Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy

Cervical pregnancy can be complicated by perfuse vaginal bleeding. Mechanical compression directed at tamponing the cervical vessels can control hemostasis. There are several types of balloon catheters that have been described for cervical compression. However use of a double balloon catheter is a n...

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Main Authors: Nabila Zambrano, James Reilly, Michael Moretti, Nisha Lakhi
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2017/9396075
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author Nabila Zambrano
James Reilly
Michael Moretti
Nisha Lakhi
author_facet Nabila Zambrano
James Reilly
Michael Moretti
Nisha Lakhi
author_sort Nabila Zambrano
collection DOAJ
description Cervical pregnancy can be complicated by perfuse vaginal bleeding. Mechanical compression directed at tamponing the cervical vessels can control hemostasis. There are several types of balloon catheters that have been described for cervical compression. However use of a double balloon catheter is a novel approach for cervical tamponade, as one balloon is positioned below the external cervical os and the second balloon is situated above in the internal cervical os. This compresses the cervix from internal os to external os between the two balloons, forming a “cervical sandwich.” We describe this method of cervical tamponade using a silicone double balloon cervical ripening catheter that rapidly controlled hemorrhage in a patient that failed conservative management with methotrexate.
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publishDate 2017-01-01
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series Case Reports in Obstetrics and Gynecology
spelling doaj-art-b379080e0d8c4f05a4aa5e95bfaf8be32025-08-20T03:39:21ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/93960759396075Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic PregnancyNabila Zambrano0James Reilly1Michael Moretti2Nisha Lakhi3Department of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY 10310, USADepartment of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY 10310, USADepartment of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY 10310, USADepartment of Obstetrics and Gynecology, Richmond University Medical Center, 355 Bard Avenue, Staten Island, NY 10310, USACervical pregnancy can be complicated by perfuse vaginal bleeding. Mechanical compression directed at tamponing the cervical vessels can control hemostasis. There are several types of balloon catheters that have been described for cervical compression. However use of a double balloon catheter is a novel approach for cervical tamponade, as one balloon is positioned below the external cervical os and the second balloon is situated above in the internal cervical os. This compresses the cervix from internal os to external os between the two balloons, forming a “cervical sandwich.” We describe this method of cervical tamponade using a silicone double balloon cervical ripening catheter that rapidly controlled hemorrhage in a patient that failed conservative management with methotrexate.http://dx.doi.org/10.1155/2017/9396075
spellingShingle Nabila Zambrano
James Reilly
Michael Moretti
Nisha Lakhi
Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy
Case Reports in Obstetrics and Gynecology
title Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy
title_full Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy
title_fullStr Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy
title_full_unstemmed Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy
title_short Double Balloon Cervical Ripening Catheter for Control of Massive Hemorrhage in a Cervical Ectopic Pregnancy
title_sort double balloon cervical ripening catheter for control of massive hemorrhage in a cervical ectopic pregnancy
url http://dx.doi.org/10.1155/2017/9396075
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