Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura

Objetivo: Evaluar si el uso de balones de oclusión intravascular disminuye la hemorragia intraoperatoria, en la población adulta sometida a cirugía electiva en los últimos diez años, esto con el fin de analizar si hay beneficios con el uso de esta técnica. Metodología: Se realizó la búsqueda sistemá...

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Autores:
Beltrán Torres, Felipe Andrés
Caicedo Moncada, Brainerd Lenin
Tipo de recurso:
https://purl.org/coar/resource_type/c_7a1f
Fecha de publicación:
2024
Institución:
Universidad El Bosque
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Repositorio U. El Bosque
Idioma:
spa
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oai:repositorio.unbosque.edu.co:20.500.12495/13121
Acceso en línea:
https://hdl.handle.net/20.500.12495/13121
Palabra clave:
Balón de oclusión intravascular
Hemorragia
Cirugía electiva
Intravascular balloon occlusion
Hemorrhage
Elective surgery
WG 170
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License
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network_acronym_str UNBOSQUE2
network_name_str Repositorio U. El Bosque
repository_id_str
dc.title.none.fl_str_mv Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
dc.title.translated.none.fl_str_mv Prophylactic use of intravascular occlusion balloon in selective surgery. Systematic review and meta-analysis of the literature
title Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
spellingShingle Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
Balón de oclusión intravascular
Hemorragia
Cirugía electiva
Intravascular balloon occlusion
Hemorrhage
Elective surgery
WG 170
title_short Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
title_full Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
title_fullStr Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
title_full_unstemmed Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
title_sort Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literatura
dc.creator.fl_str_mv Beltrán Torres, Felipe Andrés
Caicedo Moncada, Brainerd Lenin
dc.contributor.advisor.none.fl_str_mv Mendez Ordoñez, Erika Marcela
dc.contributor.author.none.fl_str_mv Beltrán Torres, Felipe Andrés
Caicedo Moncada, Brainerd Lenin
dc.contributor.orcid.none.fl_str_mv Beltrán Torres, Felipe Andrés [0000-0002-7411-5922]
Caicedo Moncada, Brainerd Lenin [0000-0002-7147-9317]
dc.subject.none.fl_str_mv Balón de oclusión intravascular
Hemorragia
Cirugía electiva
topic Balón de oclusión intravascular
Hemorragia
Cirugía electiva
Intravascular balloon occlusion
Hemorrhage
Elective surgery
WG 170
dc.subject.keywords.none.fl_str_mv Intravascular balloon occlusion
Hemorrhage
Elective surgery
dc.subject.nlm.none.fl_str_mv WG 170
description Objetivo: Evaluar si el uso de balones de oclusión intravascular disminuye la hemorragia intraoperatoria, en la población adulta sometida a cirugía electiva en los últimos diez años, esto con el fin de analizar si hay beneficios con el uso de esta técnica. Metodología: Se realizó la búsqueda sistemática de la literatura en las bases de datos PubMed, Ovid y Embase; como base de datos de literatura gris se utilizó Google Scholar; como base de datos nacional, la del Instituto Nacional de Salud (INS) . La búsqueda fue limitada a la última década, desde el año 2014 hasta el 2024. Resultados: Se incluyeron 17 artículos para la revisión sistemática, encontrado 2 estudios de regular riesgo de sesgos y el resto de los artículos eran de buena calidad y bajo riego de sesgo. Un total de 3379 paciente fueron incluidos en esta revisión, un 95.3 % fueron mujeres, la placentación anormal fue el procedimiento más frecuente en un 67.5% con un promedio de sangrado de 1256 ml (DE: 699.9). Hubo disminución significativa de 856 ml con la aplicación del balón de oclusión endovascular (OR de -3.43 -IC 95% -6.22; -0.63), sin cambios significativos en edad, género y tiempo quirúrgico. Conclusión: El uso del balón de oclusión intravascular en procedimientos quirúrgicos electivos, en los que se prevé un riesgo elevado de hemorragia, es una técnica efectiva para disminuir las pérdidas sanguíneas trans operatorias. Las complicaciones más frecuentes son la trombosis arterial transitoria y problemas de locales en sitio de punción. Aunque se han descrito diferentes escenarios en los que puede ser utilizada esta técnica, la mayor evidencia radica en los procedimientos obstétricos, principalmente por patologías relacionadas con la mala inserción placentaria.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-11-02T16:31:50Z
