European Radiology

, Volume 28, Issue 7, pp 2713–2726 | Cite as

Endovascular interventional modalities for haemorrhage control in abnormal placental implantation deliveries: a systematic review and meta-analysis

  • Yousef ShahinEmail author
  • Chun Lap Pang



To examine the evidence regarding the effectiveness and safety of endovascular interventional modalities for haemorrhage control in abnormal placentation deliveries.


MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were searched from inception to July 2017. Blood loss volume was regarded as the primary endpoint. Other important results are described. Random and fixed effects models were used for the meta-analysis.


Of 385 studies identified, 69 (1,811 patients, mean age 32.9 years, range 23–39 years) were included. Mean gestational age at delivery was 35.1 weeks (range 27–38 weeks). Of 1,395 patients who underwent endovascular intervention, 587 (42%) had placenta accreta, 254 (18%) placenta increta and 313 (22%) placenta percreta. Prophylactic balloon occlusion of the internal iliac arteries (PBOIIA) was performed in 470 patients (33.6%), of the abdominal aorta (PBOAA) in 460 patients (33%), of the uterine artery (PBOUA) in 181 patients (13%), and of the common iliac arteries (PBOCIA) in 21 patients (1.5%). Primary embolization of the UA was performed in 246 patients (18%), of the pelvic collateral arteries in 12 patients (0.9%), and of the anterior division of the IIA in 5 patients (0.3%). Follow-up ranged from 0.5 to 42 months. Endovascular intervention was associated with less blood loss than no endovascular intervention (p < 0.001) with the lowest blood loss volume in patients who underwent PBOAA (p < 0.001). PBOAA was associated with a lower rate of hysterectomy (p = 0.030). Endovascular intervention did not result in increases in operative time or hospital stay.


Endovascular intervention is effective in controlling haemorrhage in abnormal placentation deliveries. PBOAA was associated with a lower rate of hysterectomy and less blood loss than other modalities.

Key points

• Endovascular intervention in abnormal placentation deliveries is effective in reducing blood loss.

• Endovascular intervention did not result in longer operative time or hospital stay.

• Prophylactic balloon occlusion of the abdominal aorta is superior to other modalities.


Endovascular procedures Balloon occlusion Uterine artery embolization Placenta accreta Haemorrhage 



Morbidly adherent placenta


Prophylactic balloon occlusion of the internal iliac artery


Prophylactic balloon occlusion of the common iliac artery


Prophylactic balloon occlusion of the abdominal aorta


Prophylactic balloon occlusion of the uterine artery


Uterine artery


Internal iliac artery


Preferred reporting items for systematic reviews and meta-analyses


Odds ratio


Mean difference


Standard deviation


Packed red blood cells



The authors state that this work did not receive any funding.

Compliance with ethical standards


The scientific guarantor of this publication is Yousef Shahin.

Conflict of interest

The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.

Statistics and biometry

One of the authors has significant statistical expertise.

Ethical approval

Institutional Review Board approval was not required because this study was a meta-analysis of published literature.

Informed consent

Written informed consent was not required for this study because it was a systematic review and meta-analysis of published literature.


• Systematic review and meta-analysis

Supplementary material

330_2017_5222_MOESM1_ESM.docx (275 kb)
ESM 1 (DOCX 275 kb)


