The clinical evaluation of preoperative abdominal aortic balloon occlusion for patients with placenta increta or percreta

Abstract

Objective

To evaluate the efficacy and safety of abdominal aortic balloon for pregnant women with placenta increta or percreta (PIP).

Methods

Retrospective analysis of the parameters containing estimated blood loss, red cell suspension (RCS) transfusion volume, hysterectomy, surgery time, postoperative hospital days, neonatal status and complications between the two groups.

Results

The patients with preoperative abdominal aortic balloon occlusion (AABO) had significant reduction in blood loss volume, red cell suspension transfusion volume and plasma transfusion volume compared to patients without balloon. Similarly, the surgery time and hysterectomy were obviously reduced in the AABO group. However, there were no difference in the Apgar scores and neonatal complications between the two groups, indicating that the abdominal aortic balloon has little adverse effect on the newborns.

Conclusion

AABO plays dramatic roles on reducing blood loss volume and blood transfusion volume and it is also a safe and effective technology providing new insight into the therapy of patient with PIP.

Synopsis

Preoperative abdominal aortic balloon occlusion (AABO), as a new intravascular interventional therapy, is safe and effective in patients with placenta increta or percreta.

Keywords:

• Abdominal aortic balloon occlusion
• placenta increta
• placenta percreta
• cesarean section

Disclosure statement

No potential conflict of interest was reported by the author(s).

Ethics approval and consent to participate

Not applicable. It was a retrospective study that did not interfere with the patients’ treatments.

Consent for publication

Not applicable.

Availability of data and materials

All data generated or analyzed during this study are included in this published article.