Balloon occlusion of the internal iliac arteries in the multidisciplinary management of placenta percreta.
Acta Obstetricia et Gynecologica Scandinavica, 07/27/2012
CLAUSEN C et al.–This study evaluates the team experience with prophylactic balloon occlusion of the internal iliac arteries as a part of a multidisciplinary algorithm for the management of placenta percreta at Copenhagen University Hospital, Denmark. It was seen that prophylactic balloon occlusion of the internal iliac arteries as part of a multidisciplinary algorithm allowed for a safe management of all cases in consecutive series of 17 women with placenta percreta. However, intraoperative blood loss and transfusion requirements were significant. Therefore the authors decided to modify multidisciplinary algorithm to include balloon occlusion of the common iliac arteries rather than the internal iliac arteries.