dc.date.available.none.fl_str_mv 2024-11-02T16:31:50Z
dc.date.issued.none.fl_str_mv 2024-10
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.local.spa.fl_str_mv Tesis/Trabajo de grado - Monografía - Especialización
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dc.type.driver.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
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dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12495/13121
dc.identifier.instname.spa.fl_str_mv instname:Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad El Bosque
dc.identifier.repourl.none.fl_str_mv repourl:https://repositorio.unbosque.edu.co
url https://hdl.handle.net/20.500.12495/13121
identifier_str_mv instname:Universidad El Bosque
reponame:Repositorio Institucional Universidad El Bosque
repourl:https://repositorio.unbosque.edu.co
dc.language.iso.fl_str_mv spa
language spa
dc.relation.references.none.fl_str_mv 1. Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery [Internet]. 1954 [cited 2023 Sep 19];36(1):65–8. Available from: https://pubmed.ncbi.nlm.nih.gov/13178946/
2. Ordoñez CA, Parra MW, Serna JJ, Rodríguez-Holguin F, García A, Salcedo A, et al. Damage control resuscitation: REBOA as the new fourth pillar. 2020;51(4):4014353. Available from: http://doi.org/10.25100/cm.v51i4.4353http://doi.org/10.25100/cm.v51i4.4353
3. Kauvar DS, Wade CE. The epidemiology and modern management of traumatic hemorrhage: US and international perspectives. Vol. 9, Critical Care. 2005.
4. Granieri S, Frassini S, Cimbanassi S, Bonomi A, Paleino S, Lomaglio L, et al. Impact of resuscitative endovascular balloon occlusion of the aorta (REBOA) in traumatic abdominal and pelvic exsanguination: a systematic review and meta-analysis. Eur J Trauma Emerg Surg [Internet]. 2022 Oct 1 [cited 2023 Sep 22];48(5):3561–74. Available from: https://pubmed.ncbi.nlm.nih.gov/35307763/
5. Harfouche MN, Madurska MJ, Elansary N, Abdou H, Lang E, DuBose JJ, et al. Resuscitative endovascular balloon occlusion of the aorta associated with improved survival in hemorrhagic shock. PLoS One [Internet]. 2022 Mar 1 [cited 2023 Sep 22];17(3). Available from: https://pubmed.ncbi.nlm.nih.gov/35324991/
6. Russo RM, Neff LP, Johnson MA, Williams TK. Emerging Endovascular Therapies for Non-Compressible Torso Hemorrhage. Vol. 46, Shock. Lippincott Williams and Wilkins; 2016. p. 12–9.
7. Belenkiy SM, Batchinsky AI, Rasmussen TE, Cancio LC. Resuscitative endovascular balloon occlusion of the aorta for hemorrhage control: Past, present, and future. Vol. 79, Journal of Trauma and Acute Care Surgery. Lippincott Williams and Wilkins; 2015. p. S236–42.
8. Brenner ML, Moore LJ, DuBose JJ, Tyson GH, McNutt MK, Albarado RP, et al. A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation. J Trauma Acute Care Surg. 2013;75(3):506–11.
9. Page MJ, Mckenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 Jan 4 [cited 2023 Sep 22];372(71). Available from: http://dx.doi.org/10.1136/bmj.n71
10. AI Chat for scientific PDFs | SciSpace [Internet]. [cited 2024 Mar 16]. Available from: https://typeset.io/
11. GA Wells BSDOJPVWMLPT. Ottawa Hospital Research Institute [Internet]. 2013 [cited 2024 Mar 16]. Available from: https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp
12. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Vol. 25, European Journal of Epidemiology. 2010. p. 603–5.
13. Filho SFC, Monsignore LM, Freitas RK, Nakiri GS, Cavalli RDC, Duarte G, et al. Can the combination of internal iliac temporary occlusion and uterine artery embolization reduce bleeding and the need for intraoperative blood transfusion in cases of invasive placentation? Clinics. 2019;74.
14. Huo F, Liang H, Feng Y. Prophylactic temporary abdominal aortic balloon occlusion for patients with pernicious placenta previa: a retrospective study. MC Anesthesiology [Internet]. 2021;Apr 29;21(1)(134). Available from: https://doi.org/10.1186/s12871-021-01354-1
15. Kyozuka H, Yasuda S, Murata T, Sugeno M, Fukuda T, Yamaguchi A, et al. Prophylactic resuscitative endovascular balloon occlusion of the aorta use during cesarean hysterectomy for placenta accreta spectrum: a retrospective cohort study. Journal of Maternal-Fetal and Neonatal Medicine. 2023;36(2).
