Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta

Kyong Wook Yi, Min Jeong Oh, Tae Seok Seo, Kyeong A. So, Yu Chin Paek, Hai Joong Kim

    Research output: Contribution to journalArticlepeer-review

    22 Citations (Scopus)

    Abstract

    Abnormal attachment of the placenta (Placenta accreta, increta, and percreta) is an uncommon but potentially lethal cause of maternal mortality from massive postpartum hemorrhage. A 33-yr-old woman, who had been diagnosed with a placenta previa, was referred at 30 weeks gestation. On ultrasound, a complete type of placenta previa and multiple intraplacental lacunae, suggestive of placenta accreta, were noted. For further evaluation of the placenta, pelvis MRI was performed and revealed findings suspicious of a placenta increta. An elective cesarean delivery and subsequent hysterectomy were planned for the patient at 38 weeks gestation. On the day of delivery, endovascular catheters for balloon occlusion were placed within the hypogastric arteries, prior to the cesarean section. In the operating room, immediately after the delivery of the baby, bilateral hypogastric arteries were occluded by inflation of the balloons in the catheters previously placed within. With the placenta retained within the uterus, a total hysterectomy was performed in the usual fashion. The occluding balloons were deflated after closure of the vaginal cuff with hemostasis. The patient had stable vital signs and normal laboratory findings during the recovery period; she was discharged six days after delivery without complications. The final pathology confirmed a placenta increta.

    Original languageEnglish
    Pages (from-to)651-655
    Number of pages5
    JournalJournal of Korean medical science
    Volume25
    Issue number4
    DOIs
    Publication statusPublished - 2010 Apr

    Keywords

    • Balloon occlusion
    • Hypogastric artery
    • Placenta increta

    ASJC Scopus subject areas

    • Medicine(all)

    Fingerprint

    Dive into the research topics of 'Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta'. Together they form a unique fingerprint.

    Cite this