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Anesth Analg 2007;104:1193-1194
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000260264.89337.9e

OBSTETRIC ANESTHESIA

Cesarean Delivery in the Interventional Radiology Suite: A Novel Approach to Obstetric Hemostasis

Nollag O'Rourke, MBBchBAO FRCSI, Thomas McElrath, MD, Richard Baum, MD, William Camann, MD, Ruth Tuomala, MD, Alison Stuebe, MD, and Bhavani Shankar Kodali, MD

From the Departments of *Anesthesia, Perioperative and Pain Medicine, {dagger}Obstetrics and Gynecology, and {ddagger}Interventional Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.

Address correspondence and reprint requests to Dr. Nollag O'Rourke, Department of Anesthesia, Perioperative, and Pain Medicine, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115. Address e-mail to nmorourke{at}partners.org.

BACKGROUND: The adjunctive use of interventional radiology procedures to minimize and control bleeding at the time of cesarean delivery has become increasingly common. These procedures require modern imaging equipment and supplies not available in traditional operating rooms.

METHODS: We describe three women who strongly desired continued reproductive function in clinical circumstances where postpartum hemorrhage and hysterectomy were likely.

RESULTS: Cesarean delivery was performed in the interventional radiology suite after selective uterine artery balloon placement and/or embolotherapy, which successfully minimized blood loss during delivery.

CONCLUSION: We propose that this novel surgical location is feasible, and may offer advantages in select patients.




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L. P. Wang and M. J. Paech
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Anesth. Analg., July 1, 2008; 107(1): 193 - 200.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.