Temporary aortic balloon occlusion in management of cesarean section for pernicious placenta previa/accreta
10.3969/j.issn.1002-1671.2015.07.032
- VernacularTitle:球囊暂时封堵腹主动脉在凶险性前置胎盘并胎盘植入剖宫产中的应用
- Author:
Yanli WANG
;
Xuhua DUAN
;
Xinwei HAN
;
Xianlan ZHAO
;
Zhimin CHEN
;
Qinjun CHU
- Publication Type:Journal Article
- Keywords:
abdominal aortic;
balloon catheter;
dangerous placenta previa;
placenta accreta;
cesarean section
- From:
Journal of Practical Radiology
2015;(7):1186-1188,1197
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of temporary balloon occlusion in multidisciplinary management of cesarean sec-tion for patients with pernicious placenta previa/accreta.Methods 42 patients with a diagnosis of placenta previa /accrete accepted the temporary aortic balloon occlusion in cesarean section in DSA hybrid operation room were retrospectively studied.Before cesare-an section,intravascular balloon catheter was placed in abdominal aortic.After delivery,the midpoint of filling state balloon was placed at the midpoint of the two renal arteries openings before placental dissection.The amount of blood loss and blood transfusion, operation time,the infants'radiation doses and postoperative complications were determined.Results All patients were successfully fulfilled cesarean section and conserved uteri.The amount of blood loss,blood transfusion,operation time,occlusion time and the infants’radiation doses were (586±355)mL,(422±283)mL,(75.5±1 1.9)min,(22.4±7.2)min and (4.2±2.9)mGy,respec-tively.During follow-up,complications were not found during operation and after operation.Conclusion In women with pernicious placenta previa/accreta,temporary aortic balloon occlusion can effectively control postpartum hemorrhage and reduce the risk of un-desirable hysterectomy.
