PMID- 38197478
OWN - NLM
STAT- MEDLINE
DCOM- 20240417
LR  - 20240425
IS  - 1600-0412 (Electronic)
IS  - 0001-6349 (Print)
IS  - 0001-6349 (Linking)
VI  - 103
IP  - 5
DP  - 2024 May
TI  - Resuscitative endovascular balloon occlusion of the aorta (REBOA) as adjunct 
      treatment in life threatening postpartum hemorrhage: Fourteen years' experience 
      from a single Norwegian center.
PG  - 965-969
LID - 10.1111/aogs.14767 [doi]
AB  - INTRODUCTION: Postpartum hemorrhage (PPH) remains a global health problem. The 
      introduction of resuscitative endovascular balloon occlusion of the aorta (REBOA) 
      in 2008 sought to enhance the management of hemorrhagic shock during PPH. In this 
      study, we present a single Norwegian center's experience with REBOA as a 
      supportive treatment in combating life threatening PPH. MATERIAL AND METHODS: 
      This is a historical cohort study from St Olav's University Hospital, with data 
      from period 2008-2021. It includes all patients who underwent REBOA as an adjunct 
      treatment due to life threatening PPH, analyzing the outcomes and trends over a 
      14-year period. RESULTS: A total of 37 patients received REBOA as an adjunct 
      treatment. All procedures were technically successful, achieving hemodynamic 
      stability with an immediate average increase in systolic blood pressure of 
      36 +/- 22 mmHg upon initial balloon inflation. Additionally, a downward trend was 
      noted in the frequency of hysterectomies and the volume of blood transfusions 
      required over time. No thromboembolic complications were observed. CONCLUSIONS: 
      Our 14 years of experience at St Olav's Hospital suggests that REBOA serves as a 
      safe and effective adjunct interventional technique for managing life-threatening 
      PPH. Furthermore, the findings indicate that incorporating a multidisciplinary 
      approach to enable rapid aortic occlusion can potentially reduce the necessity 
      for blood transfusions and hysterectomies.
CI  - (c) 2024 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by 
      John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics 
      and Gynecology (NFOG).
FAU - Stensaeth, Knut Haakon
AU  - Stensaeth KH
AUID- ORCID: 0000-0003-1063-3824
AD  - Department of Radiology and Nuclear Medicine, St Olav's University Hospital, 
      Trondheim, Norway.
AD  - Department of Circulation and Medical Imaging, Norwegian University of Science 
      and Technology, Trondheim, Norway.
FAU - Carlsen, Marte Irene Skille
AU  - Carlsen MIS
AD  - Department of Anesthesiology and Intensive Care Medicine, St Olav's University 
      Hospital, Trondheim, Norway.
AD  - Department of Traumatology, St. Olav's University Hospital, Trondheim, Norway.
FAU - Lovvik, Tone Shetelig
AU  - Lovvik TS
AD  - Department of Obstetrics and Gynecology, St Olav's University Hospital, 
      Trondheim, Norway.
FAU - Uleberg, Oddvar
AU  - Uleberg O
AD  - Department of Emergency Medicine and Pre-hospital Services, St Olav's University 
      Hospital, Trondheim, Norway.
AD  - Department of Research and Development, Division of Emergencies and Critical 
      Care, Oslo University Hospital, Oslo, Norway.
FAU - Brede, Jostein Rodseth
AU  - Brede JR
AD  - Department of Anesthesiology and Intensive Care Medicine, St Olav's University 
      Hospital, Trondheim, Norway.
AD  - Department of Emergency Medicine and Pre-hospital Services, St Olav's University 
      Hospital, Trondheim, Norway.
AD  - Department of Research and Development, Norwegian Air Ambulance Foundation, Oslo, 
      Norway.
FAU - Sovik, Edmund
AU  - Sovik E
AD  - Department of Radiology and Nuclear Medicine, St Olav's University Hospital, 
      Trondheim, Norway.
LA  - eng
PT  - Journal Article
DEP - 20240110
PL  - United States
TA  - Acta Obstet Gynecol Scand
JT  - Acta obstetricia et gynecologica Scandinavica
JID - 0370343
SB  - IM
MH  - Female
MH  - Pregnancy
MH  - Humans
MH  - *Postpartum Hemorrhage/therapy
MH  - Cohort Studies
MH  - Aorta
MH  - *Shock, Hemorrhagic
MH  - Resuscitation/methods
MH  - *Balloon Occlusion/methods
PMC - PMC11019522
OTO - NOTNLM
OT  - balloon catheter
OT  - blood transfusions
OT  - hysterectomies
OT  - mortality
OT  - postpartum hemorrhage
COIS- The authors declare no conflicts of interest.
EDAT- 2024/01/10 12:42
MHDA- 2024/04/17 06:42
PMCR- 2024/01/10
CRDT- 2024/01/10 08:10
PHST- 2023/12/15 00:00 [revised]
PHST- 2023/09/20 00:00 [received]
PHST- 2023/12/18 00:00 [accepted]
PHST- 2024/04/17 06:42 [medline]
PHST- 2024/01/10 12:42 [pubmed]
PHST- 2024/01/10 08:10 [entrez]
PHST- 2024/01/10 00:00 [pmc-release]
AID - AOGS14767 [pii]
AID - 10.1111/aogs.14767 [doi]
PST - ppublish
SO  - Acta Obstet Gynecol Scand. 2024 May;103(5):965-969. doi: 10.1111/aogs.14767. Epub 
      2024 Jan 10.