Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Aim: To explore the efficacy of presetting catheter sheaths for uterine arterial embolization in the cesarean section of pernicious preplacental placenta. Materials and Methods: The clinical records of 37 patients with pernicious preplacental placenta were retrospectively analyzed. Sixteen patients who underwent cesarean section postoperative uterine artery embolization (UAE) were classified into group A, while 21 patients who received preset femoral catheterization followed with immediate UAE after the fetus was delivered by cesarean section were classified into group B. The therapeutic effects were compared. Results: The average amount of blood loss and infusion of patients in groups A and in B was 2,621 ± 626 ml and 6.23 ± 2.66 U and 1455 ± 486 ml and 3.03 ± 2.12 U, respectively (p < 0.01). One patient of group A received hysterectomy and no hysterectomy was seen in patients of group B. Conclusion: Intraoperative UAE using preset femoral artery catheterization prior to cesarean section has effectively reduced blood loss and infusion.