Comparison of infrarenal aortic balloon occlusion with internal iliac artery balloon occlusion for patients with placenta accreta

BMC Pregnancy Childbirth. 2019 May 2;19(1):147. doi: 10.1186/s12884-019-2303-x.

Abstract

Background: The study was designed to compare the role of infrarenal aortic artery balloon occlusion (IAABC) with internal iliac artery balloon occlusion (IIABOC).

Methods: One hundred seventy-four cases with placenta accreta were retrospectively analyzed.74 cases who had IAABC were in group A, while the others who had IIABOC were in group B.

Results: Amount of estimated blood loss (EBL), the rate of major blood loss, the rate of blood transfusion and uterine packing, length of hospitalization were not different in both groups. The rate of uterine artery embolization (UAE), balloon occlusion time, operation time and fetus radiation dose in group A were less than those in group B.

Conclusions: IAABC resulted in better clinical outcomes than IIABOC.

Keywords: Infrarenal aortic artery balloon occlusion; Internal iliac artery balloon occlusion; Placenta accreta.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aorta, Abdominal / surgery*
  • Balloon Occlusion / statistics & numerical data*
  • Blood Transfusion / statistics & numerical data
  • Female
  • Humans
  • Iliac Artery / surgery*
  • Operative Time
  • Placenta Accreta / surgery*
  • Postpartum Hemorrhage / epidemiology
  • Postpartum Hemorrhage / etiology
  • Pregnancy
  • Retrospective Studies
  • Treatment Outcome
  • Uterine Artery Embolization / statistics & numerical data*
  • Uterine Hemorrhage / epidemiology
  • Uterine Hemorrhage / etiology
  • Uterus / surgery