臨床婦人科産科73巻9号

2019年09月発行

今月の臨床 産科危機的出血のベストマネジメント―知っておくべき最新の対応策

出血への予防

予防的IVRの適応と種類，合併症

著者： ウッドハムス玲子¹

所属機関： ¹北里大学医学部放射線科学（画像診断学）

ページ範囲：P.831 - P.839

文献概要

●前置癒着胎盤の集学的マネジメントにおいて，予防的IVRの導入は大出血のリスク軽減に大きく寄与する．

●円滑な予防的IVRの導入には，放射線科医と産科医，麻酔科医をはじめ関連スタッフとの良好なコミュニケーション，手術室でのIVRに必要な物品や装置の整備が必要である．

●予防的IVRの手技に関して定まった見解はないが，手技により得られる利益とリスクのバランスを考慮して，病態に応じた適切な手技を選択する必要がある．

参考文献

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