Not applicable, Haemorrhage, Embolisation, Balloon occlusion, Catheter arteriography, Oncology, Obstetrics (Pregnancy / birth / postnatal period), Interventional Radiology
S. Teoh, B. Young; Sarawak/MY
The innovation of transcatheter intervention allows for minimally invasive procedure to tackle life threatening O&G conditions and thereby avoiding major surgeries. Embolisation procedures are performed for haemostasis, shrinking of tumoural mass or obliteration of an abnormal vasculature. Sometimes, when temporary operative bleeding control is required, balloon occlusion devices can be employed. The most commonly performed procedure is uterine artery embolization for treatment of uterine fibroids but clinical indications are broader now, encompassing notably various obstetric emergencies and even palliative management in cases of gynaecological cancers. In a usual center for radiology training, young radiology trainees at any point of their training are often called upon for assistance with a consultant interventional radiologist for such procedures. Therefore, basic but thorough understanding of these interventions will be helpful.
In this article, we will review the commonly performed endovascular procedures for some O&G conditions with few interesting case examples, and briefly addressing some of the technical aspects involved.