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Interventional radiology for the obstetric patient

机译：产科患者的介入放射学

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Purpose of review To discuss the recent results of the use of interventional radiology modalities treating postpartum hemorrhage (PPH). Recent findings PPH still is a leading cause of maternal morbidity and mortality. An important risk factor for the development of PPH is the placenta accreta spectrum. In patients with placenta accreta, we can use prophylactic balloon occlusion of the common or internal iliac artery or abdominal aorta to prevent PPH. Balloon occlusion of the abdominal aorta seems to ensure better results than balloon occlusion of the iliac artery in terms of blood loss, transfusion rate and hysterectomy rate reduction with a minimal risk of complications. To treat PPH uterine artery embolization can be effective and potentially fertility-sparing, while having a low complication rate. The use of aortic balloon occlusion catheters for the prevention of PPH and uterine artery embolization for the treatment of PPH are well tolerated and feasible options for patients with placenta accreta spectrum.
机译：审查目的讨论使用介入放射性型号治疗产后出血（PPH）的近期结果。最近的发现PPH仍然是孕产妇发病率和死亡率的主要原因。 PPH发育的重要风险因素是胎盘ACCRETA谱。在胎盘患者中，我们可以使用预防性球囊闭塞常见或内部髂动脉或腹主动脉以防止PPH。气球闭塞的腹部主动脉似乎确保了比气囊动脉的球囊闭塞在血液损失，输血率和子宫切除率降低，并具有最小的并发症。为了治疗PPH子宫动脉栓塞可以有效和潜在的生育，同时具有低并发症率。用于预防PPH和子宫动脉栓塞PPH的主动脉球囊闭塞导管是胎盘谱患者的耐受性和可行的选择良好的耐受性和可行的选择。

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