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Background <p>Interventional radiology (IR) has emerged as an important minimally invasive modality in the management of obstetric and gynaecological conditions. Its advantages include reduced morbidity, shorter hospital stays, faster recovery, and preservation of fertility. Uterine artery embolization (UAE) is increasingly utilized for the management of obstetric haemorrhage and selected gynaecological conditions.</p> Objectives <p>To evaluate the clinical outcomes, effectiveness, and limitations of uterine artery embolization in obstetric and gynaecological cases managed at a quaternary care centre.</p> Methods <p>This retrospective observational study was conducted at a quaternary care facility in Belagavi and included 38 cases that underwent UAE over an eight-year period (2017–2024). Obstetric indications included placenta accrete spectrum (PAS), placenta previa, and postpartum haemorrhage (PPH), while gynaecological indications included uterine arteriovenous malformations (AVMs) and uterine fibroids. Clinical success, need for blood transfusion, complications, and fertility preservation were assessed.</p> Results <p>The overall clinical success rate for obstetric cases was 72%. A 100% success rate was observed in non-PAS placenta previa cases, whereas success was limited to 50% in PAS cases. Blood transfusion was required in 88% of obstetric cases. One major vascular complication was noted. In contrast, UAE for gynaecological indications demonstrated excellent outcomes, with effective haemorrhage control and preservation of fertility in the majority of cases.</p> Conclusion <p>Uterine artery embolization is an effective and fertility-preserving intervention for the management of obstetric and gynaecological haemorrhage. While outcomes are favourable in conditions such as placenta previa, PPH, fibroids, and AVMs, its effectiveness is limited in advanced placenta accrete spectrum cases. Optimal outcomes require specialized infrastructure and a multidisciplinary team approach.</p>

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Interventional Radiology Techniques for Managing Obstetric Haemorrhage and Gynaecological Conditions: An Eight-Year Analysis

  • 期刊论文

  • 发表日期：

    2026年7月20日

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  • Hema Patil,
  • Navin Mulimani,
  • Pankti Parikh,
  • Mehmuda Hussain

摘要

Background

Interventional radiology (IR) has emerged as an important minimally invasive modality in the management of obstetric and gynaecological conditions. Its advantages include reduced morbidity, shorter hospital stays, faster recovery, and preservation of fertility. Uterine artery embolization (UAE) is increasingly utilized for the management of obstetric haemorrhage and selected gynaecological conditions.

Objectives

To evaluate the clinical outcomes, effectiveness, and limitations of uterine artery embolization in obstetric and gynaecological cases managed at a quaternary care centre.

Methods

This retrospective observational study was conducted at a quaternary care facility in Belagavi and included 38 cases that underwent UAE over an eight-year period (2017–2024). Obstetric indications included placenta accrete spectrum (PAS), placenta previa, and postpartum haemorrhage (PPH), while gynaecological indications included uterine arteriovenous malformations (AVMs) and uterine fibroids. Clinical success, need for blood transfusion, complications, and fertility preservation were assessed.

Results

The overall clinical success rate for obstetric cases was 72%. A 100% success rate was observed in non-PAS placenta previa cases, whereas success was limited to 50% in PAS cases. Blood transfusion was required in 88% of obstetric cases. One major vascular complication was noted. In contrast, UAE for gynaecological indications demonstrated excellent outcomes, with effective haemorrhage control and preservation of fertility in the majority of cases.

Conclusion

Uterine artery embolization is an effective and fertility-preserving intervention for the management of obstetric and gynaecological haemorrhage. While outcomes are favourable in conditions such as placenta previa, PPH, fibroids, and AVMs, its effectiveness is limited in advanced placenta accrete spectrum cases. Optimal outcomes require specialized infrastructure and a multidisciplinary team approach.