First experience with temporal aortic balloon occlusion in Russian obstetric practice

Malgina G.B., Kayumova A.V., Kardapoltsev L.V., Kochmashev  I.V., Klimusheva N.F., Erofeev E.N., Zyryanov M.N., Polyanin D.V., Makarov R.A.

1) Ural Research Institute of Maternal and Infant Care, Ministry of Health of the Russian Federation, Yekaterinburg, Russia; 2) Sverdlovsk Regional Clinical Hospital One, Yekaterinburg, Russia
Until the present day, massive obstetric hemorrhage has remained the most formidable and serious complication of pregnancy and childbirth, directly affecting the time course of changes in female disability and maternal mortality rates. One of the causes of this complication is uterine arteriovenous malformation. The paper describes a clinical case and early delivery of a patient with uterine arteriovenous malformation in placenta previa centrala. The federal research institute performed Russia’s first abdominal delivery using aortic endovascular balloon occlusion, which allowed for organ-sparing surgery in the patient, preventing massive blood loss. The use of the new technique to prevent massive obstetric hemorrhage during abdominal delivery is a promising round in preserving the reproductive health of women with the pathological architectonics of the uterus during pregnancy.

Keywords

uterine arteriovenous malformation
aortic endovascular balloon embolization
massive obstetric hemorrhage

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Received 27.12.2018

Accepted 22.02.2019

About the Authors

Malgina Galina Borisovna.,MD, Acting Director of Ural Research Institute of Maternity and Child Care, Ministry of Public Health of Russia
620028, Russia, Ekaterinburg, Repin str. 1 E-mail: galinamalgina@mail.ru ORCID ID 0000-0002-5500-6296
Kayumova A.V., MD, Head of the clan department Mother and Child Care Research Institute, Ministry of Public Health, Obstetrician-gynecologist
620028, Russia, Ekaterinburg, Repin str. 1 E-mail: kaum-doc@mail.ru ORCID ID 0000-0003-2685-4285
Kardapoltsev L. V., Head of interventional radiology department, Sverdlovsk Regional hospital №1.
620102, Russia, Ekaterinburg, Volgogradskaya str. 185. E-mail: lvkard@mail.ru
Kochmashev I. V., Interventional radiologist, Sverdlovsk Regional hospital №1
620102, Russia, Ekaterinburg, Volgogradskaya str. 185. E-mail: lvkard@mail.ru
Klimusheva N. F., Chief doctor deputy, Sverdlovsk Regional hospital №1 Address: 620102, Russia, Ekaterinburg, Volgogradskaya str. 185. E-mail: klimusheva@okb1.ru
Erofeev E. N., MD, Deputy Director for Curative Work, Ural Research Institute of Maternity and Child Care Russian Ministry of Health
620028, Russia, Ekaterinburg, Repin str. 1 E-mail: omm-erofeev@yandex.ru
Zyryanov M. N., MD, Radiologist, Ural Research Institute of Maternity and Child Care Russian Ministry of Health
620028, Russia, Ekaterinburg, Repin str. 1 E-mail: x.raymax76@gmail.com
Polyanin D. V., Graduate student, obstetrician – gynecologist, Ural Research Institute of Maternity and Child Care Russian Ministry of Health
620028, Russia, Ekaterinburg, Repin str. 1 E-mail: doc.dee@rambler.ru
Makarov R. A., MD, Senior researcher, Department of intensive care and reanimation, Ural Research Institute of Maternity and Childhood, Ministry of Health of the Russia 620028, Russia, Ekaterinburg, Repin str. 1. E-mail: r_makarov_ekb@mail.ru. ORCID ID 0000-0002-8067-5643

For citations: Malgina G.B., Kayumova A.V., Kardapoltsev L.V., Kochmashev I.V., Klimusheva N.F., Erofeev E.N., Zyryanov M.N., Polyanin D.V., Makarov R.A. First experience with temporal aortic balloon occlusion in Russian obstetric practice. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (7): 137-142 (in Russian).
http://dx.doi. org/10.18565/aig.2019.7.137-142

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