16. Papillon-Smith J, Hobson S, Allen L, Kingdom J, Windrim R, Murji A. Prophylactic internal iliac artery ligation versus balloon occlusion for placenta accreta spectrum disorders: A retrospective cohort study. Int J Gynecol Obstet [Internet]. 2020;151(1):91–6. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L2005426184&from=export
17. Ye Y, Li J, Liu S, Zhao Y, Wang Y, Chu Y, et al. Efficacy of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control in patients with abnormally invasive placenta: a historical cohort study. BMC Pregnancy Childbirth. 2023;23(1).
18. Wu Q, Liu Z, Zhao X, Liu C, Wang Y, Chu Q, et al. Outcome of Pregnancies After Balloon Occlusion of the Infrarenal Abdominal Aorta During Caesarean in 230 Patients With Placenta Praevia Accreta. Cardiovasc Intervent Radiol. 2016;39(11):1573–9.
19. Peng W, Shen L, Wang S, Wang H. Retrospective analysis of 586 cases of placenta previa and accreta. J Obstet Gynaecol (Lahore). 2020 Jul 3;40(5):609–13.
20. Duan X, Chen P, Han X, Wang Y, Chen Z, Zhang X, et al. Intermittent aortic balloon occlusion combined with cesarean section for the treatment of patients with placenta previa complicated by placenta accreta: A retrospective study. Journal of Obstetrics and Gynaecology Research. 2018;44(9):1752–60.
21. Wang Y, Jiang T, Huang G, Han X, Chen Z, Liu C, et al. Long-term follow-up of abdominal aortic balloon occlusion for the treatment of pernicious placenta previa with placenta accreta. Journal of Interventional Medicine. 2020;3(1):34–6.
22. Zhang Y, Guo W, Yang R, Yan T, Dong S, Wang S, et al. 2016 Musculoskeletal Tumor Society Proceedings Can Aortic Balloon Occlusion Reduce Blood Loss During Resection of Sacral Tumors That Extend Into the Lower Lumber Spine? Clin Orthop Relat Res. 2018;476:490–8.
23. Zhao Z, Wang J, Yan T, Guo W, Yang R, Tang X, et al. A clinical study of the hemodynamic and metabolic effects of Zone 3 REBOA for sacral and pelvic tumor resections. BMC Surg [Internet]. 2020;22:246. Available from: https://doi.org/10.1186/s12893-022-01694-w
24. Ioscovich A, Greenman D, Goldin I, Grisaru-Granovsky S, Gozal Y, Zukerman B, et al. Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) in the Multidisciplinary Management of Morbidly Adherent Placenta. Isr Med Assoc J [Internet]. 2023;25(7):462–7. Available from: https://pubmed.ncbi.nlm.nih.gov/37461170/
25. Hao Z, Zhou D, Wang F, Li L, He J. Temporary balloon occlusion of the abdominal aorta in treatment of complex acetabular fracture. Med Sci Monit [Internet]. 2016;22:2295–300. Available from: https://www.embase.com/search/results?subaction=viewrecord&id=L611052387&from=export
26. Zeng C, Yang M, Ding Y, Yu L, Deng W, Hu Y. Preoperative infrarenal abdominal aorta balloon catheter occlusion combined with Bakri tamponade reduced maternal morbidity of placenta increta/percreta. Medicine (Baltimore) [Internet]. 2017;96(38):e8114–e8114. Available from: http://dx.doi.org/10.1097/MD.0000000000008114
27. Kaneda H, Terao Y, Matsuda Y, Fujino K, Ujihira T, Kusunoki S, et al. The utility and effectiveness of an internal iliac artery balloon occlusion catheter in surgery for large cervical uterine fibroids. Taiwan J Obstet Gynecol [Internet]. 2017;56:502–7. Available from: http://dx.doi.org/10.1016/j.tjog.2016.12.019
28. Zhao X, Wang Z, Du Q, Wang A, Xiong Y. Selective arterial embolization combined with lower abdominal aortic-balloon blocking to control bleeding during pelvic and hip joint tumor surgery. Int J Clin Exp Med [Internet]. 2016;9(2):3551–7. Available from: www.ijcem.com/
29. Peng Y, Jiang L, Peng C, Wu D, Chen L. The application of prophylactic balloon occlusion of the internal iliac artery for the treatment of placenta accreta spectrum with placenta previa: a retrospective case-control study. BMC Pregnancy Childbirth [Internet]. 2020;20(1). Available from: /pmc/articles/PMC7282070/
30. Rodríguez Yunta E. Comités de evaluación ética y científica para la investigación en seres humanos y las pautas cioms 2002 committees of ethical and scientific evaluation for research in human beings and the guidelines cioms 2002 comitês de avaliação ética e científica para a pesquisa em seres humanos e as diretrizes ciomes2002. Acta Bioethica. 2004.
