Pelvic arterial embolization for control of obstetric hemorrhage: A five-year experience

Interventional radiology for critical hemorrhage in obstetrics: Japanese Society of Interventional Radiology (JSIR) procedural guidelines

“…Hematoma at the puncture site. (Grade C1) Specific comments [22,26,32,[41][42][43][44][45][46][47][48] Complications from prophylactic insertion of occlusion balloon catheters include angiography, thromboembolic events, and damaged balloons resulting in the failure of efficient occlusion of the arteries. The safe radiation dose for the fetus has not been reported; however, the reported fluoroscopy time was less than 5 min; thus, the dose is estimated as <50 mGy.…”

Intraoperative Intermittent Blocking of the Common Iliac Arteries in Cases of Placenta Percreta without the Use of Fluoroscopy

“…According to other studies, the blood loss, required blood volume substitution, operation time, and duration of hospital stay are not significantly reduced [16,18]. This can be primarily attributed to the pronounced collateralization that prevents ischemia during occlusion [19], in particular via the obturator artery as a connection between the external and internal iliac artery [20]. The first descriptions of bleeding control via temporary balloon occlusion are from the years 1953 and 1954 [21,22].…”

Uterine artery embolization: the only life saving measure in some obstetric cases

“…Almost all women resume menstruation after this procedure and successful pregnancies also have been reported. 2 The success rate of this interventional method is higher (>90%) 1 than that of arterial ligation and its failure, if any, can be followed by a hysterectomy but not vice versa. Especially in the above case , where approach to the retro peritoneum would not have been easy considering the loss of normal anatomy and adhesions due to previous surgeries.…”