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

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

“…Our outcomes and EBL is in keeping with previously published literature. [10][11][12][13][14] The EBL in the group where the IIOBCs were not inflated may reflect the lesser severity of disease although statistical comparison between the two groups was not valid due to the small non-randomised samples. The IIOBCs have been inflated with mixed satisfaction amongst our surgeons.…”

“…Acute limb ischaemia is a rare but important complication. 13,30,31 Tan et al 11 and Shrivastava et al 13 also reported complications that included secondary PPH and significant ischemic limb events.…”

“…Some studies advocate the potential benefits of prophylactic IIOBC placement, [8][9][10][11] while others have reported no beneficial effect on major outcomes. [12][13][14] Placenta accreta is an increasingly common cause of major obstetric haemorrhage and caesarean hysterectomy, with apparent increase in frequency attributed for the most part on the rising caesarean section (CS) rate. [15][16][17][18][19][20][21] We report our institutional experience with prophylactically-placed bilateral IIOBCs in patients with placenta accreta over a four-year period.…”

Persistent postpartum haemorrhage after failed arterial ligation: value of pelvic embolisation

“…Also, IIA ligation has been proposed to reduce maternal morbidity. However, no benefits of prophylactic IIA occlusion have been demonstrated [34,35]. Moreover, uterine artery ligation is probably insufficient to block uteroplacental circulation because low intervillous resistance helps maintain persistent uteroplacental blood flow via physiological anastomoses and neoarteries.…”

Management of Placenta Invasion Anomaly and Cesarean Hysterectomy: Eight-year Experience of A Tertiary Center

“…Plasenta invazyon anomalisi nedeniyle yap›lan histerektominin morbidite ve mortalitesi di¤er endikasyonlara göre çok daha fazla olmaktad›r. Operasyon s›ras›nda ortalama 3000-5500 ml miktar›nda kanama, masif transfüzyon ve buna ba¤l› olarak dissemine intravakuler koagulopati, s›v› yüklenmesi, akut respiratuar distres sendromu ve infeksiyon en s›k görülen komplikasyonlard›r (4) (5) . Plasenta previa varl›¤›nda geçirilmifl sezaryen operasyonu ve ileri anne yafl› plasenta akreata için ba¤›ms›z risk faktörleridir (6) .…”