OBJECTIVES: The purpose of this study was to investigate the efficacy and safety of temporary prophylactic intravascular balloon occlusion of the common iliac arteries (CIA) before planned cesarean hysterectomy for controlling operative @entity190 in abnormal placentation. MATERIALS AND METHODS: A retrospective study of 13 pregnant @entity1 at risk for @entity8052 identified using sequential obstetric ultrasonography and magnetic resonance imaging from January 2007 to December 2009 was performed. Temporary prophylactic intravascular balloon catheterization of the bilateral CIA before cesarean hysterectomy was performed by interventional radiologists. The maximum duration of occlusion time of CIA must not exceed 60 minutes. The primary outcome for this study included estimated @entity190 and secondary outcomes included the development of @entity1031 , disseminated @entity5642 and surgical complications. RESULTS: Among these13 @entity1 , the mean age of the @entity1 was 32.8      0.7 years (range 29-37 years). The mean gestational age at cesarean hysterectomy was 32.2      0.9 weeks (range 28-36 weeks), and the mean intraoperative @entity190 was 1902.3      578.8  mL (range 500-8000  mL). @entity548 was controlled by conservative treatment without additional surgery in two cases. Importantly, two @entity1 (15.8%) had severe complications possibly related to the interventional procedure. One @entity1 was noted to have a popliteal artery @entity715 . A second @entity1 had an @entity715 with 80-90% occlusion. Both patients required antithrombotic treatment without sequelae. CONCLUSION: With limited experience in this small series, we observed a statistically significant reduction in operative @entity190 after the use of temporary prophylactic balloon occlusion of the CIA technique compared with historical controls of similar demographic characteristics previously published (1902.3      578.8  mL, range 500-8000  mL vs. 4445.7      996.48  mL, range 1040-15,000  mL, p  =  0.0402). Additionally, two @entity1 had arterial @entity715 . These preliminary findings are based on a small number of @entity1 , and therefore further investigation is needed to determine the effectiveness and safety of this new technique.

Temporary prophylactic intravascular balloon occlusion of the common iliac arteries before cesarean hysterectomy for controlling operative XXXX in abnormal placentation.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity548 :: ('MESH:D006470', 'Disease') :: ['Operative bleeding'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity5642 :: ('MESH:D004211', 'Disease') :: ['intravascular coagulation'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolism'] @entity8052 :: ('MESH:D010921', 'Disease') :: ['placenta accreta'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis', 'external iliac artery thrombosis']
@entity190 :: (MESH:D006473,Disease) :: ['blood loss']