  1. 1.
    Chou MM, Hwang JI, Tseng JJ, Ho ES (2003) Internal iliac artery embolization before hysterectomy for placenta accreta. J Vasc Interv Radiol. 14:1195–1199CrossRefPubMedGoogle Scholar
  2. 2.
    Simera I, Moher D, Hoey J, Schulz KF, Altman DG (2010) A catalogue of reporting guidelines for health research. Eur J Clin Invest. 40:35–53CrossRefPubMedGoogle Scholar
  3. 3.
    Paull JD, Smith J, Williams L, Davison G, Devine T, Holt M (1995) Balloon occlusion of the abdominal aorta during caesarean hysterectomy for placenta percreta. Anaesth Intensive Care. 23:731–734PubMedGoogle Scholar
  4. 4.
    Dubois J, Garel L, Grignon A, Lemay M, Leduc L (1997) Placenta percreta: balloon occlusion and embolization of the internal iliac arteries to reduce intraoperative blood losses. Am J Obstet Gynecol. 176:723–726CrossRefPubMedGoogle Scholar
  5. 5.
    Hansch E, Chitkara U, McAlpine J, El-Sayed Y, Dake MD, Razavi MK (1999) Pelvic arterial embolization for control of obstetric hemorrhage: a five-year experience. Am J Obstet Gynecol. 180:1454–1460CrossRefPubMedGoogle Scholar
  6. 6.
    Levine AB, Kuhlman K, Bonn J (1999) Placenta accreta: comparison of cases managed with and without pelvic artery balloon catheters. J Matern Fetal Med. 8:173–176PubMedGoogle Scholar
  7. 7.
    Weeks SM, Stroud TH, Sandhu J, Mauro MA, Jaques PF (2000) Temporary balloon occlusion of the internal iliac arteries for control of hemorrhage during cesarean hysterectomy in a patient with placenta previa and placenta increta. J Vasc Interv Radiol. 11:622–624CrossRefPubMedGoogle Scholar
  8. 8.
    Kidney DD, Nguyen AM, Ahdoot D, Bickmore D, Deutsch LS, Majors C (2001) Prophylactic perioperative hypogastric artery balloon occlusion in abnormal placentation. AJR Am J Roentgenol. 176:1521–1524CrossRefPubMedGoogle Scholar
  9. 9.
    Bell-Thomas SM, Penketh RJ, Lord RH, Davies NJ, Collis R (2003) Emergency use of a transfemoral aortic occlusion catheter to control massive haemorrhage at caesarean hysterectomy. BJOG 110:1120–1122CrossRefPubMedGoogle Scholar
  10. 10.
    Ojala K, Perälä J, Kariniemi J, Ranta P, Raudaskoski T, Tekay A (2005) Arterial embolization and prophylactic catheterization for the treatment for severe obstetric hemorrhage. Acta Obstet Gynecol Scand. 84:1075–1080PubMedGoogle Scholar
  11. 11.
    Shih JC, Liu KL, Shyu MK (2005) Temporary balloon occlusion of the common iliac artery: new approach to bleeding control during cesarean hysterectomy for placenta percreta. Am J Obstet Gynecol. 193:1756–1758CrossRefPubMedGoogle Scholar
  12. 12.
    Alanis M, Hurst BS, Marshburn PB, Matthews ML (2006) Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in a favorable outcome in subsequent pregnancies. Fertil Steril 86:1514.e3–1514.e7CrossRefGoogle Scholar
  13. 13.
    Bodner LJ, Nosher JL, Gribbin C, Siegel RL, Beale S (2006) Scorza W (2006) Balloon-assisted occlusion of the internal iliac arteries in patients with placenta accreta/percreta. Cardiovasc Intervent Radiol. 29:354–361CrossRefPubMedGoogle Scholar
  14. 14.
    Sewell MF, Rosenblum D, Ehrenberg H (2006) Arterial embolus during common iliac balloon catheterization at cesarean hysterectomy. Obstet Gynecol. 108:746–748CrossRefPubMedGoogle Scholar
  15. 15.
    Greenberg JI, Suliman A, Iranpour P, Angle N (2007) Prophylactic balloon occlusion of the internal iliac arteries to treat abnormal placentation: a cautionary case. Am J Obstet Gynecol 197:470.e1–470.e4CrossRefGoogle Scholar
  16. 16.
    La Folie T, Vidal V, Mehanna M et al (2007) Results of endovascular treatment in cases of abnormal placentation with post-partum hemorrhage. J Obstet Gynaecol Res. 33:624–630Google Scholar
  17. 17.
