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Retrospective review of cesarean hysterectomy outcomes utilizing uterine intravascular interventions in a large, community-based healthcare setting

European Journal of Obstetrics & Gynecology and Reproductive Biology Oct 29, 2020

Mironov NR, Kram JJF, Heslin K, et al. - Researchers sought to report on the outcomes of women with planned cesarean hysterectomies, with or without use of internal iliac intravascular occlusive balloon catheter or uterine artery embolization (UAE). They retrospectively reviewed a total of 34 patients who underwent planned cesarean hysterectomy, 2004-2019. Among these, 10 patients (29.4%) had balloons placed, nine (26.5%) had UAE, and 15 (44.1%) had no intervention. Outcomes suggest that regardless of deployment, balloon placement may not be advantageous to women undergoing a planned cesarean hysterectomy. Although adverse outcomes were also observed in correlation with UAE, they suggest UAE to be a better option for decreasing intraoperative blood loss among patients with a planned cesarean hysterectomy.

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