Efficiency of X-ray endovascular arterial vessel occlusion techniques in reducing intraoperative blood loss in pregnant women with placenta previa


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Objective. To investigate the efficiency of X-ray endovascular arterial vessel occlusion techniques in reducing intraoperative blood loss in pregnant women with placenta previa. Subject and methods. Currently available publications showing the role and efficiency of preventive use of uterine artery embolization and temporary balloon iliac artery occlusion during curation of patients with placenta previa and increta who have frequently large amounts of blood loss were reviewed. Results. In some specialists’ opinion, preventive pelvic artery catheterization and embolization in patients with placenta increta are a safe and effective technique to avoid hysterectomy and should be used in women who wish to preserve their fertility. Conclusion. The current data demonstrating the safety and efficiency of endovascular uterine artery and iliac artery occlusion techniques are based on single clinical cases and non-randomized trials with small sample sizes so further large multicenter randomized trials are needed to obtain an evidentiary base. At the same time, numerous results of balloon occlusion of iliac arteries are controversial as some investigators have given data that this technique reduces blood loss while other investigators have not obtained positive results.

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作者简介

Vitaliy Tskhai

V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: tchai@yandex.ru
MD, prof., Head of the Department of Perinatology, Obstetrics, and Gynecology

Pavel Yametov

V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Email: mail.rurwap@mail.ru
assistant of Department of Perinatology, Obstetrics, and Gynecology

Natalia Brezhneva

V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

assistant of Department of Perinatology, Obstetrics, and Gynecology

Ekaterina Levanova

V.F. Voino-Yasenetsky Krasnoyarsk State Medical University; Center of Maternal and Child Health

Email: ekkovaleva@rambler.ru
physician Department of the pathology of pregnancy

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