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AJP Rep 2012; 02(01): 063-066
DOI: 10.1055/s-0032-1322507
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Improving the Management of an Advanced Extrauterine Pregnancy Using Pelvic Arteriography in a Hybrid Operating Suite

Michael P. Smrtka
1   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
,
Ravindu Gunatilake
1   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
,
Michael J. Miller
2   Division of Interventional Radiology, Duke University Medical Center, Durham, North Carolina
,
R. Phillips Heine
1   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
,
Haywood L. Brown
1   Division of Maternal–Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina
› Author Affiliations
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Publication History

03 March 2012

01 April 2012

Publication Date:
16 July 2012 (online)

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Abstract

Advanced extrauterine pregnancy is an extremely rare, life-threatening pregnancy complication. Management of these pregnancies presents significant challenges, especially when they have progressed to an advanced stage of fetal viability. With high rates of maternal and fetal mortality associated with this complication, delivery or pregnancy interruption should be expedited following diagnosis. Localization of the placenta and its blood supply is critical to preoperative planning. Hybrid operating suites that can accommodate a multidisciplinary team of subspecialists may improve the chance of a successful outcome with this rare complication.

Keywords

advanced extrauterine pregnancy - abdominal pregnancy - pelvic arteriography
 

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