Collaborative Efforts Between Interventional Radiology and Obstetrics/Gynecology

Tech Vasc Interv Radiol. 2021 Mar;24(1):100729. doi: 10.1016/j.tvir.2021.100729. Epub 2021 Apr 18.

Abstract

Since the introduction of uterine artery embolization as a treatment option for symptomatic leiomyomas, there has been a growing interest in expanding the role of interventional radiology (IR) in the evaluation and treatment of obstetrics and gynecology (OBGYN) patients. This review provides an overview of opportunities for collaboration between IR and OBGYN. This can include medically and/or surgically complex patients, efforts to reduce quantitative blood loss, obstetrical emergencies, and consideration of fertility or uterine preservation. Increased collaborative efforts between IR and OBGYN would allow for patients to be fully informed regarding the complete spectrum of surgical and nonsurgical treatment options available to them. The purpose of this review is to foster opportunities to improve outcomes and respect patient values.

Keywords: Uterine artery embolization (UAE); fibroid; postpartum hemorrhage; uterine conservation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Cooperative Behavior
  • Female
  • Fertility Preservation
  • Humans
  • Interdisciplinary Communication
  • Leiomyoma / diagnostic imaging
  • Leiomyoma / pathology
  • Leiomyoma / therapy*
  • Patient Care Team*
  • Postpartum Hemorrhage / diagnostic imaging
  • Postpartum Hemorrhage / therapy*
  • Radiography, Interventional* / adverse effects
  • Treatment Outcome
  • Uterine Artery Embolization* / adverse effects
  • Uterine Neoplasms / diagnostic imaging
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / therapy*