Angiographic and interventional options in obstetric and gynecologic emergencies.

ABSTRACT

This article describes the role of angiographic and interventional techniques in the management of obstetrical and gynecologic hemorrhage. The complementary role of endovascular therapy is discussed and a review of management options for both peripartum hemorrhage and gynecologic hemorrhage is presented. The article describes special management options involving angiographic techniques for placentation abnormalities and arteriovenous malformations, and discusses a limited role for embolization in the management of ectopic pregnancies. The authors also present the outcomes of embolotherapy, associated complications, and implications for future fertility. This article describes the role of embolotherapy as it has evolved over the last three decades and clarifies the endovascular management options available to patients.