Embolization of renal hemorrhage in pregnancy.

Obstet Gynecol

Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Published: February 2013

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.

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.

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.

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Source
http://dx.doi.org/10.1097/aog.0b013e31827c31f2DOI Listing

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