31. Ministerio de Ciencia, Tecnología e Innovación Invitación Ondas Primera Infancia Anexo 1-Estructura de la Propuesta[Internet]. Available from: https://minciencias.gov.co/sites/default/files/upload/convocatoria/anexo_1_-_documento_conceptual_2021.pdf
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spelling Mendez Ordoñez, Erika MarcelaBeltrán Torres, Felipe AndrésCaicedo Moncada, Brainerd LeninBeltrán Torres, Felipe Andrés [0000-0002-7411-5922]Caicedo Moncada, Brainerd Lenin [0000-0002-7147-9317]2024-11-02T16:31:50Z2024-11-02T16:31:50Z2024-10https://hdl.handle.net/20.500.12495/13121instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coObjetivo: Evaluar si el uso de balones de oclusión intravascular disminuye la hemorragia intraoperatoria, en la población adulta sometida a cirugía electiva en los últimos diez años, esto con el fin de analizar si hay beneficios con el uso de esta técnica. Metodología: Se realizó la búsqueda sistemática de la literatura en las bases de datos PubMed, Ovid y Embase; como base de datos de literatura gris se utilizó Google Scholar; como base de datos nacional, la del Instituto Nacional de Salud (INS) . La búsqueda fue limitada a la última década, desde el año 2014 hasta el 2024. Resultados: Se incluyeron 17 artículos para la revisión sistemática, encontrado 2 estudios de regular riesgo de sesgos y el resto de los artículos eran de buena calidad y bajo riego de sesgo. Un total de 3379 paciente fueron incluidos en esta revisión, un 95.3 % fueron mujeres, la placentación anormal fue el procedimiento más frecuente en un 67.5% con un promedio de sangrado de 1256 ml (DE: 699.9). Hubo disminución significativa de 856 ml con la aplicación del balón de oclusión endovascular (OR de -3.43 -IC 95% -6.22; -0.63), sin cambios significativos en edad, género y tiempo quirúrgico. Conclusión: El uso del balón de oclusión intravascular en procedimientos quirúrgicos electivos, en los que se prevé un riesgo elevado de hemorragia, es una técnica efectiva para disminuir las pérdidas sanguíneas trans operatorias. Las complicaciones más frecuentes son la trombosis arterial transitoria y problemas de locales en sitio de punción. Aunque se han descrito diferentes escenarios en los que puede ser utilizada esta técnica, la mayor evidencia radica en los procedimientos obstétricos, principalmente por patologías relacionadas con la mala inserción placentaria.Especialista en Cirugía Vascular y AngiologíaEspecializaciónBackground: To evaluate whether the use of intravascular occlusion balloons reduces intraoperative haemorrhage in the adult population undergoing elective surgery in the last 10 years. This in order to analyse whether there are benefits with the use of this technique. Methodology: The search is carried out in five main databases (PubMed, Ovid and Embase) in addition to Google Scholar as a gray literature database and the National Institute of Health (INS) as a national database, from 2014 to 2024. Results: 17 articles were included for the systematic review; 2 studies were found to have a fair risk of bias and the rest of the articles were of good quality and low risk of bias. A total of 3379 patients were included in this review, 95.3% were women, abnormal placentation was the most frequent procedure in 67.5% with an average bleeding of 1256 ml (SD: 699.9). There was a significant decrease with the application of the balloon of 856 ml (OR of -3.43 - 95% CI -6.22; -0.63), without significant changes in age, gender and surgical time. Conclusion: The use of intravascular balloon occlusion in elective surgical procedures, in which a high risk of haemorrhage is expected, is an effective technique to reduce trans operative blood loss. The most frequent complications are transient arterial thrombosis and local problems at the puncture site. Although different scenarios have been described in which this technique can be used, the greatest