{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T04:00:52Z","timestamp":1778817652393,"version":"3.51.4"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,12,5]],"date-time":"2023-12-05T00:00:00Z","timestamp":1701734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The efficacy and safety of uterine artery embolization (UAE) and prophylactic resuscitative endovascular balloon occlusion of the aorta (REBOA) against postpartum hemorrhage (PPH) in pregnant women after kidney transplantation have not been reported. Here, we describe a case of PPH associated with placenta previa in pregnancy following kidney transplantation, which was managed with UAE and prophylactic REBOA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 35-year-old, gravida 2, para 1 woman with total placenta previa presented with vaginal bleeding (460 mL) at 33 weeks and 3 days of gestation. Previously, she underwent a living-donor kidney transplantation for IgA nephropathy, and the renal artery of the transplanted kidney was anastomosed with the right internal iliac artery. An emergency cesarean section with prophylactic REBOA was performed under general anesthesia. A balloon catheter was introduced via the left femoral artery and positioned above the aortic bifurcation (Aortic zone 3). Upon confirming fetal delivery, the balloon was immediately inflated, and the total aortic occlusion time was 20 min. However, following aortic balloon deflation, atonic bleeding continued despite Bakri balloon usage and uterotonic drug administration. Subsequently, UAE was performed for the refractory PPH, the left uterine artery was embolized using a gelatin sponge, and hemostasis was successfully achieved. The patient recovered uneventfully and was discharged on postoperative day 7.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and conclusion:<\/jats:title>\n                    <jats:p>In pregnancies following kidney transplantation, prophylactic REBOA controls bleeding; however, it decreases blood flow to the transplanted kidney. Furthermore, uterine nutrient vasculature alterations are observed, necessitating a thorough understanding of the uterine artery supply pathways during UAE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109109","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T22:53:27Z","timestamp":1701989607000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Postpartum hemorrhage with associated placenta previa in a kidney transplant recipient: A case report"],"prefix":"10.1097","volume":"114","author":[{"given":"Toshinao","family":"Suzuki","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Kimitsu Chuo Hospital, 1010 Sakurai, Kisarazu, Chiba 292-8535, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Sugiura","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Kimitsu Chuo Hospital, 1010 Sakurai, Kisarazu, Chiba 292-8535, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junko","family":"Okazaki","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Kimitsu Chuo Hospital, 1010 Sakurai, Kisarazu, Chiba 292-8535, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroaki","family":"Kimura","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Kimitsu Chuo Hospital, 1010 Sakurai, Kisarazu, Chiba 292-8535, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"Supplement 1","key":"R1-25-20260325","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1016\/j.ajt.2023.02.004","article-title":"OPTN\/SRTR 2021 annual data report: kidney","volume":"23","author":"Lentine,","year":"2023","journal-title":"Am. J. Transplant."},{"key":"R2-25-20260325","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1186\/s12882-019-1213-5","article-title":"Pregnancy outcomes in women with kidney transplant: metaanalysis and systematic review","volume":"20","author":"Shah,","year":"2019","journal-title":"BMC Nephrol."},{"key":"R3-25-20260325","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1186\/s12884-019-2496-z","article-title":"Pregnancy following kidney transplantation - impact on mother and graft function and focus on children's longitudinal development","volume":"19","author":"Bachmann,","year":"2019","journal-title":"BMC Pregnancy Childb."},{"key":"R4-25-20260325","doi-asserted-by":"crossref","DOI":"10.1155\/2016\/4539342","article-title":"Overview of pregnancy in renal transplant patients","volume":"2016","author":"Shah,","year":"2016","journal-title":"Int. J. Nephrol."},{"key":"R5-25-20260325","doi-asserted-by":"crossref","first-page":"e323","DOI":"10.1016\/S2214-109X(14)70227-X","article-title":"Global causes of maternal death: a WHO systematic analysis","volume":"2","author":"Say,","year":"2014","journal-title":"Lancet Glob. Health"},{"key":"R6-25-20260325","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1097\/OGX.0000000000000887","article-title":"The emergent pelvic artery embolization in the management of postpartum hemorrhage: a systematic review and meta-analysis","volume":"76","author":"Zhang,","year":"2021","journal-title":"Obstet. Gynecol. Surv."},{"key":"R7-25-20260325","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1097\/TA.0000000000003650","article-title":"Resuscitative endovascular balloon occlusion of the aorta for life-threatening postpartum hemorrhage: a nationwide observational study in Japan","volume":"93","author":"Kamijo,","year":"2022","journal-title":"J. Trauma Acute Care Surg."},{"key":"R8-25-20260325","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s13017-018-0205-2","article-title":"Resuscitative endovascular balloon occlusion of the aorta deployed by acute care surgeons in patients with morbidly adherent placenta: a feasible solution for two lives in peril","volume":"13","author":"Galvagno,","year":"2018","journal-title":"World J. Emerg. Surg."},{"key":"R9-25-20260325","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus Surgical Case Report (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg."},{"key":"R10-25-20260325","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1097\/TA.0000000000000609","article-title":"The role of REBOA in the control of exsanguinating torso hemorrhage","volume":"78","author":"Biffl,","year":"2015","journal-title":"J. Trauma Acute Care Surg."},{"key":"R11-25-20260325","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1097\/TA.0000000000003917","article-title":"Aortic balloon occlusion in distal zone 3 reduces blood loss from obstetric hemorrhage in placenta accreta spectrum","volume":"94","author":"Kluck,","year":"2023","journal-title":"J. Trauma Acute Care Surg."},{"key":"R12-25-20260325","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1186\/s13017-018-0181-6","article-title":"The complications associated with resuscitative endovascular balloon occlusion of the aorta (REBOA)","volume":"13","author":"Ribeiro Junior,","year":"2018","journal-title":"World J. Emerg. Surg."},{"key":"R13-25-20260325","doi-asserted-by":"crossref","first-page":"117","DOI":"10.5387\/fms.2022-01","article-title":"Introduction and utility of resuscitative endovascular balloon occlusion of the aorta for cases with a potential high risk of postpartum hemorrhage: a single tertiary care center experience of two cases","volume":"68","author":"Kyozuka,","year":"2022","journal-title":"Fukushima J. Med. Sci."},{"key":"R14-25-20260325","first-page":"826","article-title":"Anatomy of internal iliac artery and its ligation to control pelvic hemorrhage","volume":"58","author":"Shrestha,","year":"2020","journal-title":"JNMA J. Nepal Med. Assoc."},{"key":"R15-25-20260325","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1007\/s13224-014-0595-3","article-title":"Uterine artery embolization following internal iliac arteries ligation in a case of post-partum hemorrhage: a technical challenge","volume":"65","author":"Singhal,","year":"2015","journal-title":"J. Obstet. Gynaecol. 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