Bakri balloon tamponade for the management of postpartum hemorrhage

Vrachnis, Nikolaos; Salakos, N; Iavazzo, Christos; Grigoriadis, C; Iliodromiti, Zoe; Siristatidis, Charalampos; Katsetos, Christos; Creatsas, George

doi:10.1016/j.ijgo.2013.03.028

Cited by 20 publications

(15 citation statements)

References 5 publications

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“…The overall success rate of intrauterine balloon tamponade in our series was consistent with rates in other previous small studies, which have ranged from 60 to 94% (Table ). The hysterectomy rate ( n = 11; 22%) was, however, higher than in other series.…”

Section: Discussionsupporting

confidence: 91%

“…Although balloon tamponade has been used routinely for many years in several countries, little is known about its efficacy or the factors that predict its failure. Because only a few single‐center case series, including limited cohort studies, have been reported in the literature, their generalizability is limited . Moreover, only two studies have assessed results for fertility outcomes for women who have undergone balloon tamponade for severe PPH , so this uterus‐sparing procedure may, by modifying the uterine cavity, have still‐undiscovered long‐term effects.…”

Section: Introductionmentioning

confidence: 99%

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Maternal outcomes after uterine balloon tamponade for postpartum hemorrhage

Martin

Legendre

Bouet

et al. 2015

Acta Obstet Gynecol Scand

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Maternal outcomes after uterine balloon tamponade for postpartum hemorrhage

Martin

Legendre

Bouet

et al. 2015

Acta Obstet Gynecol Scand

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“…It is also possible that lower resistance balloon may be safely filled to higher than the recommended volumes without rupturing. Higher than recommended filling volumes have been reported in the literature, 12,[27][28][29][30][36][37][38] and our data demonstrate that of the non-Foley balloons, rupture did not occur until at least 2,850 mL had been instilled.…”

Section: Discussionsupporting

confidence: 59%

Under Pressure: Intraluminal Filling Pressures of Postpartum Hemorrhage Tamponade Balloons

Antony

Racusin

Belfort

et al. 2017

AJP Rep

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Objective Uterine tamponade by fluid-filled balloons is now an accepted method of controlling postpartum hemorrhage. Available tamponade balloons vary in design and material, which affects the filling attributes and volume at which they rupture. We aimed to characterize the filling capacity and pressure-volume relationship of various tamponade balloons. Study Design Balloons were filled with water ex vivo. Intraluminal pressure was measured incrementally (every 10 mL for the Foley balloons and every 50 mL for all other balloons). Balloons were filled until they ruptured or until 5,000 mL was reached. Results The Foley balloons had higher intraluminal pressures than the larger-volume balloons. The intraluminal pressure of the Sengstaken-Blakemore tube (gastric balloon) was initially high, but it decreased until shortly before rupture occurred. The Bakri intraluminal pressure steadily increased until rupture occurred at 2,850 mL. The condom catheter, BT-Cath, and ebb all had low intraluminal pressures. Both the BT-Cath and the ebb remained unruptured at 5,000 mL. Conclusion In the setting of acute hemorrhage, expeditious management is critical. Balloons that have a low intraluminal pressure-volume ratio may fill more rapidly, more easily, and to greater volumes. We found that the BT-Cath, the ebb, and the condom catheter all had low intraluminal pressures throughout filling.

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“…1). [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] Twelve articles were included for analysis. 4,[22][23][24][25][26][27][28][29][30][31][32] Eight of the twelve articles (67%) were retrospective analyses of Bakri balloon placement.…”

Section: Resultsmentioning

confidence: 99%