| Arterial embolus during common iliac balloon catheterization at cesarean hysterectomy. | |
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MedLine Citation:
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PMID: 17018488 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Placenta accreta is associated with significant maternal morbidity. Prophylactic iliac artery balloon placement has been described as a treatment adjunct to minimize maternal risk of excessive blood loss at hysterectomy. CASE: A 37-year-old multigravida presented at 37 weeks of gestation with a known placenta previa and suspected placenta accreta. Iliac artery balloon catheters were placed immediately before cesarean delivery. The balloons were inflated after the infant was delivered, and placental-site hemorrhage required a cesarean hysterectomy with a 1,500-mL blood loss. A left popliteal arterial thrombus diagnosed postoperatively required thromboembolectomy. The patient was discharged home on postoperative day 5 with no further sequelae. CONCLUSION: Prophylactic arterial balloon occlusion may be associated with risks unique to pregnant women. |
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Authors:
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Mark F Sewell; David Rosenblum; Hugh Ehrenberg |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 108 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-10-04 Completed Date: 2006-10-24 Revised Date: 2009-10-26 |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 746-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Maternal-Fetal Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109-1989, USA. msewell@metrohealth.org |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Balloon Dilatation* / adverse effects Cesarean Section* / adverse effects Female Humans Hysterectomy* / adverse effects Iliac Artery* Placenta Accreta / physiopathology Placenta Previa / physiopathology Popliteal Artery / surgery Postpartum Hemorrhage / etiology, prevention & control* Pregnancy Risk Factors Thrombosis / etiology*, radiography, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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