    Mok M, Heidemann B, Dundas K, Gillespie I, Clark V (2008) Interventional radiology in women with suspected placenta accreta undergoing caesarean section. Int J Obstet Anesth. 17:255–261CrossRefPubMedGoogle Scholar
  18. 18.
    Shrivastava V, Nageotte M, Major C, Haydon M, Wing D (2007) Case-control comparison of cesarean hysterectomy with and without prophylactic placement of intravascular balloon catheters for placenta accreta. Am J Obstet Gynecol 197:402.e1–402.e5CrossRefGoogle Scholar
  19. 19.
    Tan CH, Tay KH, Sheah K et al (2007) Perioperative endovascular internal iliac artery occlusion balloon placement in management of placenta accreta. AJR Am J Roentgenol. 189:1158–1163Google Scholar
  20. 20.
    Yu PC, Ou HY, Tsang LL, Kung FT, Hsu TY, Cheng YF (2009) Prophylactic intraoperative uterine artery embolization to control hemorrhage in abnormal placentation during late gestation. Fertil Steril. 91:1951–1955CrossRefPubMedGoogle Scholar
  21. 21.
    Masamoto H, Uehara H, Gibo M, Okubo E, Sakumoto K, Aoki Y (2009) Elective use of aortic balloon occlusion in cesarean hysterectomy for placenta previa percreta. Gynecol Obstet Invest. 67:92–95CrossRefPubMedGoogle Scholar
  22. 22.
    Diop AN, Chabrot P, Bertrand A et al (2010) Placenta accreta: management with uterine artery embolization in 17 cases. J Vasc Interv Radiol. 21:644–648Google Scholar
  23. 23.
    Sivan E, Spira M, Achiron R et al (2010) Prophylactic pelvic artery catheterization and embolization in women with placenta accreta: can it prevent cesarean hysterectomy? Am J Perinatol. 27:455–461Google Scholar
  24. 24.
    Yi KW, Oh MJ, Seo TS, So KA, Paek YC, Kim HJ (2010) Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta. J Korean Med Sci. 25:651–655CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Carnevale FC, Kondo MM, de Oliveira Sousa W et al (2011) Perioperative temporary occlusion of the internal iliac arteries as prophylaxis in cesarean section at risk of hemorrhage in placenta accreta. Cardiovasc Intervent Radiol. 34:758–764Google Scholar
  26. 26.
    Bishop S, Butler K, Monaghan S, Chan K, Murphy G, Edozien L (2011) Multiple complications following the use of prophylactic internal iliac artery balloon catheterisation in a patient with placenta percreta. Int J Obstet Anesth. 20:70–73CrossRefPubMedGoogle Scholar
  27. 27.
    Firdous Z, Aziz N (2011) Internal iiiac artery occlusion balloon catheters to minimize blood loss in adherent placenta: a retrospective cohort study. Int J Infertil Fetal Med. 2:33–36CrossRefGoogle Scholar
  28. 28.
    Jung HN, Shin SW, Choi SJ et al (2011) Uterine artery embolization for emergent management of postpartum hemorrhage associated with placenta accreta. Acta Radiol. 52:638–642Google Scholar
  29. 29.
    Park JK, Shin TB, Baek JC et al (2011) Failure of uterine artery embolization for controlling postpartum hemorrhage. J Obstet Gynaecol Res. 37:971–978Google Scholar
  30. 30.
    Sadashivaiah J, Wilson R, Thein A, McLure H, Hammond CJ, Lyons G (2011) Role of prophylactic uterine artery balloon catheters in the management of women with suspected placenta accreta. Int J Obstet Anesth. 20:282–287CrossRefPubMedGoogle Scholar
  31. 31.
    Soyer P, Morel O, Fargeaudou Y et al (2011) Value of pelvic embolization in the management of severe postpartum hemorrhage due to placenta accreta, increta or percreta. Eur J Radiol. 80:729–735CrossRefPubMedGoogle Scholar
  32. 32.
    Thon S, McLintic A, Wagner Y (2011) Prophylactic endovascular placement of internal iliac occlusion balloon catheters in parturients with placenta accreta: a retrospective case series. Int J Obstet Anesth. 20:64–70CrossRefPubMedGoogle Scholar
  33. 33.
    Ballas J, Hull AD, Saenz C et al (2012) Preoperative intravascular balloon catheters and surgical outcomes in pregnancies complicated by placenta accreta: a management paradox. Am J Obstet Gynecol 207:216.e1–216.e5Google Scholar
