Next Article in Journal
Modeling Realistic Geometries in Human Intrathoracic Airways
Next Article in Special Issue
An Association Between Fetal Subarachnoid Space and Various Pathologies Using MR Imaging
Previous Article in Journal
Cardiac Autonomic Neuropathy Is Not Associated with Apolipoprotein E Gene Isoforms in the Kazakh Population: A Case–Control Study
Previous Article in Special Issue
The Role of Social Determinants in Diagnosis Timing for Fetal Care Center-Eligible Conditions: A Scoping Review
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Diagnostics
Volume 14
Issue 17
10.3390/diagnostics14171980
diagnostics-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Case Report

Using Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a Rescue Strategy in Severe Postpartum Hemorrhage: A Case Report

by
Sophie-Kristin Brauer
1,†,
Alexandre Athanasios Musy
1,†,
Sophie Schneider
2,
Fabienne Nicole Trottmann
2,
Nina Kaderli
3,
Christian Vetter
4,
Daniel Surbek
2,
Marc Schindewolf
5,
Anna Lea Gerber
4,
Manuela Stotz
1,
Wolf Hautz
1,*,‡ and
Jarmila A. Zdanowicz
2,*,‡
1
Department of Emergency Medicine, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland
2
Department of Obstetrics and Gynecology, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland
3
Department of Obstetrics, Spital Emmental, 3400 Burgdorf, Switzerland
4
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland
5
Department of Angiology, Inselspital, Bern University Hospital, University of Bern, 3012 Bern, Switzerland
*
Authors to whom correspondence should be addressed.
†
These authors contributed equally to this work.
‡
These authors contributed equally to this work.
Diagnostics 2024, 14(17), 1980; https://doi.org/10.3390/diagnostics14171980
Submission received: 29 June 2024 / Revised: 3 September 2024 / Accepted: 5 September 2024 / Published: 7 September 2024
(This article belongs to the Special Issue Insights into Perinatal Medicine and Fetal Medicine)
Browse Figures
Versions Notes

Abstract

Postpartum hemorrhage (PPH) is a leading cause of maternal morbidity and mortality. Routine treatment of PPH includes uterotonics, tranexamic acid, curettage, uterine (balloon) tamponade, compression sutures, uterine artery ligation, and, if available, transcatheter arterial embolization (TAE). In cases of severe PPH refractory to standard medical and surgical management, hysterectomy is usually the ultima ratio, and is equally associated with a higher rate of complications. In addition, this sudden loss of fertility, especially in young women, can be devastating. Here, we report a case of a 29-year-old woman who suffered from severe PPH with a blood loss > 1500 mL and hemodynamic instability after delivery of her first baby at a smaller hospital. She was consequently successfully treated with resuscitative endovascular balloon occlusion of the aorta (REBOA) by first placing a balloon catheter into the infra-renal aorta and subsequent TAE after failure of all other available treatment options prior to hysterectomy. TAE has been suggested in PPH treatment to avoid hysterectomies and thus to preserve patients’ reproductive function. If hemodynamic stabilization cannot be achieved with mass transfusion, REBOA seems to be an effective rescue strategy with which to achieve hemodynamic stabilization and gain additional time for embolization. Although REBOA is already recommended in several PPH guidelines, this approach seems relatively unknown in German-speaking countries.
Keywords: multidisciplinary approach; postpartum hysterectomy; resuscitative endovascular balloon occlusion of the aorta; REBOA; severe postpartum hemorrhage multidisciplinary approach; postpartum hysterectomy; resuscitative endovascular balloon occlusion of the aorta; REBOA; severe postpartum hemorrhage

Share and Cite

MDPI and ACS Style

Brauer, S.-K.; Musy, A.A.; Schneider, S.; Trottmann, F.N.; Kaderli, N.; Vetter, C.; Surbek, D.; Schindewolf, M.; Gerber, A.L.; Stotz, M.; et al. Using Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a Rescue Strategy in Severe Postpartum Hemorrhage: A Case Report. Diagnostics 2024, 14, 1980. https://doi.org/10.3390/diagnostics14171980

AMA Style

Brauer S-K, Musy AA, Schneider S, Trottmann FN, Kaderli N, Vetter C, Surbek D, Schindewolf M, Gerber AL, Stotz M, et al. Using Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a Rescue Strategy in Severe Postpartum Hemorrhage: A Case Report. Diagnostics. 2024; 14(17):1980. https://doi.org/10.3390/diagnostics14171980

Chicago/Turabian Style

Brauer, Sophie-Kristin, Alexandre Athanasios Musy, Sophie Schneider, Fabienne Nicole Trottmann, Nina Kaderli, Christian Vetter, Daniel Surbek, Marc Schindewolf, Anna Lea Gerber, Manuela Stotz, and et al. 2024. "Using Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a Rescue Strategy in Severe Postpartum Hemorrhage: A Case Report" Diagnostics 14, no. 17: 1980. https://doi.org/10.3390/diagnostics14171980

APA Style

Brauer, S.-K., Musy, A. A., Schneider, S., Trottmann, F. N., Kaderli, N., Vetter, C., Surbek, D., Schindewolf, M., Gerber, A. L., Stotz, M., Hautz, W., & Zdanowicz, J. A. (2024). Using Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) as a Rescue Strategy in Severe Postpartum Hemorrhage: A Case Report. Diagnostics, 14(17), 1980. https://doi.org/10.3390/diagnostics14171980

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop