Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series

In this study, a treatment method was assessed for the prevention and treatment of postpartum bleeding after combined surgery in patients having late pregnancy with the complication of acute Stanford type A aortic dissection. The clinical records of ten patients receiving treatment at the Second Xia...

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Autores principales:	Peng Mei, Yu Ling, Deng Yali, Zhong Wen, Nie Yanting, Deng Wen, Huang Jian, Ding Yiling
Formato:	article
Lenguaje:	EN
Publicado:	De Gruyter 2021
Materias:	pregnancy stanford type a aortic dissection postpartum bleeding bakri balloon intrauterine tamponade cervical cerclage Medicine R
Acceso en línea:	https://doaj.org/article/5d3d22c43a40452990e02e448671ab7a
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spelling	oai:doaj.org-article:5d3d22c43a40452990e02e448671ab7a2021-12-05T14:10:55ZIntrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series2391-546310.1515/med-2021-0392https://doaj.org/article/5d3d22c43a40452990e02e448671ab7a2021-11-01T00:00:00Zhttps://doi.org/10.1515/med-2021-0392https://doaj.org/toc/2391-5463In this study, a treatment method was assessed for the prevention and treatment of postpartum bleeding after combined surgery in patients having late pregnancy with the complication of acute Stanford type A aortic dissection. The clinical records of ten patients receiving treatment at the Second Xiangya Hospital of Central South University between March 2012 and March 2021 were retrospectively analysed. All patients were diagnosed with acute Stanford type A aortic dissection according to computed tomography angiography of the thoracic and abdominal aorta. Aortic valve function was assessed using two-dimensional echocardiography. All patients experienced uterine-incision delivery under systemic anaesthesia. During the operation, intrauterine Bakri balloon tamponade and cervical cerclage were performed. Postpartum bleeding was effectively controlled for all patients. The extracorporeal circulation time was 230–295 min, the postpartum 24 h bleeding volume was 500–870 mL, the volume of physiological saline injected into the balloon was 290–515 mL, and the intrauterine balloon compression time was 28–51 h. No postpartum bleeding occurred. A 42-days follow-up showed no late postpartum bleeding, poor uterine incision healing, or puerperal infection, and no uterine removal was performed. Intrauterine Bakri balloon tamponade plus cervical cerclage can effectively prevent intra- and postoperative postpartum bleeding in pregnant patients with aortic dissection.Peng MeiYu LingDeng YaliZhong WenNie YantingDeng WenHuang JianDing YilingDe Gruyterarticlepregnancystanford type a aortic dissectionpostpartum bleedingbakri balloonintrauterine tamponadecervical cerclageMedicineRENOpen Medicine, Vol 17, Iss 1, Pp 15-21 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pregnancy stanford type a aortic dissection postpartum bleeding bakri balloon intrauterine tamponade cervical cerclage Medicine R
spellingShingle	pregnancy stanford type a aortic dissection postpartum bleeding bakri balloon intrauterine tamponade cervical cerclage Medicine R Peng Mei Yu Ling Deng Yali Zhong Wen Nie Yanting Deng Wen Huang Jian Ding Yiling Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
description	In this study, a treatment method was assessed for the prevention and treatment of postpartum bleeding after combined surgery in patients having late pregnancy with the complication of acute Stanford type A aortic dissection. The clinical records of ten patients receiving treatment at the Second Xiangya Hospital of Central South University between March 2012 and March 2021 were retrospectively analysed. All patients were diagnosed with acute Stanford type A aortic dissection according to computed tomography angiography of the thoracic and abdominal aorta. Aortic valve function was assessed using two-dimensional echocardiography. All patients experienced uterine-incision delivery under systemic anaesthesia. During the operation, intrauterine Bakri balloon tamponade and cervical cerclage were performed. Postpartum bleeding was effectively controlled for all patients. The extracorporeal circulation time was 230–295 min, the postpartum 24 h bleeding volume was 500–870 mL, the volume of physiological saline injected into the balloon was 290–515 mL, and the intrauterine balloon compression time was 28–51 h. No postpartum bleeding occurred. A 42-days follow-up showed no late postpartum bleeding, poor uterine incision healing, or puerperal infection, and no uterine removal was performed. Intrauterine Bakri balloon tamponade plus cervical cerclage can effectively prevent intra- and postoperative postpartum bleeding in pregnant patients with aortic dissection.
format	article
author	Peng Mei Yu Ling Deng Yali Zhong Wen Nie Yanting Deng Wen Huang Jian Ding Yiling
author_facet	Peng Mei Yu Ling Deng Yali Zhong Wen Nie Yanting Deng Wen Huang Jian Ding Yiling
author_sort	Peng Mei
title	Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
title_short	Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
title_full	Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
title_fullStr	Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
title_full_unstemmed	Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series
title_sort	intrauterine bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: case series
publisher	De Gruyter
publishDate	2021
url	https://doaj.org/article/5d3d22c43a40452990e02e448671ab7a
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Intrauterine Bakri balloon tamponade plus cervical cerclage for the prevention and treatment of postpartum haemorrhage in late pregnancy complicated with acute aortic dissection: Case series

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