evidence lies in obstetric procedures, mainly due to pathologies related to abnormal placental insertionapplication/pdfAttribution-NonCommercial-ShareAlike 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-sa/4.0/Acceso abiertohttps://purl.org/coar/access_right/c_abf2http://purl.org/coar/access_right/c_abf2Balón de oclusión intravascularHemorragiaCirugía electivaIntravascular balloon occlusionHemorrhageElective surgeryWG 170Uso profiláctico de balón de oclusión intravascular en cirugía electiva. Revisión sistemática y metaanálisis de la literaturaProphylactic use of intravascular occlusion balloon in selective surgery. Systematic review and meta-analysis of the literatureEspecialización en Cirugía Vascular y AngiologíaUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aa1. Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery [Internet]. 1954 [cited 2023 Sep 19];36(1):65–8. Available from: https://pubmed.ncbi.nlm.nih.gov/13178946/2. Ordoñez CA, Parra MW, Serna JJ, Rodríguez-Holguin F, García A, Salcedo A, et al. Damage control resuscitation: REBOA as the new fourth pillar. 2020;51(4):4014353. Available from: http://doi.org/10.25100/cm.v51i4.4353http://doi.org/10.25100/cm.v51i4.43533. Kauvar DS, Wade CE. The epidemiology and modern management of traumatic hemorrhage: US and international perspectives. Vol. 9, Critical Care. 2005.4. Granieri S, Frassini S, Cimbanassi S, Bonomi A, Paleino S, Lomaglio L, et al. Impact of resuscitative endovascular balloon occlusion of the aorta (REBOA) in traumatic abdominal and pelvic exsanguination: a systematic review and meta-analysis. Eur J Trauma Emerg Surg [Internet]. 2022 Oct 1 [cited 2023 Sep 22];48(5):3561–74. Available from: https://pubmed.ncbi.nlm.nih.gov/35307763/5. Harfouche MN, Madurska MJ, Elansary N, Abdou H, Lang E, DuBose JJ, et al. Resuscitative endovascular balloon occlusion of the aorta associated with improved survival in hemorrhagic shock. PLoS One [Internet]. 2022 Mar 1 [cited 2023 Sep 22];17(3). Available from: https://pubmed.ncbi.nlm.nih.gov/35324991/6. Russo RM, Neff LP, Johnson MA, Williams TK. Emerging Endovascular Therapies for Non-Compressible Torso Hemorrhage. Vol. 46, Shock. Lippincott Williams and Wilkins; 2016. p. 12–9.7. Belenkiy SM, Batchinsky AI, Rasmussen TE, Cancio LC. Resuscitative endovascular balloon occlusion of the aorta for hemorrhage control: Past, present, and future. Vol. 79, Journal of Trauma and Acute Care Surgery. Lippincott Williams and Wilkins; 2015. p. S236–42.8. Brenner ML, Moore LJ, DuBose JJ, Tyson GH, McNutt MK, Albarado RP, et al. A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation. J Trauma Acute Care Surg. 2013;75(3):506–11.9. Page MJ, Mckenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 Jan 4 [cited 2023 Sep 22];372(71). Available from: http://dx.doi.org/10.1136/bmj.n7110. AI Chat for scientific PDFs | SciSpace [Internet]. [cited 2024 Mar 16]. Available from: https://typeset.io/11. GA Wells BSDOJPVWMLPT. Ottawa Hospital Research Institute [Internet]. 2013 [cited 2024 Mar 16]. Available from: https://www.ohri.ca/programs/clinical_epidemiology/oxford.asp12. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Vol. 25, European Journal of Epidemiology. 2010. p. 603–5.13. Filho SFC, Monsignore LM, Freitas RK, Nakiri GS, Cavalli RDC, Duarte G, et al. Can the combination of internal iliac temporary occlusion and uterine artery embolization reduce bleeding and the need for intraoperative blood transfusion in cases of invasive placentation? Clinics. 2019;74.14. Huo F, Liang H, Feng Y. Prophylactic temporary abdominal aortic balloon occlusion for patients with pernicious placenta previa: a retrospective study. MC Anesthesiology [Internet]. 2021;Apr 29;21(1)(134). Available from: https://doi.org/10.1186/s12871-021-01354-115. Kyozuka H, Yasuda S, Murata T, Sugeno M, Fukuda T, Yamaguchi A, et al. 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