Key result
Infrarenal aortic artery balloon occlusion resulted in similar estimated blood loss but significantly reduced balloon occlusion time, operation time, fetal radiation dose, and need for uterine artery embolization compared to internal iliac artery balloon occlusion.
Why the study?
The study was designed to compare the role of infrarenal aortic artery balloon occlusion with internal iliac artery balloon occlusion in patients with placenta accreta.
Does infrarenal aortic balloon occlusion improve clinical outcomes compared to internal iliac artery balloon occlusion in patients with placenta accreta?
Cohort (n=174)
No
Does infrarenal aortic balloon occlusion improve clinical outcomes compared to internal iliac artery balloon occlusion in patients with placenta accreta?
Absolute Event Rate: 600% vs 600%
p-value: p=0.316
Infrarenal aortic balloon occlusion may offer procedural advantages over internal iliac artery balloon occlusion in patients with placenta accreta, including reduced operation time and fetal radiation dose.
BACKGROUND: The study was designed to compare the role of infrarenal aortic artery balloon occlusion (IAABC) with internal iliac artery balloon occlusion (IIABOC). METHODS: One hundred seventy-four cases with placenta accreta were retrospectively analyzed.74 cases who had IAABC were in group A, while the others who had IIABOC were in group B. RESULTS: Amount of estimated blood loss (EBL), the rate of major blood loss, the rate of blood transfusion and uterine packing, length of hospitalization were not different in both groups. The rate of uterine artery embolization (UAE), balloon occlusion time, operation time and fetus radiation dose in group A were less than those in group B. CONCLUSIONS: IAABC resulted in better clinical outcomes than IIABOC.
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Mei et al. (2019) conducted a cohort in Placenta accreta (n=174). Infrarenal aortic artery balloon occlusion (IAABC) vs. Internal iliac artery balloon occlusion (IIABOC) was evaluated on Estimated blood loss (EBL) in milliliters (p=0.316). Infrarenal aortic artery balloon occlusion resulted in similar estimated blood loss but significantly reduced balloon occlusion time, operation time, fetal radiation dose, and need for uterine artery embolization compared to internal iliac artery balloon occlusion.
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