title: [Anesthetic management of intra-aortic balloon occlusion (IABO) for seven cases of placenta accreta--a six year experience at our institute].
abstract: We studied retrospectively amount of bleeding, clamping time, and the presence or absence of ischemia-reperfusion injury in all seven cases of IABO performed for placenta accreta from 2007 to 2012 at our hospital. We also examined rSO2 change before and after clamping in four cases in which lower-limb rSO2 monitoring was performed with NIRS (near-infrared spectroscopy). There was no case suspected of ischemia-reperfusion injury during and after clamping with the amount of bleeding around 1,580-10,973 ml (mean 4,536 ml) and clamping time of 10-83 min (mean 44 min). No significant decrease was observed in lower-limb rSO2 with 73.5 ± 5.9% before clamping and 70.8 ± 5.6% (mean ± SD) after clamping.
authors: Nobuhiro
authors: N
authors: Noguchi
authors: Shunsuke
authors: S
authors: Izumi
authors: Kota
authors: K
authors: Kamizato
authors: Seiya
authors: S
authors: Nakamura
authors: Manabu
authors: M
authors: Kakinohana
authors: Kazuhiro
authors: K
authors: Sugahara
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000772:Anesthesia, Local; D000773:Anesthesia, Obstetrical; D001011:Aorta; D021721:Balloon Occlusion / Q000379:methods*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D016343:Monitoring, Intraoperative; D061646:Operative Time; D010101:Oxygen Consumption; D010921:Placenta Accreta / Q000628:therapy*; D011247:Pregnancy; D015427:Reperfusion Injury / Q000453:epidemiology; D012189:Retrospective Studies; D019265:Spectroscopy, Near-Infrared; D013997:Time Factors; D016896:Treatment Outcome