Embolization of Renal Hemorrhage in Pregnancy

作者：Wortman Alison; Miller Donald L; Donahue Timothy F; Petersen Scott^*

来源：Obstetrics and Gynecology, 2013, 121(2): 480-483.

DOI：10.1097/AOG.0b013e31827c31f2

BACKGROUND: Selective embolization in pregnancy for treatment of renal hemorrhage has been reported infrequently in the literature; the possibility of minimizing radiation dose to the fetus by using dose-sparing fluoroscopy techniques is not commonly appreciated by the obstetric community. %26lt;br%26gt;CASE: We describe performing partial renal embolization with the use of all available radiation dose-sparing techniques. The patient had no further complications, and she and her newborn were well postpartum. A dose reconstruction indicated that the fetal dose from the procedure was less than 5 mGy. %26lt;br%26gt;CONCLUSION: When faced with a symptomatic renal hemorrhage in pregnancy, a renal angiogram and embolization by an experienced interventional radiologist are effective treatment options that can be performed with minimal fetal radiation risk.

• 出版日期2013-2