Foley balloon catheter to prevent or manage bleeding during treatment for cervical and Cesarean scar pregnancy

Abstract

Objective To demonstrate the efficacy of placement and inflation of Foley balloon catheters prophylactically to prevent, or as an adjuvant therapy to control, bleeding in women undergoing treatment for Cesarean scar pregnancy (CSP) or cervical pregnancy (CxP). Methods

Quantitative risk assessment to guide the treatment of cesarean scar pregnancy

“…Two procedures have been proposed for achieving hemostasis during curettage: the use of Foley catheter compression and placement of a Shirodkar cervical suture . In the present study, Foley catheter compression was used and hemostasis was achieved in most (75%) patients.…”

Changes in ultrasonography indicators of abnormally invasive placenta during pregnancy

“…Ultrasonography assessment of women at high risk of AIP is usually performed during the second and third trimester of pregnancy, and has been shown to have good overall diagnostic accuracy, especially when a combination of maternal characteristics and imaging signs are integrated into an individualized diagnostic algorithm . However, recent reports have suggested that ultrasonography signs of AIP can be detected as early as in the first trimester of pregnancy . Further, the recently proposed association between cesarean scar pregnancy and AIP poses the question of whether all women with a previous cesarean delivery should be screened for cesarean scar pregnancy and whether ultrasonography assessments to rule out AIP should be started during the first trimester of pregnancy.…”

“…Finally, it is unknown whether the prevalence of classical ultrasonography signs of AIP change throughout pregnancy; consequently, the optimal point during pregnancy for examining patients at risk for AIP has yet to be elucidated. This is of fundamental importance because it is plausible that early detection of AIP could improve patient outcomes …”

Evaluation of the effectiveness of metreurynters for balloon tamponade

“…18) In addition, the present hemostasis results using small metreurynters are consistent with previous studies showing the effectiveness of Foley balloon catheters for local treatment of CSP and CP. 19,20) With regard to the volume of balloon inflation, different volumes have been reported depending on balloon shape: Bakri, 500 ml; 21) Sengstaken-Blakemore, 120-370 ml;…”