Table 2. Patient Characteristics and Reported Outcomes for Balloon Occlusion Procedures Performed for Obstetric Hemorrhage.
Patient No. | Diagnosis | Gestational Age | Artery Occluded | Surgery | EBL | Units Transfused | Complications |
---|---|---|---|---|---|---|---|
1 | Previa/Percreta | 37 weeks | IIA | CD/TAH | 1600 mL | 0 | – |
2 | Accreta | 36 weeks | IIA | CD/TAH | 1100 mL | 0 | – |
3 | Percreta (?) | 30 weeks | IIA | CD/TAH | 2000 mL | 2 U | – |
4 | Previa/Possible accreta | 36 weeks | IIA | CD/TAH | 2500 mL | 2 U | – |
5 | Complete accreta, suspected percreta | 35 weeks, 4 days | IIA | CD/TAH | 4000 mL | 7 U | – |
6 | Complete previa, probable percreta | 34 weeks | Anterior division IIA | CD/TAH | 1500 mL | 3 U | Slow return of bowel motility, mild fever |
7 | Accreta | NA | Infrarenal abdominal aorta | CD/TAH | 2 U | – | |
8 | Previa/Percreta/Bladder invasion | 36 weeks | Anterior division IIA | CD/TAH | 1500 mL | 0 | – |
9 | Percreta | 30 weeks | Anterior division IIA | CD/TAH | 2000 mL | 0 | – |
10 | Percreta | 34 weeks | CIA | NA | 800 mL | 500 cc | – |
11 | Previa/Percreta | 34 weeks | IIA | CD/TAH | 3000 mL | 4 U | – |
12 | Previa | 31 weeks | L uterine artery, R anterior division IIA | CD/TAH | 600 mL | 0 U | Ileus |
13 | Previa/Percreta Delivered at 30 weeks, placenta delivered 7 days later |
30 weeks | IIA | CD/Manual transplacental removal | 1400 cc | 2 U/15 U | R Salpingo-oophorectomy; intentional anterior and unintentional posterior cystotomy; 3 cm uterine rupture |
14 | High-flow retroplacental AVM | NA | IIA | 2000 cc | 0 U | – | |
15 | Percreta adherent to bladder | NA | IIA | CD/TAH | 5000 cc | 10 U | – |
16 | Percreta | NA | IIA | CD/TAH | 4000 cc | 6 U | – |
17 | Percreta | NA | IIA | NA | 1000 cc | 0 U | – |
18 | Accreta | NA | IIA | CD/TAH | 5000 cc | 5 U | – |
19 | Accreta | NA | IIA | CD | 800 cc | 0 U | – |
20 | Accreta | NA | IIA | CD | 2600 cc | 2 U | – |
21 | Percreta and complete previa | 38 weeks | Infrarenal abdominal aorta | CD/TAH | 42 U | Vesicovaginal fistula | |
22 | Accreta | 36 weeks | IIA | CD/TAH | 5500 cc | 4 U | – |
23 | Accreta | 37 weeks | IIA | CD/TAH | 5200 cc | 6 U | – |
24 | Accreta | 36 weeks | Uterine artery | CD/TAH | 6700 cc | 5 U | – |
25 | Accreta | 38 weeks | IIA | CD | 1100 cc | None | – |
26 | Accreta | 36 weeks | IIA | CD/TAH | 2700 cc | 2 U | – |
27 | Previa/Focal accreta | 28 weeks | IIA | CD/TAH | 2200 cc | 17 U | – |
28 | Previa/Increta | 34 weeks | IIA | CD/TAH | 2500 cc | 6 U | – |
29 | Previa/Accreta | 36 weeks | IIA | CD/TAH | 7000 cc | 9 U | Cystostomy/bladder repair |
30 | Previa/Percreta | 30 weeks | IIA | CD/TAH | 2500 cc | 7 U | Cystostomy/bladder repair, pelvic hematoma |
31 | Previa/Accreta | 31 weeks | IIA | Curettage of lower uterine segment | 1000cc | 0 U | – |
32 | Previa/Percreta | 36 weeks | IIA | CD/TAH | 1500 cc | 0 U | – |
33 | Previa | 33 weeks | IIA | CD | 3950 cc | 5.4 U (mean) | – |
34 | Previa | 35 weeks | IIA | CD | 3100 cc | 5.4 U (mean) | – |
35 | Accreta | 35 weeks | IIA | CD/TAH | 4000 cc | 5.4 U (mean) | – |
36 | Previa | 32 weeks | IIA | CD/TAH | 3400 cc | 5.4 U (mean) | – |
37 | Previa | 35 weeks | IIA | CD/TAH | 4300 cc | 5.4 U (mean) | – |
38 | Percreta | 42 weeks | IIA | CD/TAH | 10,000 cc | 5.4 U (mean) | – |
39 | Accreta | 33 weeks | IIA | CD | 3200 cc | 5.4 U (mean) | – |
EBL, estimated blood loss; CD/TAH, cesarean delivery/total abdominal hysterectomy; NA, not applicable; CIA, common iliac artery; AVM, arteriovenous malformation.