Why the study?
Does the use of an aortic occlusion balloon catheter reduce blood loss and improve safety during cesarean hysterectomy for placenta previa percreta?
Does the use of an aortic occlusion balloon catheter reduce blood loss and improve safety during cesarean hysterectomy for placenta previa percreta?
Aortic balloon occlusion is a rapidly deployable and feasible option to manage major hemorrhage during cesarean hysterectomy for placenta previa percreta.
Supports feasibility of aortic balloon occlusion in percreta cesarean hysterectomy; hypothesis-generating and requires prospective validation.
BACKGROUND: Only few reports are available on the use of aortic balloon catheter for cesarean hysterectomy in placenta previa percreta. CASE: A 32-year-old woman with placenta previa percreta underwent cesarean hysterectomy at 34 weeks of gestation. Before starting the surgery, an aortic occlusion balloon catheter (30 mm balloon, 5 Fr) was inserted. For total hysterectomy, the aortic balloon catheter was inflated and there was a sudden and dramatic reduction in blood loss, and the surgery was completed safely. An aortic occlusion was sustained for 80 min, with blood loss estimated at 3,200 ml. The postoperative course was uneventful. At 3 months after the operation, the mother and baby remained healthy. CONCLUSION: An aortic balloon is rapidly and easily inserted, and is an option for major hemorrhage in placenta previa percreta.
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Masamoto et al. (2008) studied this question.
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