  34. 34.
    Bouvier A, Sentilhes L, Thouveny F et al (2012) Planned caesarean in the interventional radiology cath lab to enable immediate uterine artery embolization for the conservative treatment of placenta accreta. Clin Radiol. 67:1089–1094Google Scholar
  35. 35.
    Hwang SM, Jeon GS, Kim MD, Kim SH, Lee JT, Choi MJ (2013) Transcatheter arterial embolisation for the management of obstetric haemorrhage associated with placental abnormality in 40 cases. Eur Radiol. 23:766–773CrossRefPubMedGoogle Scholar
  36. 36.
    Knuttinen MG, Jani A, Gaba RC, Bui JT, Carrillo TC (2012) Balloon occlusion of the hypogastric arteries in the management of placenta accreta: a case report and review of the literature. Semin Intervent Radiol. 29:161–168CrossRefPubMedPubMedCentralGoogle Scholar
  37. 37.
    Li X, Wang Z, Chen J, Shi H et al (2012) Uterine artery embolization for the management of secondary postpartum haemorrhage associated with placenta accreta. Clin Radiol. 67:e71–e76Google Scholar
  38. 38.
    Meyer NP, Ward GH, Chandraharan E (2012) Conservative approach to the management of morbidly adherent placentae. Ceylon Med J. 57:36–39CrossRefPubMedGoogle Scholar
  39. 39.
    Panici PB, Anceschi M, Borgia ML T et al (2012) Intraoperative aorta balloon occlusion: fertility preservation in patients with placenta previa accreta/increta. J Matern Fetal Neonatal Med. 25:2512–2516Google Scholar
  40. 40.
    Chung MY, Cheng YK, Yu SC, Sahota DS, Leung TY (2013) Nonremoval of an abnormally invasive placenta at cesarean section with postoperative uterine artery embolization. Acta Obstet Gynecol Scand. 92:1250–1255CrossRefPubMedGoogle Scholar
  41. 41.
    Clausen C, Stensballe J, Albrechtsen CK, Hansen MA, Lönn L, Langhoff-Roos J (2013) Balloon occlusion of the internal iliac arteries in the multidisciplinary management of placenta percreta. Acta Obstet Gynecol Scand. 92:386–391CrossRefPubMedGoogle Scholar
  42. 42.
    Krutman M, Galastri FL, Affonso BB et al (2013) Review of the cases of 15 patients at high risk of obstetric haemorrhage who underwent temporary bilateral occlusion of internal iliac arteries. J Vasc Bras. 12:202–206Google Scholar
  43. 43.
    Teixidor Viñas M, Chandraharan E, Moneta MV, Belli AM (2014) The role of interventional radiology in reducing haemorrhage and hysterectomy following caesarean section for morbidly adherent placenta. Clin Radiol. 69:e345–e351CrossRefPubMedGoogle Scholar
  44. 44.
    Cali G, Forlani F, Giambanco L et al (2014) Prophylactic use of intravascular balloon catheters in women with placenta accreta, increta and percreta. Eur J Obstet Gynecol Reprod Biol. 179:36–41Google Scholar
  45. 45.
    Darwish HS, Zaytoun HA, Kamel HA, Habash YH (2014) Prophylactic preoperative balloon occlusion of hypogastric arteries in abnormal placentation; 5 years experience. Egypt J Radiol Nucl Med. 45:751–759CrossRefGoogle Scholar
  46. 46.
    Li Q, Yang ZQ, Mohammed W, Feng YL, Shi HB, Zhou X (2014) Prophylactic uterine artery embolization assisted cesarean section for the prevention of intrapartum hemorrhage in high-risk patients. Cardiovasc Intervent Radiol. 37:1458–1463CrossRefPubMedPubMedCentralGoogle Scholar
  47. 47.
    Broekman EA, Versteeg H, Vos LD, Dijksterhuis MG, Papatsonis DN (2015) Temporary balloon occlusion of the internal iliac arteries to prevent massive hemorrhage during cesarean delivery among patients with placenta previa. Int J Gynaecol Obstet. 128:118–121CrossRefPubMedGoogle Scholar
  48. 48.
    Chou MM, Kung HF, Hwang JI, Chen WC, Tseng JJ (2015) Temporary prophylactic intravascular balloon occlusion of the common iliac arteries before cesarean hysterectomy for controlling operative blood loss in abnormal placentation. Taiwan J Obstet Gynecol. 54:493–498CrossRefPubMedGoogle Scholar
