Uterine Artery Embolization before Delivery to Prevent Postpartum Hemorrhage

Pre‐cesarean prophylactic balloon placement in the internal iliac artery to prevent postpartum hemorrhage among women with pernicious placenta previa

“…In the present study, the whole fetus except for the head was protected by a lead sheath when the occlusion balloon was placed prophylactically. In addition, the mean fluoroscopy time for internal iliac artery PBP was 2.8 minutes, in contrast to the mean fluoroscopy time of 3.7 minutes reported for the latest prophylactic UAE technique . In the present approach, the optimal pressure required to inflate the balloons was measured before cesarean delivery, and this pressure was then used to inflate the occlusion balloons intraoperatively, thereby avoiding exposure of both the mother and fetus to radiation for a second time.…”

Prophylactic uterine artery embolization during cesarean delivery for placenta previa complicated by placenta accreta

“…Niola et al . reported that UAE before delivery seemed to effectively reduce intraoperative bleeding during cesarean among women with placental implant anomalies, with a mean fluoroscopy operative time of 3 minutes 42 seconds (range, 1 minute 21 seconds to 6 minutes 58 seconds) and a mean uterine radiation dose of 15.61 mGy (range, 8.15–38.18 mGy).…”

“…Niola et al 15 the fetus is reportedly exposed to 3-6 rad while in the uterus, and there is an estimated 0.5% risk of developing a childhood cancer after fetal radiation of doses of up to 10 rad. [18][19][20] In the present study, the women underwent preoperative placement of a vascular sheath in the right femoral artery, and maternal arterial embolization was performed only after neonatal delivery, thereby completely avoiding exposure of the fetus to radiation and reducing the risk of childhood cancer.…”

Endovascular Therapy for Abdominal Pregnancy

“…Primary endpoints include maintaining fetal viability, reducing maternal blood loss, and if possible, preserving fertility. [1][2][3][4][5] At times, the means to achieve each endpoint are in direct conflict. Perhaps no case demonstrates this concept more clearly than an ectopic abdominal pregnancy.…”

“…Anomalous placentation carries a high risk of maternal and fetal morbidity and mortality. [1][2][3] These placental abnormalities include placenta previa and the spectrum of invasive placenta, including placenta accreta, placenta increta, and placenta percreta. 2 However, the placentation disorder that perhaps carries the greatest morbidity and mortality to both the mother and fetus is abdominal ectopic pregnancy in which the placenta implants in an extrauterine location.…”