Prophylactic bilateral iliac artery balloon occlusion during cesarean section in Jehova´s Witnesses patient


Authors: M. Kudela 1,3;  M. Černá 2;  E. Hostinská 1;  K. Huml 1;  Š. Grofová 4;  R. Pilka 1
Authors‘ workplace: Porodnicko-gynekologická klinika LF UP a FN, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D. 1;  Radiologická klinika LF UP a FN, Olomouc, přednosta prof. MUDr. M. Heřman, Ph. D. 2;  Ústav zdravotnických věd FHS UTB, Zlín, ředitelka Mgr. P. Juřeníková, Ph. D. 3;  Gynekologicko-porodnické oddělení, Nemocnice Přerov, SMN, a. s., primář MUDr. V. Boháč 4
Published in: Ceska Gynekol 2019; 84(5): 337-340
Category: Case Report

Overview

Objective: To describe a case report with prophylactic bilateral iliac artery balloon occlusion during cesarean section in Jehova´s Witnesses patient.

Design: Case report.

Setting: Department of Obstetrics and Gynecology, University Hospital, Olomouc; Department of Radiology, University Hospital, Olomouc; Department of Health Care Sciencies, Bata University, Zlín.

Case report: We describe case report with prophylactic bilateral iliac artery balloon occlusion during cesarean section in Jehova´s Witnesses patient in attempt to decrease the risk of heavy peroperative bleeding. Twenty eight years old primigravida underwent prophylactic internal iliac artery balloon catheterization with interventional radiology preoperatively. Two 6-Fr balloon catheters transfemorally bilaterally up to internal iliac artery with position a “cross over“ were introduced, according to Seldinger’s standard technique. The procedure was without complications, estimated blood loss was 500 ml.

Conclusion: Prophylactic placement of intravascular balloon catheters is a feasible treatment for Jehova´s Witnesses patients in efforts to decrease the risk of heavy bleeding during cesarean section.

Keywords:

balloon catheter – Jehova´s Witnesses


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Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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