  49. 49.
    D'Souza DL, Kingdom JC, Amsalem H, Beecroft JR, Windrim RC, Kachura JR (2015) Conservative management of invasive placenta using combined prophylactic internal iliac artery balloon occlusion and immediate postoperative uterine artery embolization. Can Assoc Radiol J. 66:179–184CrossRefPubMedGoogle Scholar
  50. 50.
    Duan XH, Wang YL, Han XW et al (2015) Caesarean section combined with temporary aortic balloon occlusion followed by uterine artery embolisation for the management of placenta accreta. Clin Radiol. 70:932–937Google Scholar
  51. 51.
    Izbizky G, Meller C, Grasso M et al (2015) Feasibility and safety of prophylactic uterine artery catheterization and embolization in the management of placenta accreta. J Vasc Interv Radiol. 26:162–169Google Scholar
  52. 52.
    Kai K, Hamada T, Yuge A et al (2015) Estimating the radiation dose to the fetus in prophylactic internal iliac artery balloon occlusion: three cases. Case Rep Obstet Gynecol. 2015:170343Google Scholar
  53. 53.
    Matsueda S, Hidaka N, Kondo Y, Fujiwara A, Fukushima K, Kato K (2015) External iliac artery thrombosis after common iliac artery balloon occlusion during cesarean hysterectomy for placenta accreta in cervico-isthmic pregnancy. J Obstet Gynaecol Res. 41:1826–1830CrossRefPubMedGoogle Scholar
  54. 54.
    Minas V, Gul N, Shaw E, Mwenenchanya S (2015) Prophylactic balloon occlusion of the common iliac arteries for the management of suspected placenta accreta/percreta: conclusions from a short case series. Arch Gynecol Obstet. 291:461–465CrossRefPubMedGoogle Scholar
  55. 55.
    Salim R, Chulski A, Romano S, Garmi G, Rudin M, Shalev E (2015) Precesarean prophylactic balloon catheters for suspected placenta accreta: a randomized controlled trial. Obstet Gynecol. 126:1022–1028CrossRefPubMedGoogle Scholar
  56. 56.
    Wei X, Zhang J, Chu Q et al (2016) Prophylactic abdominal aorta balloon occlusion during caesarean section: a retrospective case series. Int J Obstet Anesth. 27:3–8Google Scholar
  57. 57.
    Heinze S, Filsinger B, Kastenholz G, Schröder RJ (2016) Intraoperative intermittent blocking of the common iliac arteries in cases of placenta percreta without the use of fluoroscopy. Rofo. 188:1151–1155CrossRefPubMedGoogle Scholar
  58. 58.
    Niola R, Giurazza F, Nazzaro G, Silvestre M, Nasti G, Di Pasquale MA et al (2016) Uterine artery embolization before delivery to prevent postpartum hemorrhage. J Vasc Interv Radiol. 27:376–382CrossRefPubMedGoogle Scholar
  59. 59.
    Rebonato A, Mosca S, Fischer M et al (2016) Endovascular management of massive post-partum haemorrhage in abnormal placental implantation deliveries. Eur Radiol. 26:1620–1630Google Scholar
  60. 60.
    Smith DD, Perez-Delboy A, Burke WM, Tergas AI (2016) Buttock necrosis after uterine artery embolization for delayed hysterectomy in placenta percreta. Case Rep Obstet Gynecol. 2016:6921280PubMedPubMedCentralGoogle Scholar
  61. 61.
    Tan YL, Suharjono H, Lau NL, Voon HY (2016) Prophylactic bilateral internal iliac artery balloon occlusion in the management of placenta accreta: a 36-month review. Med J Malaysia. 71:111–116PubMedGoogle Scholar
  62. 62.
    Wu Q, Liu Z, Zhao X et al (2016) Outcome of pregnancies after balloon occlusion of the infrarenal abdominal aorta during caesarean in 230 patients with placenta praevia accreta. Cardiovasc Intervent Radiol. 39:1573–1579Google Scholar
  63. 63.
    Zhi-Wei W, Xiao-Guang L, Jie P et al (2016) Uterine artery embolization for management of primary postpartum hemorrhage associated with placenta accreta. Chin Med Sci J. 31:228–232Google Scholar
  64. 64.
