Internal iliac artery block using balloon of different properties in cesarean section for delivery female patients with pernicious placenta previa:a comparative study
10.3969/j.issn.1008-794X.2024.09.016
- VernacularTitle:不同性质球囊髂内动脉阻断术在凶险性前置胎盘剖宫产中的对比研究
- Author:
Jing SHI
1
;
Jun XIE
;
Linna LI
;
Tingting LI
;
Ping SUN
;
Hongbo LIU
;
Ying CHEN
Author Information
1. 236000 安徽阜阳 阜阳市人民医院介入放射科
- Keywords:
balloon block;
placenta previa;
placenta implantation;
internal iliac artery;
cesarean section;
uterine artery embolization
- From:
Journal of Interventional Radiology
2024;33(9):1009-1013
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of internal iliac artery block using balloon of different properties in cesarean section for delivery female patients with pernicious placenta previa(PPP).Methods The clinical data of 82 delivery female patients with PPP were retrospectively analyzed.The patients were divided into observation group(n=40)and control group(n=42).The patients of the observation group received compliant Fogarty balloon block of bilateral internal iliac arteries,while the patients of the control group received non-compliant balloon block of bilateral internal iliac arteries.The preoperative and postoperative systolic blood pressure and heart rate,X-ray fluoroscopy time,fetal body surface radiation dose,time spent for cesarean section,intraoperative blood loss amount and blood transfusion quantity,uterine artery embolization rate,hysterectomy rate,1-,5-,and 10-minute neonatal Apgar scores,postoperative hospital stay,and surgery-related complications were compared between the two groups.Results In all patients of both groups,the uterus was successfully preserved and the bilateral internal iliac artery balloon obstruction-assisted cesarean section was successfully accomplished.After the balloon catheter was withdrawn,uterine artery embolization was carried out in some patients,and no patient received ovarian artery embolization and hysterectomy.No statistically significant differences in preoperative,postoperative systolic blood pressure and heart rate existed between the two groups,but in both groups the postoperative systolic blood pressure and heart rate were lower than their preoperative values(all P＜0.05).No statistically significant differences in X-ray fluoroscopy time,fetal body surface radiation dose,uterine artery embolization rate,hysterectomy rate,1-,5-,and 10-minute neonatal Apgar scores,and postoperative hospital stay existed between the two groups.In the observation group the time spent for cesarean section,intraoperative blood loss amount and blood transfusion quantity were lower than those in the control group(all P＜0.05).The difference in the incidence of balloon obstruction-related complications between the two groups was not statistically significant.Conclusion In cesarean section for delivery female patients with PPP,balloon block of bilateral internal iliac,regardless of using compliant Fogarty balloon catheter or non-compliant balloon catheter,is clinically safe and effective.However,the use of compliant Fogarty balloon catheter is superior to the use of non-compliant balloon catheter in reducing the cesarean section operative time,intraoperative blood loss amount,and intraoperative blood transfusion quantity.
