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 journalArticle

17 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 1

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Placenta Accreta
Placenta Previa
Arteries
Hysterectomy
Placenta
Catheters
Retained Placenta
Balloon Occlusion
Postpartum Hemorrhage
Pregnancy
Vital Signs
Maternal Mortality
Economic Inflation
Operating Rooms
Hemostasis
Pelvis
Cesarean Section
Uterus
Pathology

Keywords

  • Balloon occlusion
  • Hypogastric artery
  • Placenta increta

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Prophylactic hypogastric artery ballooning in a patient with complete placenta previa and increta. / Yi, Kyong Wook; Oh, Min Jeong; Seo, Tae-Seok; So, Kyeong A.; Paek, Yu Chin; Kim, Hai Joong.

In: Journal of Korean Medical Science, Vol. 25, No. 4, 01.04.2010, p. 651-655.

Research output: Contribution to journalArticle

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