    Angileri SA, Mailli L, Raspanti C, Ierardi AM, Carrafiello G, Belli AM (2017) Prophylactic occlusion balloon placement in internal iliac arteries for the prevention of postpartum haemorrhage due to morbidly adherent placenta: short term outcomes. Radiol Med. 122:798–806CrossRefPubMedGoogle Scholar
  65. 65.
    Cho YJ, Oh YT, Kim SY et al (2017) The efficacy of pre-delivery prophylactic trans-catheter arterial balloon occlusion of bilateral internal iliac artery in patients with suspected placental adhesion. Obstet Gynecol Sci. 60:18–25Google Scholar
  66. 66.
    Cui S, Zhi Y, Cheng G, Zhang K, Zhang L, Shen L (2017) Retrospective analysis of placenta previa with abnormal placentation with and without prophylactic use of abdominal aorta balloon occlusion. Int J Gynaecol Obstet. 137:265–270CrossRefPubMedGoogle Scholar
  67. 67.
    Feng S, Liao Z, Huang H (2017) Effect of prophylactic placement of internal iliac artery balloon catheters on outcomes of women with placenta accreta: an impact study. Anaesthesia. 72:853–858CrossRefPubMedGoogle Scholar
  68. 68.
    Pan Y, Zhou X, Yang Z, Cui S, De W, Sun L (2017) Retrospective cohort study of prophylactic intraoperative uterine artery embolization for abnormally invasive placenta. Int J Gynaecol Obstet. 137:45–50CrossRefPubMedGoogle Scholar
  69. 69.
    Wang YL, Duan XH, Han XW et al (2017) Comparison of temporary abdominal aortic occlusion with internal iliac artery occlusion for patients with placenta accreta – a non-randomised prospective study. Vasa. 46:53–57Google Scholar
  70. 70.
    Xie L, Wang Y, Luo FY, Man YC, Zhao XL (2017) Prophylactic use of an infrarenal abdominal aorta balloon catheter in pregnancies complicated by placenta accreta. J Obstet Gynaecol. 37:557–561CrossRefPubMedGoogle Scholar
  71. 71.
    Zhang N, Lou WH, Zhang XB et al (2017) Vascular complications following prophylactic balloon occlusion of the internal iliac arteries resolved by successful interventional thrombolysis in a patient with morbidly adherent placenta. J Zhejiang Univ Sci B. 18:272–276Google Scholar
  72. 72.
    Higgins JP, Green S, editors. Cochrane handbook for systematic reviews of interventions Version 5.0.2 [updated 2009]. The Cochrane Collaboration. Available via 2008
  73. 73.
    Review Manager (RevMan) [Computer program]. Version 5.0 (2008) The Nordic Cochrane Centre, Copenhagen. The Cochrane CollaborationGoogle Scholar
  74. 74.
    Jadad AR, Moore RA, Carroll D et al (1996) Assessing the quality of reports of randomised controlled trials: is blinding necessary? Control Clin Trials. 17:1–12Google Scholar
  75. 75.
    Wells GA, Shea B, O’Connell D et al (2013) The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. Available via
  76. 76.
    Andoh S, Mitani S, Nonaka A et al (2011) Use of temporary aortic balloon occlusion of the abdominal aorta was useful during cesarean hysterectomy for placenta accreta. Masui. 60:217–219Google Scholar
  77. 77.
    Chen YT, Xu LF, Sun HL, Li HQ, Hu RM, Tan QY (2010) Clinical efficacy and safety of uterine artery chemoembolization in abnormal placental implantation complicated with postpartum hemorrhage. Zhonghua Fu Chan Ke Za Zhi. 45:273–277PubMedGoogle Scholar
  78. 78.
    Chen M, Xie L (2016) Clinical evaluation of balloon occlusion of the lower abdominal aorta in patients with placenta previa and previous cesarean section: a retrospective study on 43 cases. Int J Surg. 34:6–9CrossRefPubMedGoogle Scholar
  79. 79.
    Iwata A, Murayama Y, Itakura A, Baba K, Seki H, Takeda S (2010) Limitations of internal iliac artery ligation for the reduction of intraoperative hemorrhage during cesarean hysterectomy in cases of placenta previa accreta. J Obstet Gynaecol Res. 36:254–259CrossRefPubMedGoogle Scholar
  80. 80.
