The application of prophylactic abdominal aorta balloon occlusion with Fogarty catheter in treating patients with pernicious placenta previa
10.3969/j.issn.1008-794X.2018.01.016
- VernacularTitle:Fogarty腹主动脉球囊导管预置阻断术在凶险性前置胎盘产妇中的应用
- Author:
Yongchun JIN
1
;
Xiaoju ZHENG
;
Baoshan WANG
;
Xinhong WANG
Author Information
1. 710018,西安凤城医院手足显微外科
- Keywords:
prophylactic abdominal aorta balloon occlusion;
Fogarty catheter;
pernicious placenta previa;
cesarean section
- From:Journal of Interventional Radiology
2018;27(1):67-70
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical effect of prophylactic abdominal aorta balloon occlusion with Fogarty catheter before cesarean section in treating delivery woman with pernicious placenta previa.Methods The clinical data of 12 delivery women with pernicious placenta previa,who received prophylactic abdominal aorta balloon occlusion with Fogarty catheter before cesarean section,were retrospectively analyzed.The curative effect was evaluated.Results The average intraoperative blood loss in the 12 patients was (1256±318) ml.The uterus was successfully retained in 9 patients.Hysterectomy had to be carried out in 3 patients because of refractory hemorrhage;one of them had to receive total hysterectomy together with bladder repair as the placenta had penetrated into the bladder wall.After delivery no complications,such as infection,delayed hemorrhage,lower limb thrombosis,etc.,occurred.All 12 neonates were born smoothly.Conclusion Prophylactic abdominal aorta balloon occlusion with Fogarty catheter before cesarean section can effectively reduce intraoperative blood loss and help save the uterus.Therefore,it is a safe and effective therapeutic means for delivery woman with pernicious placenta previa before the performance of cesarean section.
