Case-control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta

Conventional MRI features for predicting the clinical outcome of patients with invasive placenta

“…Previously, ultrasonography was the most frequently used imaging modality to identify abnormal placenta- (4)(5)(6)20). This study focused on the preoperative evaluation of placental MRI features that can potentially predict high risk for significant hemorrhage associated with UAE-assisted CS in patients with invasive placenta previa.…”

Iliac artery rupture related to balloon insertion for placenta accreta causing maternal hemorrhage and neonatal compromise

“…12 Shrivastava et al described an internal iliac artery dissection that resulted in vascular occlusion and required iliofemoral bypass surgery. 11 In our case, the vascular complication resulted in the birth of a neonate with an initial Apgar score of 3 and umbilical cord venous pH of 6.95, most probably due to uterine hypoperfusion. This demonstrates the need to consider disruption of uteroplacental blood flow and subsequent neonatal compromise as an important risk associated with interventional radiological procedures undertaken in the peripartum period.…”

“…Vaginal ischemia 7 and thromboembolism of the iliac, femoral, and popliteal arteries has been described. [7][8][9][10][11] Vascular rupture is less commonly described as a complication. Bishop described a case of a leaking pseudoaneurysm that was discovered after abdominal closure.…”

“…Several case series have compared results of treated patients with retrospective controls, with only one showing an improvement in blood loss, transfusion amounts, and hospital length of stay. 11,16,17 Since the incidence of complications is unknown, some authors have called for a registry of complications to be formed. 3 In addition, it is not known if the degree of invasion of the placenta has any bearing on the efficacy of endovascular balloons.…”

Study of the utility and problems of common iliac artery balloon occlusion for placenta previa with accreta

“…On the other hand, CH involves primary uterus removal after cesarean section, performed in combination with either internal iliac artery ligation (IIAL)8 or balloon occlusion catheter placement in the internal iliac artery (internal iliac artery balloon occlusion, IIABO) 9. However, it has been reported that compared to IIAL, IIABO does not control bleeding during the perioperative period 10, 11. We encountered 28 patients with placenta previa with accreta who were primarily treated with CH combined with IIAL.…”