    Kanter G, Packard L, Sit AS (2013) Placenta accreta in a patient with a history of uterine artery embolization for postpartum hemorrhage. J Perinatol. 33:482–483CrossRefPubMedGoogle Scholar
  81. 81.
    Ko HK, Shin JH, Ko GY et al (2017) Efficacy of prophylactic uterine artery embolization before obstetrical procedures with high risk for massive bleeding. Korean J Radiol. 18:355–360Google Scholar
  82. 82.
    Le Ray C, Audibert F, Dubois J (2008) Prophylactic balloon occlusion of the internal iliac arteries to treat abnormal placentation. Am J Obstet Gynecol 199:e11–e12 author reply e12–e13CrossRefPubMedGoogle Scholar
  83. 83.
    Luo F, Xie L, Xie P, Liu S, Zhu Y (2017) Intraoperative aortic balloon occlusion in patients with placenta previa and/or placenta accreta: a retrospective study. Taiwan J Obstet Gynecol. 56:147–152CrossRefPubMedGoogle Scholar
  84. 84.
    Mechsner S, Baessler K, Brunne B, Albrecht T, Hopp H, Dudenhausen JW (2008) Using recombinant activated factor VII, B-Lynch compression, and reversible embolization of the uterine arteries for treatment of severe conservatively intractable postpartum hemorrhage: new method for management of massive hemorrhage in cases of placenta increta. Fertil Steril 90:2012.e1–2012.e5Google Scholar
  85. 85.
    Vrachnis N, Iavazzo C, Salakos N, Papamargaritis E, Boutas I, Creatsas G (2012) Uterine tamponade balloon for the management of massive hemorrhage during cesarean section due to placenta previa/increta. Clin Exp Obstet Gynecol. 39:255–257CrossRefPubMedGoogle Scholar
  86. 86.
    Wang L, Horiuchi I, Mikami Y et al (2015) Use of intra-arterial nitroglycerin during uterine artery embolization for severe postpartum hemorrhage with uterine artery vasospasm. Taiwan J Obstet Gynecol. 54:187–190Google Scholar
  87. 87.
    Yu M, Liu XY, Dai Q, Cui QC, Jin ZY, Lang JH (2010) Diagnosis and treatment of placenta accreta in the second trimester of pregnancy. Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 32:501–504PubMedGoogle Scholar
  88. 88.
    Huang L, Awale R, Tang H, Zeng Z, Li F, Chen Y (2015) Uterine artery embolization, not cesarean section, as an option for termination of pregnancy in placenta previa. Taiwan J Obstet Gynecol. 54:191–193CrossRefPubMedGoogle Scholar
  89. 89.
    Omar HR, Sprenker C, Alvey E et al (2016) The value of occlusive balloons in the management of abnormal placentation: a retrospective study. J Obstet Gynaecol. 36:333–336Google Scholar
  90. 90.
    Gagnon J, Boucher L, Kaufman I, Brown R, Moore A (2013) Iliac artery rupture related to balloon insertion for placenta accreta causing maternal hemorrhage and neonatal compromise. Can J Anaesth. 60:1212–1217CrossRefPubMedGoogle Scholar
  91. 91.
    Mei J, Wang Y, Zou B et al (2015) Systematic review of uterus-preserving treatment modalities for abnormally invasive placenta. J Obstet Gynaecol. 35:777–782Google Scholar
  92. 92.
    Dilauro MD, Dason S, Athreya S (2012) Prophylactic balloon occlusion of internal iliac arteries in women with placenta accreta: literature review and analysis. Clin Radiol. 67:515–520CrossRefPubMedGoogle Scholar
  93. 93.
    Soro MP, Denys A, de Rham M, Baud D (2017) Short & long term adverse outcomes after arterial embolisation for the treatment of postpartum haemorrhage: a systematic review. Eur Radiol. 27:749–762CrossRefPubMedGoogle Scholar

Copyright information

© European Society of Radiology 2018

Authors and Affiliations

  1. 1.Academic Unit of RadiologyUniversity of SheffieldSheffieldUK
  2. 2.Department of Clinical RadiologySheffield Teaching HospitalsSheffieldUK
  3. 3.Plymouth University Peninsula Schools of Medicine and DentistryPlymouthUK
  4. 4.Department of RadiologyDerriford HospitalPlymouthUK

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