{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T22:29:29Z","timestamp":1783031369952,"version":"3.54.6"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T00:00:00Z","timestamp":1530748800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81401494"],"award-info":[{"award-number":["81401494"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To compare the efficacy of cesarean section (CS) combined with intermittent aortic balloon occlusion with that of CS alone for treating patients with placenta previa complicated by placenta accreta.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty\u2010five patients with placenta previa complicated by placenta accreta who underwent CS were retrospectively studied. Twenty\u2010two patients had undergone CS combined with intermittent aortic balloon occlusion (combination group) and 23 patients received conventional hemostatic support only (control group). The postpartum hemorrhage, transfusion requirements, operation time and recovery time, and the ability to preserve the uterus and fertility were analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Intermittent aortic balloon occlusion significantly decreased the volume of blood loss in the combination group relative to the control group (597 \u00b1 359 mL vs 2687 \u00b1 575 mL; <jats:italic>P &lt;<\/jats:italic> 0.001), and transfusion requirements were also reduced (498 \u00b1195 mL vs 2390 \u00b1789 mL; <jats:italic>P &lt;<\/jats:italic>0.001). We observed shorter operation time in the combination group relative to the control group (63.8 \u00b1 12.3 min vs 118.8 \u00b1 22.4 min; <jats:italic>P<\/jats:italic> &lt; 0.001), and fewer patients required uterine cavity stuffing followed by uterine artery embolization (<jats:italic>n<\/jats:italic> = 2 vs <jats:italic>n<\/jats:italic> = 10; <jats:italic>P<\/jats:italic> &lt;0.05), uterine artery ligation (<jats:italic>n<\/jats:italic> = 1 vs <jats:italic>n<\/jats:italic> = 9; <jats:italic>P<\/jats:italic> &lt; 0.05), and hysterectomy (<jats:italic>n<\/jats:italic> = 0 vs <jats:italic>n<\/jats:italic> =7; <jats:italic>P<\/jats:italic> &lt; 0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Intermittent aortic balloon occlusion may control postpartum hemorrhage in pregnancies complicated by placenta accreta, and improve the postoperative conditions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13700","type":"journal-article","created":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T09:29:38Z","timestamp":1530782978000},"page":"1752-1760","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Intermittent aortic balloon occlusion combined with cesarean section for the treatment of patients with placenta previa complicated by placenta accreta: A retrospective study"],"prefix":"10.1111","volume":"44","author":[{"given":"Xuhua","family":"Duan","sequence":"first","affiliation":[{"name":"Department of Interventional Radiology, The First Affiliated Hospital Zhengzhou University  Zhengzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pengfei","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, The First Affiliated Hospital Zhengzhou University  Zhengzhou 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