Perioperative Temporary Occlusion of the Internal Iliac Arteries as Prophylaxis in Cesarean Section at Risk of Hemorrhage in Placenta Accreta

Show simple item record

dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author CARNEVALE, Francisco Cesar FMUSP-HC
KONDO, Mario Macoto FMUSP-HC
SOUSA JR., Wilson de Oliveira
SANTOS, Aline Barbosa FMUSP-HC
LEAL FILHO, Joaquim Mauricio da Motta FMUSP-HC
MOREIRA, Airton Mota FMUSP-HC
BARONI, Ronaldo Hueb FMUSP-HC
FRANCISCO, Rossana Pulcinelli Vieira FMUSP-HC
ZUGAIB, Marcelo FMUSP-HC
dc.date.issued 2011
dc.identifier.citation CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, v.34, n.4, p.758-764, 2011
dc.identifier.issn 0174-1551
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/23193
dc.description.abstract Purpose The purpose of this study was to describe the preliminary results of prophylactic temporary balloon occlusion of the internal iliac arteries for bleeding control in patients with placenta accreta during cesarean hysterectomy. Methods From May 2006 to March 2010, 21 patients diagnosed with placenta accreta using ultrasound and/or magnetic resonance imaging were submitted to prophylactic balloon occlusion before hysterectomy. Fluoroscopy, balloon occlusion time, surgical duration, intraoperative blood loss, transfusion volume, and procedure complications were analyzed. Results The mean age was 30.5 years with a mean of 3.6 previous gestations. Imaging studies revealed that all patients had placenta accreta and all were submitted to cesarean hysterectomy. One hysterectomy was due to previous diagnosis of fetal death and another due to cesarean with uterine curettage. Mean fluoroscopy time was 7.5 min, balloon occlusion time was 164 min, and surgery duration was 260 min. Estimated blood loss was 1,671.5 ml with mean reposition fluids of 3,538 ml of crystalloids, 309.5 ml of colloids, and 1.24 ml of packed red blood cells. Two patients were submitted to thromboembolectomy due to prolonged surgical time. There was no maternal or fetal mortality related to the procedure. Conclusions The results demonstrated that prophylactic balloon occlusion of internal iliac artery is a safe method and appears to reduce blood loss and transfusion requirements in patients diagnosed with placenta accreta who undergo cesarean hysterectomy. Antenatal imaging diagnosis of placenta accreta enables preoperative planning.
dc.language.iso eng
dc.publisher SPRINGER
dc.relation.ispartof Cardiovascular and Interventional Radiology
dc.rights restrictedAccess
dc.subject Postpartum hemorrhage; Iliac artery; Endovascular procedures; Fluoroscopy; Placenta accreta/therapy; Cesarean section; Uterine hemorrhage
dc.subject.other obstetric hemorrhage; balloon occlusion; abnormal placentation; embolization; previa; ligation; increta; patient
dc.title Perioperative Temporary Occlusion of the Internal Iliac Arteries as Prophylaxis in Cesarean Section at Risk of Hemorrhage in Placenta Accreta
dc.type article
dc.rights.holder Copyright SPRINGER
dc.description.group LIM/44
dc.description.group LIM/57
dc.identifier.doi 10.1007/s00270-011-0166-2
dc.identifier.pmid 21598085
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author CARNEVALE, Francisco Cesar:HC:INRAD
hcfmusp.author KONDO, Mario Macoto:HC:ICHC
hcfmusp.author SANTOS, Aline Barbosa:HC:INRAD
hcfmusp.author LEAL FILHO, Joaquim Mauricio da Motta:HC:INCOR
hcfmusp.author MOREIRA, Airton Mota:HC:ICESP
hcfmusp.author BARONI, Ronaldo Hueb:HC:INRAD
hcfmusp.author FRANCISCO, Rossana Pulcinelli Vieira:FM:MOG
hcfmusp.author ZUGAIB, Marcelo:FM:MOG
hcfmusp.author.external · SOUSA JR., Wilson de Oliveira:Univ Sao Paulo, Hosp Clin, Intervent Radiol Unit, Sch Med, BR-05403001 Sao Paulo, Brazil
hcfmusp.origem.id WOS:000294815400010
hcfmusp.origem.id 2-s2.0-79960902532
hcfmusp.publisher.city NEW YORK
hcfmusp.publisher.country USA
hcfmusp.relation.reference · GUY GP, 1990, AM J OBSTET GYNECOL, V163, P723
· Connolly B, 2006, PEDIATR RADIOL, V36, P163, DOI 10.1007/s00247-006-0192-4
· Hansch E, 1999, AM J OBSTET GYNECOL, V180, P1454, DOI 10.1016/S0002-9378(99)70036-0
· Berg CJ, 1996, OBSTET GYNECOL, V88, P161, DOI 10.1016/0029-7844(96)00135-4
· Weeks SM, 2000, J VASC INTERV RADIOL, V11, P622, DOI 10.1016/S1051-0443(07)61615-7
· Miller DA, 1997, AM J OBSTET GYNECOL, V177, P210, DOI 10.1016/S0002-9378(97)70463-0
· Sulieman A, 2007, BRIT J RADIOL, V80, P731, DOI 10.1259/bjr/16010686
· Kidney DD, 2001, AM J ROENTGENOL, V176, P1521
· HUGHES CW, 1954, SURGERY, V36, P65
· CLARK SL, 1985, OBSTET GYNECOL, V66, P353
· Badawy SZA, 2001, CLIN IMAG, V25, P288, DOI 10.1016/S0899-7071(01)00307-2
· Bodner LJ, 2006, CARDIOVASC INTER RAD, V29, P354, DOI 10.1007/s00270-005-0023-2
· Dubois J, 1997, AM J OBSTET GYNECOL, V176, P723, DOI 10.1016/S0002-9378(97)70582-9
· Bauer ST, 2009, SEMIN PERINATOL, V33, P88, DOI 10.1053/j.semperi.2008.12.003
· Gonsalves M, 2010, CARDIOVASC INTER RAD, V33, P887, DOI 10.1007/s00270-010-9864-4
· CHAIT A, 1968, AM J ROENTGENOL, V102, P393
· Diop AN, 2010, J VASC INTERV RADIOL, V21, P644, DOI 10.1016/j.jvir.2010.01.015
· EDWARDS WS, 1953, SURG FORUM, V4, P496
· EVANS S, 1985, SURG GYNECOL OBSTET, V160, P250
· HEATON DK, 1979, AM J ROENTGENOL, V133, P152
· Levine A B, 1999, J Matern Fetal Med, V8, P173
· READ JA, 1980, OBSTET GYNECOL, V56, P311
· SOYER P, 2010, EUR J RADIOL, DOI 10.1016/J.EJRAD.2010.07.018
· TAN CH, 2007, AM ROENTGEN RAY SOC, V189, P1159
· Yi KW, 2010, J KOREAN MED SCI, V25, P651, DOI 10.3346/jkms.2010.25.4.651
dc.description.index MEDLINE
hcfmusp.citation.scopus 89
hcfmusp.affiliation.country Brasil
hcfmusp.scopus.lastupdate 2021-08-27


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search DSpace



Browse

My Account

Statistics