Back to Search
Start Over
Prophylactic Pelvic Artery Catheterization and Embolization in Women with Placenta Accreta: Can It Prevent Cesarean Hysterectomy?
- Source :
- American Journal of Perinatology. 27:455-461
- Publication Year :
- 2010
- Publisher :
- Georg Thieme Verlag KG, 2010.
-
Abstract
- We present the outcome of a relatively large cohort of women with suspected placenta accreta who underwent prophylactic pelvic artery catheterization prior to cesarean section. All pregnant women with suspected placenta accreta who delivered in one tertiary center were included in this retrospective study. All patients underwent an elective cesarean section with prophylactic pelvic artery catheterization of internal iliac arteries through femoral or brachial approach. Thirty women underwent prophylactic catheterization; placenta accreta was clinically confirmed in 25 (83.3%) cases. Embolization was performed in 23 cases (76.6%) and hysterectomy in 2 (8%). Median estimated amount of blood loss was 2000 mL (500 to 9000 mL). There were no major catheterization-related complications. Three women had a subsequent pregnancy and uncomplicated delivery by cesarean section. Prophylactic pelvic artery catheterization and embolization in women with placenta accreta is safe and effective in prevention of hysterectomy and should be considered in woman wishing to preserve fertility.
- Subjects :
- Adult
medicine.medical_specialty
Placenta accreta
medicine.medical_treatment
Placenta Accreta
Hysterectomy
Iliac Artery
Blood loss
Pregnancy
medicine
Humans
Embolization
reproductive and urinary physiology
Retrospective Studies
Cesarean Section
Obstetrics
business.industry
Obstetrics and Gynecology
Retrospective cohort study
Balloon Occlusion
medicine.disease
Embolization, Therapeutic
Surgery
Treatment Outcome
Pediatrics, Perinatology and Child Health
Female
Artery catheterization
business
Cesarean hysterectomy
Subjects
Details
- ISSN :
- 10988785 and 07351631
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- American Journal of Perinatology
- Accession number :
- edsair.doi.dedup.....60bbd1b9176e9f97e12982689f333c35