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Rev Esp Anestesiol Reanim. 2014 Feb;61(2):105-8. doi: 10.1016/j.redar.2012.11.008. Epub 2012 Dec 29.

[Iliac artery occlusion balloons for suspected placenta accreta during cesarean section].

[Article in Spanish]

Author information

  • 1Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario La Paz, Madrid, España. Electronic address: nataliaburgosfrias@gmail.com.
  • 2Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario La Paz, Madrid, España.

Abstract

Massive obstetric hemorrhage still remains a major cause of maternal mortality and morbidity. The risk factors associated with this pathology must be identified in order to schedule the appropriate delivery with the necessary resources. A case is presented of an iliac artery occlusion with intravascular balloons for suspected placenta accreta during cesarean section. The perioperative treatment, as well as an analysis of the treatment options is described, along with their advantages and disadvantages, from the use of postpartum hemorrhage protocols, blood transfusion and procoagulant factors, and other maneuvers to control bleeding, until the hysterectomy.

Copyright © 2012 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

KEYWORDS:

Acretismo placentario; Hemorragia masiva obstétrica; Massive obstetric hemorrhage; Placenta accrete; Profilaxis; Prophylaxis; Tratamiento; Treatment

PMID:
23276376
[PubMed - in process]
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