According to institution protocol, a 5-French femoral arterial catheter was placed under ultrasound guidance in 21 cases in anticipation of need for possible REBOA use. The REBOA was inflated in 7 cases, during active hemorrhage in 5, and for an average of 20 minutes. The REBOA group had significantly more unplanned class III CH cases than the non-REBOA group (table 1). Otherwise, there were no significant differences in baseline characteristics including: age, race/ethnicity, insurance, BMI, gravity and parity, history of prior cesarean delivery (CD), number of prior CD, history of prior uterine surgery, multifetal gestation, gestational age at CH, and final pathology. Hypogastric occlusion was utilized in 1 REBOA case, but not in the non-REBOA group. Total EBL and RBC units transfused were significantly higher in the REBOA group (table 2). Complications in the non-REBOA group included a postoperative fever/infection and postoperative bleeding requiring reoperation. Complications in the REBOA group included a femoral pseudoaneurysm requiring thrombin injection and an occluded right proximal superficial femoral artery requiring enoxaparin and stenting. CONCLUSION: Higher EBL and transfused RBC units may reflect the unplanned presentation or greater pathologic morbidity of the REBOA group given balloon inflation during active hemorrhage in 71% of cases. The complication rate in the REBOA group may support selective rather than universal usage.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.