The use of aortic occlusion balloon catheter without fluoroscopy for life-threatening post-partum haemorrhage

Acta Anaesthesiol Scand. 2012 Mar;56(3):388-93. doi: 10.1111/j.1399-6576.2011.02611.x. Epub 2012 Jan 19.


This article describes the use of a balloon catheter introduced via the femoral artery into the abdominal aorta without the use of fluoroscopy to stabilize six patients with life-threatening post-partum haemorrhage. The femoral artery was localized blindly or with the use of ultrasound. Immediate control of the bleeding was achieved in all patients, and the procedure was believed to be life saving for some patients. One patient with a narrow and fragile aorta had an aortic rupture necessitating surgical repair, which may have been caused by the balloon. In these six cases, the procedures were carried out by interventional radiologists. However, this procedure can also be performed by anaesthesiologists or surgeons who are trained in vascular access techniques.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Blood Pressure / physiology
  • Blood Substitutes / therapeutic use
  • Cardiotonic Agents / therapeutic use
  • Catheterization
  • Diabetes, Gestational / physiopathology
  • Embolization, Therapeutic
  • Erythrocyte Transfusion
  • Female
  • Glucose Intolerance / complications
  • Humans
  • Hysterectomy
  • Infant, Newborn
  • Intra-Aortic Balloon Pumping / methods*
  • Misoprostol / therapeutic use
  • Oxytocics / therapeutic use
  • Oxytocin / therapeutic use
  • Patient Care Team
  • Postpartum Hemorrhage / diagnostic imaging
  • Postpartum Hemorrhage / surgery
  • Postpartum Hemorrhage / therapy*
  • Pregnancy
  • Ultrasonography


  • Blood Substitutes
  • Cardiotonic Agents
  • Oxytocics
  • Misoprostol
  • Oxytocin