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Semin intervent Radiol 2024; 41(04): 413-423
DOI: 10.1055/s-0044-1790559
Clinical Corner

Obstetric Interventional Radiology: Periprocedural Considerations When Caring for the Pregnant and Postpartum Patient

Nicole Keefe
1   Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
,
Naishal Patel
2   Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
,
Priya Mody
1   Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
,
Kathleen Smith
3   Department of Anesthesia, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
,
Johanna Quist-Nelson
4   Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
,
Claire Kaufman
5   Department of Interventional Radiology, Oregon Health and Science University, Portland, Oregon
,
Maureen Kohi
1   Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
,
Gloria Salazar
1   Department of Radiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
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Interventional radiology (IR) has had a growing role in the care of pregnant patients over the past few decades. IR is involved in ∼15 per 100,000 pregnancies for the treatment of the placenta accreta spectrum, although there is a variety of procedures that interventional radiologists may perform on a pregnant patient.[1] Caring for this population in the interventional radiology suite can be difficult; positioning considerations, physiological changes, and radiation protection for the mother and fetus pose unique challenges. The aim of this review is to concisely summarize current evidence regarding periprocedural care for pregnant and breastfeeding patients and to present a framework for planning obstetric interventions. The overall paucity of high-level data within this broad range of topics limits the ability to perform a strong systematic review of the literature and as such, this article serves as a narrative review.



Publication History

Article published online:
07 November 2024

© 2024. Thieme. All rights reserved.

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