scholarly journals Clinical outcomes and anesthetic management of pregnancies with placenta previa and suspicion for placenta accreta undergoing intraoperative abdominal aortic balloon occlusion during cesarean section

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Peng Li ◽  
Xia Liu ◽  
Xiangkui Li ◽  
Xinchuan Wei ◽  
Juan Liao
Keyword(s):  
Cesarean Section ◽  
Clinical Outcomes ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Anesthetic Management ◽  
Balloon Occlusion ◽  
Aortic Balloon Occlusion ◽  
Abdominal Aortic

scholarly journals Long-term follow-up of abdominal aortic balloon occlusion for the treatment of pernicious placenta previa with placenta accreta

2020 ◽  
Vol 3 (1) ◽  
pp. 34-36
Author(s):  
Yanli Wang ◽  
Tian Jiang ◽  
Guohao Huang ◽  
Xinwei Han ◽  
Zhimin Chen ◽  
...  
Keyword(s):  
Placenta Accreta ◽  
Placenta Previa ◽  
Balloon Occlusion ◽  
Aortic Balloon Occlusion ◽  
Abdominal Aortic ◽  
Long Term Follow Up

Intermittent aortic balloon occlusion combined with cesarean section for the treatment of patients with placenta previa complicated by placenta accreta: A retrospective study

2018 ◽  
Vol 44 (9) ◽  
pp. 1752-1760 ◽  
Author(s):  
Xuhua Duan ◽  
Pengfei Chen ◽  
Xinwei Han ◽  
Yanli Wang ◽  
Zhimin Chen ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Balloon Occlusion ◽  
Aortic Balloon Occlusion

scholarly journals Intraoperative aortic balloon occlusion in patients with placenta previa and/or placenta accreta: a retrospective study

2017 ◽  
Vol 56 (2) ◽  
pp. 147-152 ◽  
Author(s):  
Fangyuan Luo ◽  
Lan Xie ◽  
Ping Xie ◽  
Siwei Liu ◽  
Yue Zhu
Keyword(s):  
Retrospective Study ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Balloon Occlusion ◽  
Aortic Balloon Occlusion

scholarly journals A new scoring system for placement of abdominal aortic balloon in Placenta accreta spectrum patients with placenta previa: A retrospective cohort study

2021 ◽  
Author(s):  
Fusen Huang ◽  
Jingjie Wang ◽  
Qiuju Xiong ◽  
Wenjian Wang ◽  
Yi Xu ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Scoring System ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Operation Time ◽  
Balloon Occlusion ◽  
Abdominal Aortic ◽  
Placenta Accreta Spectrum ◽  
New Scoring

Abstract Background In recent years, abdominal aortic balloon occlusion is considered an effective method for placenta accreta spectrum patients with placenta previa. However, not all patients in this category require abdominal aortic balloon placement. This study aims to investigate whether the new scoring system is effective for the placement of the abdominal aortic balloon in Placenta accreta spectrum (PAS)patients with placenta previa. Methods PAS patients with placenta previa diagnosed by color Doppler ultrasound were included, and divided into three groups according to their scores graded by a new scoring system (grade Ⅰ group ≤ 5 points, 6 points ≤ grade Ⅱ group ≤ 9 points, grade Ⅲ group ≥ 10 points). Patients with grade Ⅲ were placed with an abdominal aortic balloon unless their families and patients strongly refused. Those with grade I were not placed with an abdominal aortic balloon. Those with grade II generally were not placed with an abdominal aortic balloon unless their families and patients strongly request. Indicators were analyzed, including postpartum hemorrhage, transfusion requirements, operation time, and the ability to preserve the uterus and fertility. Results Estimated blood loss, the number of intraoperative transfused patients, postoperative days were different among the three groups. In group 2 (grade II), there was no significant difference in other observation indexes༈intraoperative blood loss 629 ± 214 vs 758 ± 749, P = 0.488, packed red blood cells47 ± 194 vs 154 ± 445, P = 0.488, admission to ICU 0/7 vs 3/71, P = 1.000, total hysterectomies 0/7 vs 2/71, P = 1.000༉(except for the operation time81.4 ± 19.5 vs 61.7 ± 30.6, P = 0.013) between the abdominal aortic balloon and non-abdominal aortic balloon groups. In group 3 (grade III), significant differences were found in intraoperative blood loss (950 ± 390 vs 2238 ± 1052, P༜0.001), packed red blood cells(213 ± 311 vs 662 ± 528, P༜0.001), postoperative blood transfusion volume(105 ± 181 vs 300 ± 321, P = 0.008), operation time(90.0 ± 25.9 vs 115.9 ± 45.3, P = 0.013), the proportion of people who need blood transfusion(14 in the IABO vs 11 in the NIABO, P = 0.002) and the total Hysterectomies (0 in the IABO vs 2 in the NIABO, P = 0.011) between the abdominal aortic balloon and non-abdominal aortic balloon groups. Conclusion With the new scoring system, not all patients with PAS and placenta previa need a preventive temporary balloon occlusion of the subrenal abdominal aorta. We recommend placing an abdominal aortic balloon in patients with grade III, for it can control intraoperative bleeding and reduce intraoperative blood transfusion, and reduce the risk of hysterectomy. For patients with grade I and II, abdominal aortic balloon placement is not recommended.

Sign in / Sign up

Export Citation Format

Share Document