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CC BY-NC-ND 4.0 · Surg J (N Y) 2021; 07(S 01): S11-S19
DOI: 10.1055/s-0040-1721491
Precision Surgery in Obstetrics and Gynecology

Intra-arterial Balloon Occlusion to Reduce Operative Bleeding for Placenta Previa Accreta Spectrum

Yoshihiko Murayama
1   Department of Obstetrics and Gynecology, Nerima Hikarigaoka Hospital, Tokyo, Japan
,
Hiroyuki Seki
2   Department of Obstetrics and Gynecology, Saitama Medical Centre, Saitama Medical University, Kawagoe, Japan
,
Satoru Takeda
3   Department of Obstetrics and Gynecology, Faculty of Medicine, Juntendo University, Tokyo, Japan
4   Aiiku Research Institute for Maternal, Child Health, and Welfare, Imperial Gift Foundation Boshi-Aiiku-Kai, Tokyo, Japan
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Abstract

Cesarean section for placenta previa accreta spectrum carries a significant risk of massive hemorrhage. Hence, it is necessary to understand the various hemostatic procedures, damage control surgery and resuscitation for massive hemorrhage, and systemic management against hypovolemic shock and coagulopathy. In cases of placenta previa with previous cesarean section, the operation should be performed in a tertiary medical facility with well-trained staff and blood availability for transfusion. Preoperative placement of an intra-arterial balloon occlusion catheter in the common iliac artery or aorta is useful for preventing massive hemorrhage.

Keywords

cesarean hysterectomy - common iliac artery balloon occlusion - intra-arterial balloon occlusion - internal iliac artery ligation - placenta previa accreta spectrum


Publication History

Article published online:
17 September 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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