Prophylactic endovascular placement of internal iliac occlusion balloon catheters in parturients with placenta accreta: a retrospective case series

Complication of Femoral Arterial Thrombosis Following Failure of Balloon Tamponade and Massive Blood Loss During Hysterectomy in a Case of Abnormal Placentation

“…Dubois et al first described its successful use in two cases [2]. A case series reported experience of IIOBC in 14 patients of placenta accreta [3]. Nine of the 11 women with balloon inflated had cesarean hysterectomy, and it was concluded that IIOBC, although useful in some, is not universally effective and patients are still at risk of hysterectomy as observed in our case.…”

“…1 a MRI of patient showing placenta accrete. b Femoral artery thrombus after thromboembolectomy [3,4]. Left popliteal arterial thrombus was first reported after common iliac balloon catheterization at cesarean hysterectomy requiring thromboembolectomy.…”

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

“…5 Minor complications include subcutaneous hematoma formation or transient lower extremity ischemia that resolves following removal of the balloon catheters or their introducing sheaths. 5,6 The most common major complications appear to be related to ischemia. Vaginal ischemia 7 and thromboembolism of the iliac, femoral, and popliteal arteries has been described.…”

Revisao de 15 casos submetidos a oclusao temporaria bilateral de arteria iliaca interna em pacientes com alto risco para hemorragia obstetrica

“…There are no randomized controlled studies validating routine use of the method, primarily because of the rarity of the conditions such as placenta accreta that prompt its use 8,9 . Studies have shown that the technique offers the benefit of reduced overall maternal morbidity and may also reduce costs 4,6,10 .…”