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Application of Abdominal Aortic Balloon Occlusion Combined with Tourniquet in Pregnant Women with Severe Placenta Accreta Spectrum

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Abstract

Objective

Abdominal aortic balloon occlusion (AABO) is a vascular intervention method that has been widely used in the treatment of severe placenta accreta spectrum (PAS). The aim of this study was to investigate the benefits, potential risks, and characteristics of AABO combined with tourniquet binding of the lower uterine segment (LUS) in treatment of pregnant women with PAS.

Methods

In this study, 64 pregnant women with PAS scores greater than 5 were enrolled as research subjects and divided into two groups. Group A (n=34) underwent normal operative procedures including tourniquet binding of the LUS. Group B (n=30) underwent AABO combined with tourniquet binding of the LUS. General clinical characteristics, ultrasonography PAS score, intraoperative blood loss (IBL), blood loss within 24 h after surgery (24-h BL), postoperative complications, and neonatal data of the two groups were retrospectively reviewed. The influencing factors of IBL for the two groups were analyzed.

Results

The amounts of IBL, 24-h BL, total input red blood cell, and the incidence of disseminated intravascular coagulation were significantly lower in group B than in group A (P<0.05), and this difference was even more significant in the subgroup of placenta percreta (PAS scores ≥10). Further multivariate linear analysis showed that the combined therapy of AABO and tourniquet could independently predict lower IBL than normal operative procedures did (P=0.001).

Conclusion

AABO combined with tourniquet binding of the LUS could improve the outcomes of pregnant women with severe PAS and reduce serious peripartum complications of AABO.

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Acknowledgements

We thank Guo-qiang SUN and Yun ZHAO of the Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology for language editing services and data acquisition analysis.

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Authors and Affiliations

  1. Department of Obstetrics, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430070, China

    Yan Luo, Yun Zhao & Heng Yin

  2. Health Science Center, Yangtze University, Jingzhou, 434023, China

    Qi Qin

Authors
  1. Yan Luo
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  2. Qi Qin
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  3. Yun Zhao
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  4. Heng Yin
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Corresponding author

Correspondence to Heng Yin.

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Conflict of Interest Statement

The authors declare that they have no competing interests.

This work was supported by the 2018 Applied Medicine Research Projects of Health and Family Planning Commission of Hubei (No. WJ2018H0139 and No. WJ2018H0133).

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Luo, Y., Qin, Q., Zhao, Y. et al. Application of Abdominal Aortic Balloon Occlusion Combined with Tourniquet in Pregnant Women with Severe Placenta Accreta Spectrum. CURR MED SCI 42, 606–612 (2022). https://doi.org/10.1007/s11596-022-2584-6

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  • DOI: https://doi.org/10.1007/s11596-022-2584-6

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