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Placenta accreta and balloon catheterization: the experience of a single center and an update of latest evidence of literature

  • Maternal-Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

We studied the efficacy of using pre-cesarean delivery (CD) temporary occlusion of internal iliac arteries with balloon catheters in case of placenta previa–accreta in terms of maternal and neonatal outcomes and to test accuracy of ultrasound (US) and magnetic resonance imaging (MRI) for prenatal diagnosis.

Methods

From March 2014 to January 2018, women with an US and/or MRI diagnosis of placenta previa–accreta and a planned delivery were enrolled and divided into two groups: balloon catheterization group (women treated with preoperative catheters and CD) and control group (women candidates to elective CD).

Results

37 patients were enrolled: 16 in balloon catheterization group and 21 in control group. Significant differences were detected in estimated blood loss. Prophylactic balloon catheterization could reduce intraoperative red blood cell transfusion. The incidence of hysterectomy was lower in balloon group. No statistical difference was found for neonatal outcomes. Both US and MRI have showed to be useful and complementary to diagnose placenta previa–accreta.

Conclusions

Temporal, perioperative, and prophylactic positioning of balloon vascular catheters is an effective method for managing severe hemorrhage caused by placenta previa–accreta as it reduced intraoperative blood loss, lessened perioperative hemostatic measures and intraoperative red cell transfusions, and reduced hysterectomies.

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Authors and Affiliations

  1. Department of General Surgery and Medical Surgical Specialties, University of Catania, Catania, Italy

    Ferdinando Antonio Gulino, F. Di Guardo, E. Zambrotta, L. M. Di Gregorio & M. A. Palumbo

  2. Department of Obstetrics and Gynaecology, Campus Bio-Medico University, Rome, Italy

    Andrea Miranda & Stella Capriglione

  3. Department of Obstetrics and Gynaecology, University of Catania, Catania, Italy

    M. A. Palumbo

  4. Department of Obstetrics and Gynaecology, Umberto I Hospital, Enna, Italy

    Ferdinando Antonio Gulino

Authors
  1. Ferdinando Antonio Gulino
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  2. F. Di Guardo
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  3. E. Zambrotta
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  4. L. M. Di Gregorio
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Correspondence to Ferdinando Antonio Gulino.

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Gulino, F.A., Guardo, F.D., Zambrotta, E. et al. Placenta accreta and balloon catheterization: the experience of a single center and an update of latest evidence of literature. Arch Gynecol Obstet 298, 83–88 (2018). https://doi.org/10.1007/s00404-018-4780-y

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  • DOI: https://doi.org/10.1007/s00404-018-4780-y

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