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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.68 (2022) >

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タイトル: Introduction and utility of resuscitative endovascular balloon occlusion of the aorta for cases with a potential high risk of postpartum hemorrhage: A single tertiary care center experience of two cases
著者: Kyozuka, Hyo
Sugeno, Misa
Murata, Tsuyoshi
Jin, Toki
Ito, Fumihiro
Nomura, Yasuhisa
Hirano, Takaki
Shinohara, Kazuaki
Suzuki, Daisuke
Ishida, Tokiya
誌名/書名: Fukushima Journal of Medical Science
巻: 68
号: 2
開始ページ: 117
終了ページ: 122
発行日: 2022年
抄録: Postpartum hemorrhage is an important obstetric complication and the leading cause of maternal mortality worldwide. Occasionally, we encounter unexpected massive postpartum hemorrhage diagnosed for the first time after delivery. Therefore, it is essential to pay attention to patients with a high risk of postpartum hemorrhage. The authors report two cases of patients at high risk of postpartum hemorrhage that were successfully managed by resuscitative endovascular balloon occlusion of the aorta before cesarean section. Case 1: A 32-year-old woman with a history of cesarean section and who conceived using assisted reproductive technology was diagnosed with partial placenta previa at 25 weeks of gestation. Because of tocolysis failure, emergent cesarean section with resuscitative endovascular balloon occlusion of the aorta was performed at 36 weeks of gestation. Natural placental resorption was observed. She was discharged at 5 days after delivery without significant hemorrhage. Case 2: A 41-year-old woman with suspected placenta accreta spectrum due to a cesarean scar pregnancy was referred to our hospital at 33 weeks of gestation. A planned cesarean section with resuscitative endovascular balloon occlusion of the aorta was conducted at 37 weeks of gestation. There was no visual evidence of abnormal placental invasion of the myometrium, and natural placental resorption was observed. She was discharged at 5 days after delivery without significant hemorrhage.
出版者: The Fukushima Society of Medical Science
出版者(異表記): 福島医学会
本文の言語: eng
このページのURI: http://ir.fmu.ac.jp/dspace/handle/123456789/1874
本文URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1874/1/FksmJMedSci_68_p117.pdf
ISSN: 0016-2590
2185-4610
DOI: 10.5387/fms.2022-01
PubMed番号: 35444074
関連ページ: https://doi.org/10.5387/fms.2022-01
権利情報: © 2022 The Fukushima Society of Medical Science. This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license.
権利情報: https://creativecommons.org/licenses/by-nc-sa/4.0/
出現コレクション:Vol.68 (2022)

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FksmJMedSci_68_p117.pdf620.8 kBAdobe PDFダウンロード

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