scholarly journals Internal iliac artery revascularisation versus internal iliac artery occlusion for endovascular treatment of aorto-iliac aneurysms

2018 ◽  
Author(s):  
Luiz Henrique DG Sousa ◽  
Jose CC Baptista-Silva ◽  
Vladimir Vasconcelos ◽  
Ronald LG Flumignan
Keyword(s):  
Endovascular Treatment ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion ◽  
Internal Iliac

Perioperative Endovascular Internal Iliac Artery Occlusion Balloon Placement in Management of Placenta Accreta

2007 ◽  
Vol 189 (5) ◽  
pp. 1158-1163 ◽  
Author(s):  
Cher Heng Tan ◽  
Kiang Hiong Tay ◽  
Kenneth Sheah ◽  
Kenneth Kwek ◽  
Kenneth Wong ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Accreta ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion ◽  
Occlusion Balloon ◽  
Internal Iliac

Radiologic Intervention of Internal Iliac Artery Occlusion During Cesarean Section for Dangerous Placenta Previa

2020 ◽  
Vol 10 (12) ◽  
pp. 2931-2934
Author(s):  
Qingzhen Zhao ◽  
Na Zhao ◽  
Dengdeng Luo ◽  
Sheng Yue
Keyword(s):  
Cesarean Section ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Previa ◽  
Artery Occlusion ◽  
Control Group ◽  
Observation Group ◽  
Iliac Artery Occlusion ◽  
Significant Difference ◽  
Internal Iliac

Objective: The cesarean section of dangerous placenta previa always faces the problem of massive hemorrhage. The aim of this study was to analyze the clinical effect of internal iliac artery occlusion combined with obstetric autotransfusion in cesarean section of dangerous placenta previa. Method: From November 2017 to November 2019, 20 patients with placenta previa undergoing cesarean section in our hospital were selected. According to the preoperative MRI and ultrasound diagnosis, the amount of bleeding was evaluated and divided into observation group (n = 6) and control group (n = 14). All patients underwent routine cesarean section and prepared the obstetric autotransfusion device. In the observation group, the internal iliac artery balloon was placed under DSA before operation. After the fetus was taken out, the internal iliac artery was blocked. The internal iliac artery occlusion was not needed in the control group. The total length of stay, Apgar score, the incidence of disseminated intravascular coagulation (DIC), hemorrhagic shock, postoperative infection and renal dysfunction were compared between the two groups. Result: Compared with the relative data in control group, the operation time and postoperative hospital stay of the observation group were significantly shorter, the intraoperative blood loss and blood transfusion were significantly lesser, and the hemoglobin difference before and after operation was significantly lesser. There was no significant difference in the incidence of DIC, hemorrhagic shock, postoperative infection and renal dysfunction between two groups; There was no significant difference in neonatal body mass, Apgar score at 1 min and 5 min. Conclusion: The internal iliac artery occlusion can effectively reduce the amount of bleeding in delivery, promote the recovery of negligence, and have no adverse effect on complications and neonatal outcome.

scholarly journals Intentional internal iliac artery occlusion to facilitate endovascular repair of aortoiliac aneurysms

2001 ◽  
Vol 34 (2) ◽  
pp. 204-211 ◽  
Author(s):  
Osvaldo J. Yano ◽  
Nicholas Morrissey ◽  
Leon Eisen ◽  
Peter L. Faries ◽  
Krish Soundararajan ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Endovascular Repair ◽  
Internal Iliac Artery ◽  
Artery Occlusion ◽  
Iliac Artery Occlusion ◽  
Internal Iliac

Comparison of temporary abdominal aortic occlusion with internal iliac artery occlusion for patients with placenta accreta – a non-randomised prospective study

VASA ◽  
2017 ◽  
Vol 46 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Yan-Li Wang ◽  
Xu-Hua Duan ◽  
Xin-Wei Han ◽  
Ling Wang ◽  
Xian-Lan Zhao ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Accreta ◽  
Artery Occlusion ◽  
Balloon Occlusion ◽  
Aortic Occlusion ◽  
Iliac Artery Occlusion ◽  
Abdominal Aortic ◽  
Internal Iliac

Abstract. Background: To compare the efficacy of temporary abdominal aortic occlusion with internal iliac artery occlusion for the management of placenta accreta. Patients and methods: 105 patients with placenta accreta were selected for treatment with temporary abdominal aortic occlusion (n = 57, group A) or bilateral iliac artery occlusion (n = 48, group B). Temporary abdominal aortic and internal iliac artery balloon occlusions were performed during caesarean sections. Data regarding the clinical success, blood loss, blood transfusion, balloon insertion time, fluoroscopy time, balloon occlusion time, foetal radiation dose, and complications were collected. Results: Temporary abdominal aortic occlusion and bilateral internal iliac artery occlusion were technically successful in all patients. The amount of blood loss (P < 0.001), amount of blood transfusion (P < 0.001), balloon insertion time (P < 0.001), foetal radiation dose (P < 0.001) and fluoroscopy time (P < 0.01) in group A were significantly lower than those of patients in group B. No marked differences were found between these 2 groups with respect to age, mean postoperative hospital stay, balloon occlusion time, and Apgar score (p > 0.05). Conclusions: Temporary abdominal aortic balloon occlusion resulted in better clinical outcomes with less blood loss, blood transfusion, balloon insertion time, fluoroscopy time and foetal radiation dose than those in bilateral internal iliac balloon occlusion.


Radiologic Intervention of Internal Iliac Artery Occlusion During Cesarean Section for Dangerous Placenta Previa

2020 ◽  
Vol 10 (12) ◽  
pp. 2931-2934
Author(s):  
Qingzhen Zhao ◽  
Na Zhao ◽  
Dengdeng Luo ◽  
Sheng Yue
Keyword(s):  
Cesarean Section ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Previa ◽  
Artery Occlusion ◽  
Control Group ◽  
Observation Group ◽  
Iliac Artery Occlusion ◽  
Significant Difference ◽  
Internal Iliac

Objective: The cesarean section of dangerous placenta previa always faces the problem of massive hemorrhage. The aim of this study was to analyze the clinical effect of internal iliac artery occlusion combined with obstetric autotransfusion in cesarean section of dangerous placenta previa. Method: From November 2017 to November 2019, 20 patients with placenta previa undergoing cesarean section in our hospital were selected. According to the preoperative MRI and ultrasound diagnosis, the amount of bleeding was evaluated and divided into observation group (n = 6) and control group (n = 14). All patients underwent routine cesarean section and prepared the obstetric autotransfusion device. In the observation group, the internal iliac artery balloon was placed under DSA before operation. After the fetus was taken out, the internal iliac artery was blocked. The internal iliac artery occlusion was not needed in the control group. The total length of stay, Apgar score, the incidence of disseminated intravascular coagulation (DIC), hemorrhagic shock, postoperative infection and renal dysfunction were compared between the two groups. Result: Compared with the relative data in control group, the operation time and postoperative hospital stay of the observation group were significantly shorter, the intraoperative blood loss and blood transfusion were significantly lesser, and the hemoglobin difference before and after operation was significantly lesser. There was no significant difference in the incidence of DIC, hemorrhagic shock, postoperative infection and renal dysfunction between two groups; There was no significant difference in neonatal body mass, Apgar score at 1 min and 5 min. Conclusion: The internal iliac artery occlusion can effectively reduce the amount of bleeding in delivery, promote the recovery of negligence, and have no adverse effect on complications and neonatal outcome.

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