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Postpartum Hemorrhages: Prevention

Francesco Giurazza1, Salvatore Alessio Angileri2, Fabio Corvino1

  • 1Vascular and Interventional Radiology Department, Cardarelli Hospital, Naples, Italy.

Seminars in Ultrasound, CT, and MR
|February 5, 2021
PubMed

The strict correlation between abnormal invasive placentation and postpartum hemorrhage suggests that a widespread antenatal diagnosis of placental anomalies would improve the management of these challenging patients; acting preventive solutions at the moment of delivery reduces blood loss and avoid hysterectomies. The role of endovascular procedures in this field has been encouraged by multiple studies reporting prophylactic uterine arteries embolization and iliac/aortic balloon catheters positioning. This paper aims to review the main imaging diagnostic findings of placental implant anomalies and summarize the principal preventive endovascular strategies proposed in literature.

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