open access

Vol 92, No 3 (2021)
Research paper
Published online: 2021-01-13
Get Citation

The clinical evaluation of internal iliac arteries balloon occlusion for placenta accreta spectrum

Anna Rosner-Tenerowicz1, Tomasz Fuchs1, Michal Pomorski1, Jakub Sliwa1, Aleksandra Zimmer-Stelmach1, Mariusz Zimmer
DOI: 10.5603/GP.a2020.0180
·
Pubmed: 33448010
·
Ginekol Pol 2021;92(3):210-215.
Affiliations
  1. 2nd Department of Gynecology and Obstetrics, Wroclaw Medical University, Wroclaw, Poland

open access

Vol 92, No 3 (2021)
ORIGINAL PAPERS Obstetrics
Published online: 2021-01-13

Abstract

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.

Abstract

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.

Get Citation

Keywords

internal iliac artery occlusion; placenta accreta spectrum

About this article
Title

The clinical evaluation of internal iliac arteries balloon occlusion for placenta accreta spectrum

Journal

Ginekologia Polska

Issue

Vol 92, No 3 (2021)

Article type

Research paper

Pages

210-215

Published online

2021-01-13

DOI

10.5603/GP.a2020.0180

Pubmed

33448010

Bibliographic record

Ginekol Pol 2021;92(3):210-215.

Keywords

internal iliac artery occlusion
placenta accreta spectrum

Authors

Anna Rosner-Tenerowicz
Tomasz Fuchs
Michal Pomorski
Jakub Sliwa
Aleksandra Zimmer-Stelmach
Mariusz Zimmer

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