Abstract

GAIO, Raquel; VALENTE, Maria Pulido; AFONSO, Maria de Carvalho  and  FERREIRA, Ana Isabel Simões. Prophylactic Balloon-Occlusion of the Hypogastric Arteries in Surgical Treatment Placenta Accreta Spectrum Disorders: How We Do It. Acta Radiol Port [online]. 2021, vol.33, n.2, pp.27-30.  Epub Aug 31, 2021. ISSN 2183-1351.  https://doi.org/10.25748/arp.24581.

16.

Placenta accreta spectrum disorders are amongst the most dangerous conditions associated with pregnancy which can lead to massive obstetric hemorrhage and, secondarily, to coagulopathy, multisystem organ failure and maternal death. Perioperative endovascular balloon occlusion of the pelvic vessels has been shown to be effective in reducing estimated blood loss, transfusion requirements, and in providing favorable surgical conditions, with low procedure-related complications. Therefore, the interventional radiologist should be familiar with the indications and technical considerations of the procedure. The optimal positioning for occlusion balloon catheters is still controversial and protocols differ between institutions and local expertise. Using a case of placenta increta as example, this report provides detailed description of the technical details and materials used in our center for preoperative prophylactic balloon- occlusion of the hypogastric arteries (our preferred approach), from the angio suite until completion of hysterectomy.

Keywords : Placenta accreta; Placenta diseases; Obstetric labor complications; Balloon occlusion; Interventional radiology..

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