Arterial balloon occlusion of the internal iliac arteries for treatment of life-threatening massive postpartum haemorrhage: a series of 15 consecutive cases
Received 9 December 2008; received in revised form 1 September 2009; accepted 9 October 2009. published online 02 November 2009.
Abstract
Objective
To evaluate arterial balloon occlusion of the internal iliac arteries for treatment of life-threatening massive postpartum haemorrhage.
Study design
Retrospective cohort study at a tertiary referral perinatal centre in a teaching hospital in the Netherlands. All patients who delivered in our hospital between January 1998 and January 2008 were included in the study. A retrospective analysis of all cases of postpartum haemorrhage was performed. All 15 consecutive cases of massive postpartum haemorrhage were selected from an electronic database. The patients with massive postpartum haemorrhage (blood loss>5000ml) and the patients with postpartum haemorrhage treated with arterial balloon occlusion of internal iliac arteries were analyzed.
Results
In the study period 1246 (7%) of all 17,308 deliveries were complicated by postpartum haemorrhage. 15 (0.1%) patients suffered from massive postpartum haemorrhage. They were all treated with balloon occlusion of the internal iliac arteries. Hysterectomy was performed in 4 patients. All patients survived without any complications.
Conclusion
Arterial balloon occlusion of the internal iliac arteries is a safe and in most cases effective procedure for treatment of massive life-threatening postpartum haemorrhage.
aDepartment of Obstetrics and Gynecology, Máxima Medical Centre, Veldhoven, The Netherlands
bDepartment of Radiology, Máxima Medical Centre, Veldhoven, The Netherlands
cDepartment of Electrical Engineering, University of Technology, Eindhoven, The Netherlands
Corresponding author at: Department of Obstetrics & Gynecology, Máxima Medical Centre, PO Box 7777, De Run 4600, 5500 MB, Veldhoven, The Netherlands. Tel.: +31 408888384; fax: +31 408888387.
ABSTRACT