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Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa

OBJECTIVE: To investigate the clinical utility of ultrasound-guided balloon occlusion in cesarean section in patients with sinister placenta previa. METHODS: The Interventional and Ultrasound Departments of the authors’ center assisted obstetrics to complete cesarean section in cases of sinister pla...

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Autores principales: Chen, Kunqian, Zhang, Guohui, Li, Fawang, Liu, Jianfeng, Xie, Kui, Zhu, Enquan, Li, Wenliang, Zhang, Mingli, Gen, Chao, Wang, Aiguo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: KeAi Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562179/
https://www.ncbi.nlm.nih.gov/pubmed/34805905
http://dx.doi.org/10.1016/j.jimed.2020.01.006
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author Chen, Kunqian
Zhang, Guohui
Li, Fawang
Liu, Jianfeng
Xie, Kui
Zhu, Enquan
Li, Wenliang
Zhang, Mingli
Gen, Chao
Wang, Aiguo
author_facet Chen, Kunqian
Zhang, Guohui
Li, Fawang
Liu, Jianfeng
Xie, Kui
Zhu, Enquan
Li, Wenliang
Zhang, Mingli
Gen, Chao
Wang, Aiguo
author_sort Chen, Kunqian
collection PubMed
description OBJECTIVE: To investigate the clinical utility of ultrasound-guided balloon occlusion in cesarean section in patients with sinister placenta previa. METHODS: The Interventional and Ultrasound Departments of the authors’ center assisted obstetrics to complete cesarean section in cases of sinister placenta previa. A total of 130 patients with implanted sinister placenta previa were diagnosed using obstetrical ultrasound and magnetic resonance imaging (MRI). Before cesarean section, the balloon was positioned in the bilateral radial or abdominal aorta. Immediately after delivery of the fetus, the balloon was temporarily filled to transiently seal the target vessel. According to the obstetrician’s assessment of hemostasis, the balloon was withdrawn at the appropriate time. Among the 130 patients, there was one case of abdominal aortic occlusion, with 129 cases blocked by the bilateral common iliac artery. RESULTS: All 130 cases were successfully blocked, with an average blocking time of <15 ​min, while intraoperative blood loss was 800–1500 ​ml. CONCLUSION: Ultrasound-guided balloon blocking treatment before cesarean section can mitigate the dangers of placenta previa and significantly reduce blood loss with no exposure to X-ray radiation. Thus, the technique merits serious consideration.
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spelling pubmed-85621792021-11-19 Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa Chen, Kunqian Zhang, Guohui Li, Fawang Liu, Jianfeng Xie, Kui Zhu, Enquan Li, Wenliang Zhang, Mingli Gen, Chao Wang, Aiguo J Interv Med Article OBJECTIVE: To investigate the clinical utility of ultrasound-guided balloon occlusion in cesarean section in patients with sinister placenta previa. METHODS: The Interventional and Ultrasound Departments of the authors’ center assisted obstetrics to complete cesarean section in cases of sinister placenta previa. A total of 130 patients with implanted sinister placenta previa were diagnosed using obstetrical ultrasound and magnetic resonance imaging (MRI). Before cesarean section, the balloon was positioned in the bilateral radial or abdominal aorta. Immediately after delivery of the fetus, the balloon was temporarily filled to transiently seal the target vessel. According to the obstetrician’s assessment of hemostasis, the balloon was withdrawn at the appropriate time. Among the 130 patients, there was one case of abdominal aortic occlusion, with 129 cases blocked by the bilateral common iliac artery. RESULTS: All 130 cases were successfully blocked, with an average blocking time of <15 ​min, while intraoperative blood loss was 800–1500 ​ml. CONCLUSION: Ultrasound-guided balloon blocking treatment before cesarean section can mitigate the dangers of placenta previa and significantly reduce blood loss with no exposure to X-ray radiation. Thus, the technique merits serious consideration. KeAi Publishing 2020-01-21 /pmc/articles/PMC8562179/ /pubmed/34805905 http://dx.doi.org/10.1016/j.jimed.2020.01.006 Text en © 2020 Shanghai Journal of Interventional Medicine Press. Production and hosting by Elsevier B.V. on behalf of KeAi. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Chen, Kunqian
Zhang, Guohui
Li, Fawang
Liu, Jianfeng
Xie, Kui
Zhu, Enquan
Li, Wenliang
Zhang, Mingli
Gen, Chao
Wang, Aiguo
Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa
title Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa
title_full Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa
title_fullStr Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa
title_full_unstemmed Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa
title_short Application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa
title_sort application of ultrasound-guided balloon occlusion in cesarean section in 130 cases of sinister placenta previa
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562179/
https://www.ncbi.nlm.nih.gov/pubmed/34805905
http://dx.doi.org/10.1016/j.jimed.2020.01.006
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