EP35.05: Contemporary role of interventional radiology in obstetrics and gynecology in a tertiary hospital and how this has changed in the last six years

Purpose This paper aims to summarize the radiological interventions that can be used by obstetricians and gynecologists. Design/methodology/approach E-health systems apply in all hospital sectors in the world; interventional radiology (IR) now includes transcatheter and percutaneous techniques that can be applied to various organ systems, including the female reproductive system and pelvis. Interventional radiologists can now offer many services to obstetricians and gynecologists. With the advent of new procedures and refinement of existing techniques, there are now a number of procedures that can be used to treat both vascular and non-vascular diseases. This review summarizes the radiological interventions that can be used by obstetricians and gynecologists. Findings This review is intended to help gynecologists and obstetricians understand the role of IR in their specialty. Many valuable vascular and nonvascular interventional services can be provided by radiologists for both obstetric and gynecological indications. Many of these IR procedures are minimally invasive with less risk to the patients. Originality/value IR is now being used to treat some conditions encountered in obstetrics and gynecology, in particular, uterine leiomyomas, placenta accreta, postpartum hemorrhage and pelvic congestion syndrome. Moreover, with the help of IR, radiologists can also manage several nonvascular pathologies, including drainage of pelvic abscesses, fallopian tube recanalization, image-guided biopsy and fluid collections involving ovarian lesions. The major challenges faced when performing obstetric IR procedures are reduction of radiation exposure for the patient and fetus and preservation of fertility. This review highlights the role of IR in the treatment of various vascular and nonvascular pathologies encountered in obstetrics and gynecology.

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Use of riboflavinum and magnesium citrate in obstetrics and gynecology

GYNECOLOGY ◽

10.26442/20795696.2018.6.000045 ◽

2018 ◽

Vol 20 (6) ◽

pp. 60-66

Author(s):

O A Gromova ◽

I Yu Torshin ◽

N K Tetruashvili

Keyword(s):

Thrombus Formation ◽

Sirtuin 1 ◽

Obstetrics And Gynecology ◽

Inflammatory Factor ◽

Vitamin B2 ◽

Magnesium Citrate ◽

Fetal Malformations ◽

Folate Cycle ◽

Pro Inflammatory Cytokines

Low provision of cells with vitamin B2 and magnesium leads to a decrease in the activity of the sirtuin-1 deacetylase and an increase in the activity of the pro-inflammatory factor NF-kB, a decrease in the levels of glutathione, an increase in the levels of homocysteine, thrombus formation, the activity of mitochondria, the development of migraine, convulsions and miscarriage. The role of riboflavin in the regulation of the folate cycle in the genotype MTHFR 677TT for the prevention of folatresistant fetal malformations, the advantages of an aqueous solution of riboflavin and magnesium citrate is considered. The data on titanium dioxide, which increases the level of pro-inflammatory cytokines IL-1b, IL-4, IL-5, IL-6, G-CSF, CCL-2, CCL-3, CCL-4, are presented.

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Role of USG guidance in percutaneous needle puncture in interventional radiology

MedPulse International Journal of Radiology ◽

10.26611/10131426 ◽

2020 ◽

Vol 14 (2) ◽

pp. 49-53

Author(s):

Sharad B Ghatge ◽

◽

Shivraj M Ingole ◽

Keyword(s):

Interventional Radiology ◽

Needle Puncture

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Bioengineered in vitro Vascular Models for Applications in Interventional Radiology

Current Pharmaceutical Design ◽

10.2174/1381612824666180416114325 ◽

2019 ◽

Vol 24 (45) ◽

pp. 5367-5374 ◽

Cited By ~ 1

Author(s):

Xiaoyun Li ◽

Seyed M. Moosavi-Basri ◽

Rahul Sheth ◽

Xiaoying Wang ◽

Yu S. Zhang

Keyword(s):

Interventional Radiology ◽

Animal Models ◽

Blood Vessels ◽

In Vitro Models ◽

The Past ◽

Endovascular Interventions ◽

Conventional Animal ◽

Vascular Structures

The role of endovascular interventions has progressed rapidly over the past several decades. While animal models have long-served as the mainstay for the advancement of this field, the use of in vitro models has become increasingly widely adopted with recent advances in engineering technologies. Here, we review the strategies, mainly including bioprinting and microfabrication, which allow for fabrication of biomimetic vascular models that will potentially serve to supplement the conventional animal models for convenient investigations of endovascular interventions. Besides normal blood vessels, those in diseased states, such as thrombosis, may also be modeled by integrating cues that simulate the microenvironment of vascular disorders. These novel engineering strategies for the development of biomimetic in vitro vascular structures will possibly enable unconventional means of studying complex endovascular intervention problems that are otherwise hard to address using existing models.

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