Prophylactic Placement of Internal Iliac Balloons in Patients with Abnormal Placental Implantation: Maternal and Foetal Outcomes

Cardiovascular and Interventional Radiology
Patrick J NicholsonDavid J Tuite

Abstract

To report on outcomes following the use of prophylactic internal iliac artery occlusion balloons in patients with abnormal placental implantation. A retrospective analysis was undertaken of patients with abnormal placental implantation who underwent prophylactic iliac balloon placement prior to delivery in a University Maternity Hospital. Various clinical and technical factors were analysed, including technical success of balloon placement, blood loss and number of blood units transfused, duration of surgery, length of stay, hysterectomy rates, complications related to the balloon insertion, foetal pH and infant Apgar scores. Twenty-two patients with placenta accreta or a variant thereof underwent caesarean section after first undergoing prophylactic placement of bilateral internal artery balloons. Average follow-up duration was 2.08 years. The average gestational age was 37 weeks 6 days, and the mean gravidity was 2.8. The mean number of previous caesarean sections was 2.4, while the mean maternal age was 35 years. The mean intraoperative blood loss was 1.4 L, and the mean number of blood units transfused was 2. Mean duration of surgery was 90 min, mean total length of hospital stay 7.5 days, while the mean duration of ICU/HDU...Continue Reading

References

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Jun 3, 2018·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Zahra RoustaeiSeppo Heinonen

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Citations

Jul 7, 2020·Current Opinion in Anaesthesiology·Sigrid Lambrecht, Marc Van De Velde
Dec 1, 2020·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Marie CernaVojtech Prasil
Feb 6, 2021·Seminars in Ultrasound, CT, and MR·Francesco GiurazzaRaffaella Niola

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