Endovascular balloon occlusion of the aorta for placenta percreta during cesarean hysterectomy

Authors

  • Sandeep Nathanael David
  • C Kallivalappil Shibu
  • K Thomas Mariam
  • Shenoy Usha
  • Kumari Supriya
  • Benjamin Bino

Keywords:

Aorta, Balloon-tipped catheter, Hemorrhage, Occlusion, Percreta, Transfusion

Abstract

The potential massive hemorrhage from placenta percreta requires large volumes of blood products to be transfused which are often not readily available for resuscitation and surgery, especially at rural centers. Multiple foreign case studies report the successful use of endovascular balloon occlusion of the aorta (EBOA) for the management of maternal hemorrhage. We present the first case of placenta percreta in India which was managed successfully by pre-operative placement of a balloon-tipped catheter in the aorta. Her hemodynamic status was well-controlled intraoperatively, and there were no post-operative complications. The surgical field was bloodless on balloon inflation allowing for surgical dissection and hemostasis; occult bleeders could be visualized and ligated by transiently deflating the balloon. Importantly, the transfusion requirements of this patient were drastically reduced. The authors propose that EBOA can be a staple modality in the pre-operative management of placenta percreta, especially in rural areas.

Downloads

Download data is not yet available.

Downloads

Published

2018-02-26

How to Cite

Endovascular balloon occlusion of the aorta for placenta percreta during cesarean hysterectomy. (2018). Indian Journal of Case Reports, 4(1), 14-16. https://mansapublishers.com/index.php/ijcr/article/view/712

Most read articles by the same author(s)

<< < 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 > >>