Simultaneous abdominal aorta balloon occlusion without radiation
exposure during caesarean section in placenta percreta patients: an
effective easy-to-implement procedure for hemorrhage control.
Abstract
Abstract Objective: To research the safety and effect of the
simultaneous abdominal aorta balloon occlusion without radiation
exposure during caesarean section in placenta percreta patients. Design:
A retrospective case study. Setting: A class A tertiary comprehensive
hospital in Beijing of China. Population or Sample: 28 pregnant women
from September 1st, 2015, to January 31st, 2019 Methods: The medical
records of 28 patients with placenta percreta, who undertook the
simultaneous abdominal aortic balloon occlusion without radiation
exposure during caesarean section, were retrospective studied. Main
Outcome Measures: The intra-operative blood loss, transfusion
requirements, hysterectomy rate, the duration of operation, length of
Intensive Care Unit time and postoperative hospital stay. Results: The
technical success rate was 100%. The amount of blood loss was 600 -
6500 (3094 ± 1502) ml. The duration of operation was 123 - 488 (285 ±
102) min. The mean Intensive Care Unit time and postoperative hospital
stay were 2.0 (1.0 - 2.8) days and 7.0 (7.0 - 9.0) days respectively.
Hysterectomy was carried out in 12 (42.9%) cases. No maternal and
neonatal deaths. The complication included 7 cases of local thrombosis
of right femoral artery. Thrombectomy was successfully performed through
the femoral artery incision on the operating table simultaneously. There
was no other complication. Conclusions: The simultaneous abdominal aorta
balloon occlusion without radiation exposure during caesarean section in
placenta percreta patients is a safe and effective procedure for
hemorrhage control. It is an easy-to-implement procedure by a
well-trained surgeon which performed in the general operation room.