Profylaktická oboustranná balonková okluze ilických arterií bĕhem císařského řezu u Svĕdkynĕ Jehovovy

Abstract

Objective: To describe a case report with prophylactic bilateral iliac artery balloon occlusion during cesarean section in Jehova’s Witnesses patient. Design: Case report. Setting: Department of Obstetrics and Gynecology, University Hospital, Olomouc; Department of Radiology, University Hospital, Olomouc; Department of Health Care Sciencies, Bata University, Zlín. Case report: We describe case report with prophylactic bilateral iliac artery balloon occlusion during cesarean section in Jehova’s Witnesses patient in attempt to decrease the risk of heavy peroperative bleeding. Twenty eight years old primigravida underwent prophylactic internal iliac artery balloon catheterization with interventional radiology preoperatively. Two 6-Fr balloon catheters transfemorally bilaterally up to internal iliac artery with position a “cross over” were introduced, according to Seldinger’s standard technique. The procedure was without complications, estimated blood loss was 500 ml. Conclusion: Prophylactic placement of intravascular balloon catheters is a feasible treatment for Jehova’s Witnesses patients in efforts to decrease the risk of heavy bleeding during cesarean section. © 2019, Czech Medical Association J.E. Purkyne. All rights reserved.