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Postpartum Hemorrhages: Prevention

2020; Elsevier BV; Volume: 42; Issue: 1 Linguagem: Inglês

10.1053/j.sult.2020.09.002

1558-5034

Francesco Giurazza, Salvatore Alessio Angileri, Fabio Corvino, Giuseppe Granata, Pasquale Grillo, Anna Paola Savoldi, Giuseppe Albano, Laura Bracchi, Gianpaolo Carrafiello, Raffaella Niola,

Pregnancy and preeclampsia studies

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.