Ultrasound-guided prophylactic abdominal aortic balloon occlusion for placenta accreta spectrum disorder: A case series.
Aortic balloon occlusion
Placenta accreta spectrum disorder
Placenta accrete
Placenta percreta
Ultrasound
Journal
Journal of clinical imaging science
ISSN: 2156-7514
Titre abrégé: J Clin Imaging Sci
Pays: United States
ID NLM: 101564708
Informations de publication
Date de publication:
2023
2023
Historique:
received:
12
12
2022
accepted:
26
01
2023
entrez:
10
3
2023
pubmed:
11
3
2023
medline:
11
3
2023
Statut:
epublish
Résumé
Placenta accreta spectrum (PAS) disorder is one of the most dangerous conditions that can affect pregnancy and its incidence is increasing secondary to rising cesarean section rates worldwide. The standard treatment is frequently elective hysterectomy at the time of cesarean delivery; however, uterine and fertility preserving surgery is becoming more common. In the pursuit of a reduction in blood loss and associated maternal morbidity, occlusive vascular balloons are increasingly used at the time of surgery, usually placed with fluoroscopic guidance. Occlusive balloons placed in the infrarenal aorta have been shown in the literature to be superior in terms of blood loss and hysterectomy rates than those placed more distally, such as within iliac or uterine arteries. We present the first five cases performed in Europe of ultrasound-guided infrarenal aortic balloon placement before cesarean for PAS disorder, and describe the technique we used, which provided reduced blood loss, a clearer operating field and avoided fetal and maternal exposure to radiation and intravenous contrast.
Identifiants
pubmed: 36895660
doi: 10.25259/JCIS_141_2022
pii: 10.25259/JCIS_141_2022
pmc: PMC9990842
doi:
Types de publication
Case Reports
Langues
eng
Pagination
9Informations de copyright
© 2023 Published by Scientific Scholar on behalf of Journal of Clinical Imaging Science.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Cardiovasc Intervent Radiol. 2016 Nov;39(11):1573-1579
pubmed: 27439624
BMC Pregnancy Childbirth. 2019 May 2;19(1):147
pubmed: 31046694
BMC Pregnancy Childbirth. 2019 Jan 15;19(1):30
pubmed: 30646863
J Interv Med. 2020 Jan 21;3(1):34-36
pubmed: 34805903
Chin Med J (Engl). 2022 Jan 18;135(4):441-446
pubmed: 35045000
BJOG. 2014 Jan;121(1):62-70; discussion 70-1
pubmed: 23924326
Eur Radiol. 2018 Jul;28(7):2713-2726
pubmed: 29404775
BMC Pregnancy Childbirth. 2020 Aug 5;20(1):446
pubmed: 32758173
Taiwan J Obstet Gynecol. 2015 Oct;54(5):493-8
pubmed: 26522098
Acta Anaesthesiol Scand. 2006 Jul;50(6):699-705
pubmed: 17004330
J Obstet Gynaecol Res. 2018 Mar;44(3):456-462
pubmed: 29297951
J Matern Fetal Med. 1999 Jul-Aug;8(4):173-6
pubmed: 10406301
Int J Womens Health. 2020 Nov 10;12:1033-1045
pubmed: 33204176
Zhonghua Yi Xue Za Zhi. 2018 Mar 27;98(12):930-934
pubmed: 29665668