Clinical Application of Different Devices Guided Arterial Temporary Balloon Occlusion Technique in Dangerous Placenta Previa Caesarean Delivery

Li Jun; Wang Shi Ping; Yuan Jun; Yang Qin Fei; Li Qing Hong; Xu Zhi Mei; Li Zhi Hai; Tian Jie

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Li Jun , Wang Shi Ping , Yuan Jun , Yang Qin Fei , Li Qing Hong , Xu Zhi Mei , Li Zhi Hai , Tian Jie . Clinical Application of Different Devices Guided Arterial Temporary Balloon Occlusion Technique in Dangerous Placenta Previa Caesarean Delivery[J]. Journal of Kunming Medical University, 2019, 40(03): 63-67.

Citation:

Li Jun , Wang Shi Ping , Yuan Jun , Yang Qin Fei , Li Qing Hong , Xu Zhi Mei , Li Zhi Hai , Tian Jie . Clinical Application of Different Devices Guided Arterial Temporary Balloon Occlusion Technique in Dangerous Placenta Previa Caesarean Delivery[J]. Journal of Kunming Medical University, 2019, 40(03): 63-67.

Citation:

Li Jun , Wang Shi Ping , Yuan Jun , Yang Qin Fei , Li Qing Hong , Xu Zhi Mei , Li Zhi Hai , Tian Jie . Clinical Application of Different Devices Guided Arterial Temporary Balloon Occlusion Technique in Dangerous Placenta Previa Caesarean Delivery[J]. Journal of Kunming Medical University, 2019, 40(03): 63-67.

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Clinical Application of Different Devices Guided Arterial Temporary Balloon Occlusion Technique in Dangerous Placenta Previa Caesarean Delivery

Funds:

基金：云南省临床重点专科建设项目 (2014-38); 昆明市卫生科技计划项目 (2018-09-04-001); 昆明市卫生科技人才暨“十百千”工程后备人选项目 (2014-56);

Received Date: 2018-07-19

Abstract

Abstract

Objective To discuss the characteristics and efficacy evaluation of the different devices guided arterial temporary balloon occlusion technique in dangerous placenta previa caesarean delivery. Methods The patients who had visited obstetrics department as total 26 were collected from July 2016 to August 2018. All patients were diagnosed as dangerous placenta previa by ultrasound or (and) magnetic resonance imaging (MRI) and had been received the arterial temporary balloon occlusion pre-caesarean delivery. Guided with different devices, the balloon was pre-embedded in the bilateral internal or common iliac artery. Immediately blocked the blood flow of iliac artery after the fetal delivered. Withdrawn the balloon according to the obstetric operation progression and bleeding.Results All the 26 patients were succeful in the arterial temporary balloon pre-embedded, and 1 patient of which taken embolotherapy 1 patient due to pseudo-aneurysm formation of right uterine artery. The occlusion time was about 3-15 mins while the intra-operation bleeding amount was about 400-1000 m L in all the patients. There was no hysterectomy or post-operative blood transfusion. All the newborns were survival. Conclusion The arterial temporary balloon occlusion technique in dangerous placenta previa caesarean delivery can decrease the amount of bleeding during the caesarean delivery and the incidence of related complication. It has advantages such as micro-invasion, strong safety and curative effect, and has been widely used in clinic.
- Dangerous placenta previa,
- Arterial temporary balloon occlusion technique,
- Caesarean delivery

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References(20)

References

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