Ultrasonographic visualization of balloon placement for uterine tamponade in massive primary postpartum hemorrhage
- 27 August 2008
- journal article
- case report
- Published by Wiley in Ultrasound in Obstetrics & Gynecology
- Vol. 32 (5), 711-713
- https://doi.org/10.1002/uog.5408
Abstract
This case report is the first documentation of ultrasonographic confirmation of positioning of a Sengstaken‐Blakemore balloon catheter (SBEC) in the management of massive postpartum hemorrhage. The sonongraphic position, while incorrect according to conventional use of uterine balloon catheters, raises the possibility of an alternative mechanism of action of the balloon: not uterine cavity tamponade but hydrostatic pressure directly around the uterine arteries, a mechanism akin to mechanical uterine artery embolization or ligation. If this hypothesis is correct, it not only elucidates how balloon tamponade works but also challenges current thinking on how postpartum hemorrhage should be managed effectively. Future studies are required to corroborate this hypothesis and we believe that sonographic confirmation of balloon catheter location should be an integral part of uterine balloon tamponade in women with massive primary postpartum hemorrhage. Copyright © 2008 ISUOG. Published by John Wiley & Sons, Ltd.Keywords
This publication has 13 references indexed in Scilit:
- The use of the ‘tamponade test’ to stop massive obstetric haemorrhage in placenta accretaBJOG: An International Journal of Obstetrics and Gynaecology, 2005
- The B‐Lynch and other uterine compression suture techniquesInternational Journal of Gynecology & Obstetrics, 2005
- CEU: Prevention and Treatment of Postpartum Hemorrhage: New Advances for Low‐Resource SettingsJournal of Midwifery & Women's Health, 2004
- High-intensity focused ultrasound in the treatment of postpartum hemorrhage: an animal modelUltrasound in Obstetrics & Gynecology, 2004
- The “Tamponade Test” in the Management of Massive Postpartum HemorrhageObstetrics & Gynecology, 2003
- Major postpartum haemorrhageCurrent Opinion in Obstetrics and Gynecology, 2001
- The B‐Lynch surgical technique for the control of massive postpartum haemorrhage: an alternative to hysterectomy? Five cases reportedBJOG: An International Journal of Obstetrics and Gynaecology, 1997
- Stepwise uterine devascularization: A novel technique for management of uncontrollable postpartum hemorrhage with preservation of the uterusAmerican Journal of Obstetrics and Gynecology, 1994
- Internal Iliac Artery Ligation in Obstetrics and Gynecology Ten Years ExperienceAsia-Oceania Journal of Obstetrics and Gynaecology, 1993
- Lack of reactivity of uterine arteries from patients with obstetric hemorrhageAmerican Journal of Obstetrics and Gynecology, 1992