Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Feb 2015
Case ReportsProphylactic balloon occlusion of the common iliac arteries for the management of suspected placenta accreta/percreta: conclusions from a short case series.
The management of women with abnormally invasive placenta remains one of the most challenging aspects of obstetric care. Various surgical and interventional radiological techniques have been developed to limit the risk of massive haemorrhage at caesarean section. Here we describe our experience with three such cases that required caesarean hysterectomy and were managed with prophylactic balloon catheterisation of the common iliac arteries. ⋯ The cases presented here, and also our literature review, suggest that occlusion of the common iliac arteries appears to be more effective than, and as safe as the occlusion of the internal iliac arteries. Clinicians need to be aware of the potential risks and employ measures to prevent them. Further research is required to investigate the optimum length of occlusion and balance between reducing blood loss and risking ischemia of the limbs when occluding the common iliac arteries.
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Arch. Gynecol. Obstet. · Feb 2015
Calculating probability of requiring allogeneic blood transfusion using three preoperative risk factors on cesarean section for placenta previa.
To construct a model to calculating probability of requiring allogeneic blood transfusion on cesarean section (CS) for placenta previa (PP). ⋯ This simple model may be useful to calculate probability of requiring allogeneic blood transfusion on CS for placenta previa.