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18.05.2018 | Maternal-Fetal Medicine

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

verfasst von: Ferdinando Antonio Gulino, F. Di Guardo, E. Zambrotta, L. M. Di Gregorio, Andrea Miranda, Stella Capriglione, M. A. Palumbo

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 1/2018

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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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Titel: Placenta accreta and balloon catheterization: the experience of a single center and an update of latest evidence of literature
verfasst von: Ferdinando Antonio Gulino
F. Di Guardo
E. Zambrotta
L. M. Di Gregorio
Andrea Miranda
Stella Capriglione
M. A. Palumbo
Publikationsdatum: 18.05.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 1/2018
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-018-4780-y

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Springer Medizin

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

Abstract

Purpose

Methods

Results

Conclusions

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Hochrisiko-Eingriffe für postoperative Übelkeit

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

Stillende Frauen haben geringeres kardiovaskuläres Risiko

Update Gynäkologie

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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