دورية أكاديمية

Application of Uterine Artery Embolization in Patients With Placenta Accreta Spectrum After Abdominal Aortic Balloon Occlusion.

التفاصيل البيبلوغرافية
العنوان: Application of Uterine Artery Embolization in Patients With Placenta Accreta Spectrum After Abdominal Aortic Balloon Occlusion.
المؤلفون: Zhang, Kai, Cheng, Shuqin, Zhi, Yunxiao, Lu, Lin, Yi, Mingsheng, Cui, Shihong
المصدر: Vascular & Endovascular Surgery; Jul2024, Vol. 58 Issue 5, p498-504, 7p
مصطلحات موضوعية: CESAREAN section, RESEARCH funding, THERAPEUTIC embolization, PLACENTA accreta, RETROSPECTIVE studies, TREATMENT duration, POSTPARTUM hemorrhage, UTERINE artery, BALLOON occlusion, SURGICAL complications, ABDOMINAL aorta, CATHETERS, CONVALESCENCE, SURGICAL hemostasis, POSTOPERATIVE period, BLOOD transfusion, LENGTH of stay in hospitals, COMPARATIVE studies, ARTERIAL puncture, FEMORAL artery
مستخلص: Objective: To evaluate the application of different uterine artery embolization procedures under balloon occlusion of the abdominal aorta in patients with Placenta Accreta Spectrum (PAS) undergoing cesarean section. Materials and Methods: A retrospective analysis was performed on clinical data from 72 patients who underwent uterine artery embolization for hemostasis during cesarean section with PAS. The patients were divided into two groups according to the embolization method used during surgery: group A (n = 43) underwent uterine artery embolization by withdrawing the balloon and inserting a Cobra catheter into the uterine artery for embolization, while group B (n = 29) underwent uterine artery embolization with a Cobra catheter inserted via contralateral puncture of the femoral artery and balloon occlusion. General information, surgical data, and postoperative recovery were compared between the 2 groups. Results: The bleeding and transfusion volumes were lower in group B than in group A and the differences between the 2 groups were statistically significant. There were no significant differences in surgical duration, number of embolized vessels, length of hospital stay, postoperative complications, or menstrual recovery between the 2 groups. Conclusion: For patients with PAS undergoing cesarean section, uterine artery embolization for hemostasis is preferably performed by inserting a Cobra catheter via contralateral puncture of the femoral artery under abdominal aortic balloon occlusion. [ABSTRACT FROM AUTHOR]
Copyright of Vascular & Endovascular Surgery is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:15385744
DOI:10.1177/15385744241229596