Prophylactic resuscitative endovascular balloon occlusion of the aorta use during cesarean hysterectomy for placenta accreta spectrum: a retrospective cohort study

Resuscitative endovascular balloon occlusion of the aorta for placenta accreta spectrum is used to control maternal hemorrhage during cesarean hysterectomy. This study aimed to assess the efficacy of resuscitative endovascular balloon occlusion of the aorta for placenta accreta spectrum by examines...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2023-12, Vol.36 (2), p.2232073-2232073
Main Authors: Kyozuka, Hyo, Yasuda, Shun, Murata, Tsuyoshi, Sugeno, Misa, Fukuda, Toma, Yamaguchi, Akiko, Nomura, Yasuhisa, Fujimori, Keiya
Format: Article
Language:English
Subjects:
Aorta - surgery
Balloon Occlusion
Blood Loss, Surgical - prevention & control
Female
Humans
Hysterectomy
placenta accreta
Placenta Accreta - surgery
Pregnancy
preventive medicine
Retrospective Studies
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Summary:Resuscitative endovascular balloon occlusion of the aorta for placenta accreta spectrum is used to control maternal hemorrhage during cesarean hysterectomy. This study aimed to assess the efficacy of resuscitative endovascular balloon occlusion of the aorta for placenta accreta spectrum by examines the change in the quantitative blood loss after applying resuscitative endovascular balloon occlusion of the aorta. This retrospective cohort study included patients with placenta accreta spectrum who required cesarean hysterectomy (n = 37) between 2003 and 2022 at a tertiary care center. Patients were divided into two groups (with resuscitative endovascular balloon occlusion of the aorta, n = 13; without resuscitative endovascular balloon occlusion of the aorta, n = 24). The quantitative blood loss was compared between the groups. Generalized linear mixed models were used to examine changes in quantitative blood loss during cesarean hysterectomy after resuscitative endovascular balloon occlusion of the aorta was applied. The operating surgeon was set as the random effect. Operation time did not differ significantly between the groups (p = .09). The quantitative blood loss was significantly higher in patients who did not undergo resuscitative endovascular balloon occlusion of the aorta (2160 g) than in patients who did (1110 g; p 
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2023.2232073