<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2183-1351</journal-id>
<journal-title><![CDATA[Acta Radiológica Portuguesa]]></journal-title>
<abbrev-journal-title><![CDATA[Acta Radiol Port]]></abbrev-journal-title>
<issn>2183-1351</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Radiologia e Medicina Nuclear]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2183-13512021000200027</article-id>
<article-id pub-id-type="doi">10.25748/arp.24581</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Prophylactic Balloon-Occlusion of the Hypogastric Arteries in Surgical Treatment Placenta Accreta Spectrum Disorders: How We Do It]]></article-title>
<article-title xml:lang="pt"><![CDATA[Oclusão com Balão das Artérias Hipogástricas no Tratamento Cirúrgico do Acretismo Placentário: A Nossa Abordagem]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gaio]]></surname>
<given-names><![CDATA[Raquel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valente]]></surname>
<given-names><![CDATA[Maria Pulido]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Afonso]]></surname>
<given-names><![CDATA[Maria de Carvalho]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Ana Isabel Simões]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Santa Maria, Centro Hospitalar Universitário de Lisboa Norte, E.P.E. Department of Radiology ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital de Santa Maria, Centro Hospitalar Universitário Lisboa Norte, E.P.E. Department of Obstetrics, Gynecology and Reproductive Medicine ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>08</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>08</month>
<year>2021</year>
</pub-date>
<volume>33</volume>
<numero>2</numero>
<fpage>27</fpage>
<lpage>30</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2183-13512021000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2183-13512021000200027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2183-13512021000200027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo 21. A morbimortalidade associada ao acretismo placentário resulta da hemorragia obstétrica massiva e das suas complicações secundárias, como coagulopatia, falência multiorgânica e morte materna. A oclusão peri-cirúrgica dos vasos pélvicos com balões endovasculares mostrou ser eficaz na redução das perdas hemáticas, necessidade transfusional e melhoria das condições cirúrgicas, com baixa incidência de complicações associadas ao procedimento. Assim, o radiologista de intervenção deve estar familiarizado com as indicações e considerações técnicas deste procedimento. O posicionamento ideal dos balões oclusivos é, todavia, ainda controverso e os protocolos diferem entre as instituições e a experiência local. Usando um caso de placenta increta como exemplo, este artigo fornece uma exposição detalhada dos pormenores técnicos e materiais utilizados no nosso centro para a oclusão com balão das artérias hipogástricas (a nossa abordagem preferencial), desde a sala de angiografia até à conclusão da histerectomia no bloco operatório.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Placenta accreta]]></kwd>
<kwd lng="en"><![CDATA[Placenta diseases]]></kwd>
<kwd lng="en"><![CDATA[Obstetric labor complications]]></kwd>
<kwd lng="en"><![CDATA[Balloon occlusion]]></kwd>
<kwd lng="en"><![CDATA[Interventional radiology.]]></kwd>
<kwd lng="pt"><![CDATA[Placenta acreta]]></kwd>
<kwd lng="pt"><![CDATA[Doenças da placenta]]></kwd>
<kwd lng="pt"><![CDATA[Complicações obstétricas do parto]]></kwd>
<kwd lng="pt"><![CDATA[Radiologia de intervenção.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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