-1359734

Cited by 22 publications

(11 citation statements)

References 53 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Neurointerventionalists should have a low threshold for consulting an anesthesiologist, especially for more complex cases, agitated patients, and/or for highrisk pregnancies. 96 Iodinated contrast is a category B medication, and animal studies have not reported teratogenic or mutagenic effects from exposure. Human studies have not demonstrated any inhibitory effect of free iodide on neonatal thyroid gland function.…”

Section: Pregnancymentioning

confidence: 99%

Thrombectomy in special populations: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Al‐Mufti

Schirmer

Starke

et al. 2021

J NeuroIntervent Surg

View full text Add to dashboard Cite

BackgroundThe purpose of this guideline is to summarize the data available for performing mechanical thrombectomy (MT) for emergent large vessel occlusion (ELVO) stroke in special populations not typically included in large randomized controlled clinical trials, including children, the elderly, pregnant women, patients who have recently undergone surgery, and patients with thrombocytopenia, collagen vascular disorders, and endocarditis.MethodsWe performed a literature review for studies examining the indications, efficacy, and outcomes for patients undergoing MT for ischemic stroke aged <18 years and >80 years, pregnant patients, patients who have recently undergone surgery, and those with thrombocytopenia, collagen vascular diseases, or endocarditis. We graded the quality of the evidence.ResultsMT can be effective for the treatment of ELVO in ischemic stroke for patients over age 80 years and under age 18 years, thrombocytopenic patients, pregnant patients, and patients with endocarditis. While outcomes are worse compared to younger patients and those with normal platelet counts (respectively), there is still a benefit in the elderly (in both mRS and mortality). Data are very limited for patients with collagen vascular diseases; although diagnostic cerebral angiography carries increased risks, MT may be appropriate in carefully selected patients in whom untreated ELVO would likely result in disabling or fatal outcome.

show abstract

Section: Pregnancymentioning

confidence: 99%

Thrombectomy in special populations: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Al‐Mufti

Schirmer

Starke

et al. 2021

J NeuroIntervent Surg

View full text Add to dashboard Cite

show abstract

“…Continuous fetal monitoring for fetal wellbeing is needed during the procedures. In general, regional anesthesia is preferred over general anesthesia [ 36 ]. Fluoroscopy, ultrasound, and CT with or without fusion imaging are the conventional modalities for image guidance during IR procedures.…”

Section: Challenges and Role Of Interventional Radiology In Pregnancymentioning

confidence: 99%

Interventional radiological management of hepatobiliary disorders in pregnancy

Rana¹,

Gupta²,

Chaluvashetty³

et al. 2020

ceh

View full text Add to dashboard Cite

“…Where appropriate, such as in high-risk pregnancy and when deep sedation or analgesia are used, continuous foetal monitoring may be employed during the procedure. [ 7 8 ]…”

Section: Challengesmentioning

confidence: 99%

The parturient in the interventional radiology suite: New frontier in obstetric anaesthesia

Dhansura

Shaikh

2017

Indian J Anaesth

View full text Add to dashboard Cite

The anaesthesiologist's presence during interventional radiology (IR) is increasing due to increasingly ill patients and intricate procedures. The management of a parturient in IR suite is complex in terms of logistics of an unfamiliar procedure in an unfamiliar area. The literature available is largely written by radiologists with little attention paid to anaesthetic details and considerations. In the Indian scenario, in the absence of hybrid operating rooms (ORs), logistics involve transport of a parturient back and forth between the IR suite and the OR. As members of a multidisciplinary team, anaesthesiologists should utilise their expertise in fluid management, transfusion therapy and critical care to prevent and treat catastrophic events that may accompany severe peri-partum bleeding. Ensuring familiarity with the variety of IR procedures and the peri-procedure requirements can help the anaesthesiologist provide optimum care in the IR suite.

show abstract

Challenges in Interventional Radiology: The Pregnant Patient

Cited by 22 publications

References 53 publications

Thrombectomy in special populations: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Thrombectomy in special populations: report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee

Interventional radiological management of hepatobiliary disorders in pregnancy

The parturient in the interventional radiology suite: New frontier in obstetric anaesthesia

Contact Info

Product

Resources

About