Uterine artery embolization for postpartum hemorrhage

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

“…Thus, this indication is still controversial [32,[41][42][43][44][45][46][47][48]. Patients with fibroids and multiple pregnancies may be indicated for prophylactic IR, though only three cases with successful bleeding control have been reported.…”

“…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.…”

Randomized comparison of long and short vascular sheaths in reduction of the operator radiation exposure during uterine artery embolization

“…[5][6][7] Many researchers have focused on patient radiation exposure in UAE. Nikolic et al 2 reported that the absorbed ovarian dose and absorbed skin dose during UAE could be reduced by using pulsed fluoroscopy instead of nonpulsed fluoroscopy.…”

“…5 One TLD was attached to the left wrist on the palmar side and the other one was placed on the left outer side of the thyroid collar of the operator in each operation. The palmar side was chosen because the X-ray tube was located under the examination table; thus, this side was more likely to be directly exposed to the X-ray radiation.…”

Postpartale Hämorrhagie

“…iliaca internae platziert, die sowohl eine Drosselung der Blutzufuhr als auch eine selektive Katheterembolisation ermöglichen. Allerdings sind die klinischen Erfahrungen mit dieser speziellen Zentren vorbehaltenen Methode noch unzureichend [51].…”