Intraoperative aortic balloon occlusion in patients with placenta previa and/or placenta accreta: a retrospective study.

To introduce the primary experience of using aortic balloon catheters during cesarean section for placenta previa and/or placenta accreta. From January 2013 to May 2015, 43 patients who were preoperatively diagnosed with major placenta previa and/or placenta accreta and who underwent prophylactic aortic catheterization before caesarean section (CS) were included in the study. We analyzed the clinical data of the study population. Surgery- and catheterization-related complications were also reported. Major placenta previa or placenta accreta was surgically confirmed in 42 patients, 28 of whom had both conditions. The mean patient age was 32.3 ± 5.5 years, whereas the median gestational age at delivery was 260 (range, 153-280) days. Twenty-nine (67.4%) patients had previously undergone CS, and 13 (30%) patients had undergone emergency surgery for antenatal hemorrhage. The median estimated blood loss during surgery was 500 (range, 100-3,000) mL, and the median duration of occlusion was 20 (range, 5-32) minutes. Hysterectomy was performed in five (11.6%) patients and uterine artery embolization in two (4.6%) patients. Two patients with placenta percreta experienced surgery-related complications, and two patients required hospital readmission. No major catheterization-related complications were observed. Forty-two live births were recorded, and the Apgar score of the infants at 5 minutes was > 7. Intraoperative aortic balloon occlusion is a relatively safe method for treating placenta previa and/or placenta accreta during scheduled and emergency CS and might be helpful to prevent hysterectomy and embolization in women wishing to preserve fertility.

Luo F ，Xie L ，Xie P ，Liu S ，Zhu Y ... -  《-》

Perioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta.

Carnevale FC ，Kondo MM ，de Oliveira Sousa W Jr ，Santos AB ，da Motta Leal Filho JM ，Moreira AM ，Baroni RH ，Francisco RP ，Zugaib M ... -  《-》

Outcome of Pregnancies After Balloon Occlusion of the Infrarenal Abdominal Aorta During Caesarean in 230 Patients With Placenta Praevia Accreta.

Wu Q ，Liu Z ，Zhao X ，Liu C ，Wang Y ，Chu Q ，Wang X ，Chen Z ... -  《-》

Safety and Efficacy of Aortic Vs Internal Iliac Balloon Occlusion for Cesarean Delivery in Coexisting Placenta Accreta and Placenta Previa.

Tokue H ，Tokue A ，Tsushima Y ，Kameda T ... -  《-》

Aortic balloon occlusion for controlling intraoperative hemorrhage in patients with placenta previa increta/percreta.

Wang YL ，Su FM ，Zhang HY ，Wang F ，Zhe RL ，Shen XY ... -  《-》