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The clinical evaluation of internal iliac arteries balloon occlusion for placenta accreta spectrum.
Rosner-Tenerowicz, Anna; Fuchs, Tomasz; Pomorski, Michal; Sliwa, Jakub; Zimmer-Stelmach, Aleksandra; Zimmer, Mariusz.
Afiliación
  • Rosner-Tenerowicz A; 2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Wroclaw, Poland. annarosnertenerowicz@gmail.com.
  • Fuchs T; 2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Wroclaw, Poland.
  • Pomorski M; 2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Wroclaw, Poland.
  • Sliwa J; 2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Wroclaw, Poland.
  • Zimmer-Stelmach A; 2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Wroclaw, Poland.
Ginekol Pol ; 92(3): 210-215, 2021.
Article en En | MEDLINE | ID: mdl-33448010
OBJECTIVES: To evaluate the balloon occlusion of the internal iliac arteries during a caesarean section in the group of patients with placenta accreta spectrum. MATERIAL AND METHODS: We analysed 29 pregnant women with placenta accreta spectrum. The study group consisted of 15 patients, who underwent a caesarean delivery with temporary bilateral internal iliac artery occlusion. In the control group, we examined 14 women who had a standard caesarean delivery without any radiologic procedure. We compared pre- and post-operative haemoglobin level, necessity of blood transfusion, intraoperative blood loss, intensive care requirement, complications, duration of surgery, anaesthesia and hospital stay. RESULTS: The history and obstetric outcomes were similar in both groups. The study group required fewer blood transfusions than the control group (p = 0.0176). We administered less packed red blood cells and fresh frozen plasma. Complications were more frequent in the control group (p = 0.0014). Complications related to occlusion of the internal iliac arteries did not occur. The intensive care unit transfer was more frequent in the control group (p = 0.0329). The duration of surgery and hospital stay did not differ between groups. The anaesthesia time was longer in a study group, which related to the radiologic procedure. CONCLUSIONS: Caesarean delivery for placenta accreta spectrum with bilateral balloon occlusion of the internal iliac arteries requires fewer transfusions. It contributes to a decrease in the complication rate and maternal morbidity.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Placenta Accreta / Oclusión con Balón / Hemorragia Posparto Tipo de estudio: Observational_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Ginekol Pol Año: 2021 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Placenta Accreta / Oclusión con Balón / Hemorragia Posparto Tipo de estudio: Observational_studies Límite: Female / Humans / Pregnancy Idioma: En Revista: Ginekol Pol Año: 2021 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia