• Jessica Papillon-Smith, Sukhbir Sony Singh, and Cleve Ziegler.
• Department of Obstetrics and Gynecology, McGill University Health Centre, Montreal QC.
• J Obstet Gynaecol Can. 2016 Nov 1; 38 (11): 1024-1027.

BackgroundPrior to Caesarean section (CS) for morbidly adherent placenta (MAP), endovascular balloons are often placed prophylactically to minimize hemorrhage. However, there have been few reports describing complications of this intervention.CaseA 41-year-old woman with a diagnosis of placenta percreta had endovascular balloon catheters placed before CS. Intraoperatively the right internal iliac artery ruptured, requiring vascular repair, multiple transfusions of blood and plasma, and admission to the intensive care unit.ConclusionProphylactic placement of endovascular balloons to reduce maternal hemorrhage at CS for MAP may result in complications. Until more evidence becomes available supporting their use, safety guidelines must be instated in centres using them.Copyright © 2016 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.

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