Caesarean section combined with temporary aortic balloon occlusion followed by uterine artery embolisation for the management of placenta accreta

Duan, Xuhua; Wang, Y.-L.; Han, Xinwei; Chen, Z.-M.; Chu, Qinjun; Wang, L.; Hai, D

doi:10.1016/j.crad.2015.03.008

Cited by 70 publications

(68 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…IIA balloon occlusion has been reported to reduce hemorrhage effectively in placenta accrete patients during cesarean delivery [11]. In regard to AA, the largest aorta descended from thoracic aorta, is the main blood supply to the abdominal cavity including the uterus, and its occlusion by balloon also eliminates hemorrhage in patients with placenta accrete [3,12,13]. Therefore, these previous studies have demonstrated the favorable hemostatic effects of IIA or AA balloon occlusion in placenta accrete patients, while little is known about the difference in efficacy between IIA and AA occlusion.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy between Internal Iliac Artery and Abdominal Aorta Balloon Occlusions in Pernicious Placenta Previa Patients with Placenta Accrete

Yan

Luo

2019

Gynecol Obstet Invest

View full text Add to dashboard Cite

Background: We aimed to compare the hemostatic effect and perioperative outcomes between internal iliac artery (IIA) and abdominal aorta (AA) balloon occlusions in pernicious placenta previa patients complicated with placenta accrete and underwent cesarean delivery. Methods: One hundred and twenty-three pernicious placenta previa patients complicated with placenta accrete were retrospectively reviewed. Patients who received IIA or AA occlusions were subsequently divided into the IIA group (n = 71) and AA group (n = 52). Estimated blood loss (EBL) and blood transferring volume were evaluated. Results: No difference was observed in EBL during cesarean delivery, EBL within 24 h or blood transferring volume between IIA and AA groups. Subgroup analysis disclosed that AA occlusion presented lower EBL during cesarean delivery and EBL within 24 h compared to IIA occlusion in placenta percreta subgroup. For secondary outcomes, IIA occlusion caused better Apgar score at 1 min but higher rates of IIA ligation and iodoform gauze packing of the uterine cavity compared to AA occlusion. Multivariate linear analysis revealed that invasion depth independently predicted worse EBL. Conclusion: IIA and AA occlusions have similar hemostatic effects in pernicious placenta previa patients with placenta accrete underwent cesarean delivery, while AA occlusion is more effective in reducing EBL in placenta percreta subgroup.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparison of Efficacy between Internal Iliac Artery and Abdominal Aorta Balloon Occlusions in Pernicious Placenta Previa Patients with Placenta Accrete

Yan

Luo

2019

Gynecol Obstet Invest

View full text Add to dashboard Cite

show abstract

“…7) Recently, it was reported that the risk for placenta accreta in the next pregnancy increases. [3][4][5] IVR might be involved in the local infectious response in addition to vascular remodeling due to ischemia in the area of the uterus treated by IVR. SMCs in human arteries contain at least three MHC isoforms: SM1, SM2, and SMemb.…”

Section: Discussionmentioning

confidence: 99%

“…3) Some studies have reported that pregnancy after IVR may be associated with an increased risk of placenta accreta, 4,5) and that this process might involve local infectious responses as well as vascular remodeling due to ischemia in the region of the uterus treated by IVR. Another study reported that the composition of myosin heavy chain (MHC) isoforms in smooth muscle cells (SMCs) changes with the proliferation and de-differentiation of SMCs during angiogenesis.…”

Section: Introductionmentioning

confidence: 99%

Novel histological findings in the uterus after interventional radiology: a case report of placenta accreta

Yamamoto

Suzuki

et al. 2017

Hypertens Res Pregnancy

View full text Add to dashboard Cite

“…Because prenatal placental adhesion can be diagnosed before delivery using ultrasound and magnetic resonance imaging (MRI) [56], both maternal and neonatal outcomes can be improved in high-risk populations [7]. Prophylactic trans-catheter arterial balloon occlusion (PTABO) has been introduced for effective management of postpartum hemorrhage and in the effort to save the uterus [156].…”

Section: Introductionmentioning

confidence: 99%

“…Prophylactic trans-catheter arterial balloon occlusion (PTABO) has been introduced for effective management of postpartum hemorrhage and in the effort to save the uterus [156]. …”

Section: Introductionmentioning

confidence: 99%

The efficacy of pre-delivery prophylactic trans-catheter arterial balloon occlusion of bilateral internal iliac artery in patients with suspected placental adhesion

Cho

Kim

et al. 2017

Obstet Gynecol Sci

View full text Add to dashboard Cite

ObjectiveProphylactic trans-catheter arterial balloon occlusion (PTABO) before cesarean section of placenta previa totalis has been introduced to prevent massive hemorrhage. The purpose of this study is to evaluate the clinical usefulness of PTABO in cases of suspected placental adhesion and to examine antepartal risk factors and perinatal outcomes in women with placental adhesion.MethodsBetween January 2012 and December 2015, 77 patients who had undergone ultrasonography for evaluation of placenta previa were enrolled in this study. Seventeen of these patients with suspected placental adhesion by ultrasonography and Pelvic MRI underwent PTABO before cesarean section and another 59 patients underwent cesarean section without PTABO. Antepartal risk factors and peripartum maternal and neonatal outcomes were compared between patients with PTABO and those without PTABO.ResultsMore advanced maternal age, longer in gestational weeks at delivery, and more common previous cesarean section history were observed in the PTABO group. Placenta adhesion, abnormal Doppler findings, and frequency of transfusion were more common in the PTABO group. However there was no significant difference in estimated blood loss, hospital days, and neonatal outcome. It had occurred 3 cases of hysterectomy and 1 case of uterine artery embolization after cesarean section in the PTABO group.ConclusionClose surveillance of antepartum risk factors for placental adhesion using ultrasonography and pelvic magnetic resonance imaging is important to prevention of massive hemorrhage during cesarean section. PTABO before cesarean section might result in reduced blood loss and requirement for transfusion during the operation.

show abstract

Caesarean section combined with temporary aortic balloon occlusion followed by uterine artery embolisation for the management of placenta accreta

Cited by 70 publications

References 22 publications

Comparison of Efficacy between Internal Iliac Artery and Abdominal Aorta Balloon Occlusions in Pernicious Placenta Previa Patients with Placenta Accrete

Comparison of Efficacy between Internal Iliac Artery and Abdominal Aorta Balloon Occlusions in Pernicious Placenta Previa Patients with Placenta Accrete

Novel histological findings in the uterus after interventional radiology: a case report of placenta accreta

The efficacy of pre-delivery prophylactic trans-catheter arterial balloon occlusion of bilateral internal iliac artery in patients with suspected placental adhesion

Contact Info

Product

Resources

About