Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report

With increasing cesarean delivery rates, placenta accreta spectrum (PAS) disorders are occurring more frequently and represent a significant cause of peripartum hemorrhage. Different modalities have been explored to control blood loss during cesarean hysterectomies for PAS disorders, including admin...

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Autores principales: Herbert, Katherine, Buchbinder, Lindsey, Seshachellam, Vishwas, Lee, Linden
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704019/
https://www.ncbi.nlm.nih.gov/pubmed/33269128
http://dx.doi.org/10.7759/cureus.11197
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author Herbert, Katherine
Buchbinder, Lindsey
Seshachellam, Vishwas
Lee, Linden
author_facet Herbert, Katherine
Buchbinder, Lindsey
Seshachellam, Vishwas
Lee, Linden
author_sort Herbert, Katherine
collection PubMed
description With increasing cesarean delivery rates, placenta accreta spectrum (PAS) disorders are occurring more frequently and represent a significant cause of peripartum hemorrhage. Different modalities have been explored to control blood loss during cesarean hysterectomies for PAS disorders, including administration of tranexamic acid (TXA) and balloon occlusion strategies. We present a case of a cesarean hysterectomy for a placenta percreta with the use of TXA and arterial balloon occlusion complicated by a lower extremity arterial thrombus requiring emergent thrombectomy. The outcome of this case suggests using caution with concomitant use of TXA and arterial balloon occlusion.
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spelling pubmed-77040192020-12-01 Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report Herbert, Katherine Buchbinder, Lindsey Seshachellam, Vishwas Lee, Linden Cureus Anesthesiology With increasing cesarean delivery rates, placenta accreta spectrum (PAS) disorders are occurring more frequently and represent a significant cause of peripartum hemorrhage. Different modalities have been explored to control blood loss during cesarean hysterectomies for PAS disorders, including administration of tranexamic acid (TXA) and balloon occlusion strategies. We present a case of a cesarean hysterectomy for a placenta percreta with the use of TXA and arterial balloon occlusion complicated by a lower extremity arterial thrombus requiring emergent thrombectomy. The outcome of this case suggests using caution with concomitant use of TXA and arterial balloon occlusion. Cureus 2020-10-27 /pmc/articles/PMC7704019/ /pubmed/33269128 http://dx.doi.org/10.7759/cureus.11197 Text en Copyright © 2020, Herbert et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Herbert, Katherine
Buchbinder, Lindsey
Seshachellam, Vishwas
Lee, Linden
Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report
title Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report
title_full Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report
title_fullStr Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report
title_full_unstemmed Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report
title_short Resuscitative Endovascular Balloon Occlusion of the Aorta and Concomitant Tranexamic Acid for Cesarean Hysterectomy Complicated by Common Femoral Artery Thrombosis: A Case Report
title_sort resuscitative endovascular balloon occlusion of the aorta and concomitant tranexamic acid for cesarean hysterectomy complicated by common femoral artery thrombosis: a case report
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7704019/
https://www.ncbi.nlm.nih.gov/pubmed/33269128
http://dx.doi.org/10.7759/cureus.11197
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