Internal iliac artery balloon occlusion in the management of placenta accreta: A systematic review and meta-analysis

2021 ◽  
Vol 139 ◽  
pp. 109711
Author(s):  
Deku Liang ◽  
Hu Zhao ◽  
Dandan Liu ◽  
Yonghong Lin
Keyword(s):  
Systematic Review ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Accreta ◽  
Meta Analysis ◽  
Balloon Occlusion ◽  
Internal Iliac

scholarly journals The effect prophylactic internal iliac artery balloon occlusion in patients with placenta previa or placental accreta spectrum: a systematic review and meta‐analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Anisodowleh Nankali ◽  
Nader Salari ◽  
Mohsen Kazeminia ◽  
Masoud Mohammadi ◽  
Samira Rasoulinya ◽  
...  
Keyword(s):  
Systematic Review ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Previa ◽  
Meta Analysis ◽  
Balloon Occlusion ◽  
Control Group ◽  
Internal Iliac ◽  
Placenta Accreta Spectrum ◽  
The Mean

Abstract Background Placenta previa describes a placenta that extends partially or completely over the internal cervical oss. Placenta previa is one of the leading causes of widespread postpartum hemorrhage and maternal mortality worldwide. Another cause of bleeding in pregnant women is Placenta accreta spectrum. Therefore, the aim of the present systematic review and meta-analysis is to determine the effect of prophylactic balloon occlusion of the internal iliac arteries in patients with placenta previa or placental accreta spectrum (PAS). Methods In this systematic review and meta-analysis, to identify and select relevant studies, the SID, MagIran, ScienceDirect, Embase, Scopus, PubMed, Web of Science, and Google Scholar databases were searched, using the keywords of internal iliac artery balloon, placenta, previa, balloon, accreta, increta and percreta, without a lower time limit and until 2020. The heterogeneity of the studies was examined using the I2 index, and subsequently a random effects model was applied. Data analysis was performed within the Comprehensive Meta-Analysis software (version 2). Results In the review of 29 articles with a total sample size of 1140 in the control group, and 1225 in the balloon occlusion group, the mean difference between the two groups was calculated in terms of Intraoperative blood loss index (mL) and it was derived as 3.21 ± 0.38; moreover, in 15 studies with a sample size of 887 in the control group, and 760 in the balloon occlusion group, the mean difference between the two groups in terms of gestation index (weeks) was found as 2.84 ± 0.49; and also with regards to hysterectomy balloon occlusion after prophylactic closure of the iliac artery, hysterectomy (%) balloon occlusion was calculated as 8.9 %, and this, in the hysterectomy control group (%) was obtained as 31.2 %; these differences were statistically significant and showed a positive effect of the intervention (P < 0.05). Conclusion The results of this study show that the use of prophylactic internal iliac artery balloon occlusion in patients with placenta previa or Placenta accreta spectrum has benefits such as reduced intraoperative blood loss, reduced hysterectomy and increased gestation (weeks), which can be considered by midwives and obstetricians.

scholarly journals Systematic Review and Meta-analysis of the Effect of Internal Iliac Artery Exclusion for Patients Undergoing EVAR

2017 ◽  
Vol 53 (4) ◽  
pp. 534-548 ◽  
Author(s):  
D.C. Bosanquet ◽  
C. Wilcox ◽  
L. Whitehurst ◽  
A. Cox ◽  
I.M. Williams ◽  
...  
Keyword(s):  
Systematic Review ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Meta Analysis ◽  
Internal Iliac

Internal iliac artery balloon occlusion placement for management of placenta accreta: a retrospective study

2014 ◽  
Vol 25 (3) ◽  
pp. S69-S70
Author(s):  
A. Bessissow ◽  
P. Delli Fraine ◽  
R. Bera ◽  
K. Muchantef ◽  
T. Cabrera ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Accreta ◽  
Balloon Occlusion ◽  
Internal Iliac

The Clinical Evaluation of IIA Balloon Occlusion for Pernicious Placenta Previa Patients with Placenta Accreta: A Retrospective Study

2021 ◽  
Author(s):  
Ling Hong ◽  
Aner Chen ◽  
Jinliang Chen ◽  
Xiuxiu Li ◽  
Wenming Zhuang ◽  
...  
Keyword(s):  
Blood Loss ◽  
Iliac Artery ◽  
Caesarean Delivery ◽  
Internal Iliac Artery ◽  
Placenta Accreta ◽  
Placenta Previa ◽  
Balloon Occlusion ◽  
Control Group ◽  
Estimated Blood Loss ◽  
Internal Iliac

Abstract Objective: This study aimed to evaluate the clinical efficacy of internal iliac artery(IIA) balloon occlusion in patients with pernicious placenta previa coexisting with placenta accreta. Background: Pernicious placenta previa is frequently reported to be complicated with placenta accreta, which contributes to serious consequences such as severe obstetric postpartum hemorrhage or even maternal mortality. Methods: Fifty-eight pernicious placenta previa patients complicated with placenta accreta were retrospectively reviewed. The ballon group consisted of 23 patients, who underwent a caesarean delivery with internal iliac artery occlusion. 35 patients were in the control group, who had a standard caesarean delivery. The primary outcomes were estimated blood loss (EBL), cesarean hysterectomy, and blood transferring volume. The secondary outcomes were operating time, intraoperative hemostatic approaches, surgical complications, balloon catheter–related complications, length of maternal stay, cost of hospitalization, and neonatal outcomes.Results: No difference was observed in estimated blood loss (EBL), blood transferring percentages and volume, additional measures to secure hemostasis , surgical complications, hospital stay postoperatively and newborn outcomes. More than 40% of the balloon group underwent hysterectomy because of uncontrollable postpartum bleeding (10[43.48%] vs. 11[31.43%],P=0.350).Complications related to occlusion of IIA did not occur.The duration of the surgery of the balloon group was significantly longer than that of the control group(123.52 min±74.76 versus 89.17±48.68,P=0.038), and the total hospitalization cost was also significantly higher than that of the control group(45116.67±9358.67 yuan versus 30615.41±11587.44yuan,P=0.000).Conclusion: IIA balloon occlusion in patients with pernicious placenta previa coexisting with placenta accreta did not reduce the hysterectomy rate during cesarean section, nor did it reduce blood loss and blood transfusion, but it prolonged the duration of the surgery and increased the total cost.

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.


Perioperative Internal Iliac Artery Balloon Occlusion, In the Setting of Placenta Accreta and Its Variants: The Role of the Interventional Radiologist

2018 ◽  
Vol 47 (6) ◽  
pp. 445-451 ◽  
Author(s):  
David A. Petrov ◽  
Benjamin Karlberg ◽  
Kamalpreet Singh ◽  
Matthew Hartman ◽  
Pardeep K. Mittal
Keyword(s):  
Iliac Artery ◽  
Internal Iliac Artery ◽  
Placenta Accreta ◽  
Balloon Occlusion ◽  
Interventional Radiologist ◽  
Internal Iliac

Prophylactic internal iliac artery ligation versus balloon occlusion for placenta accreta spectrum disorders: A retrospective cohort study

2020 ◽  
Vol 151 (1) ◽  
pp. 91-96 ◽  
Author(s):  
Jessica Papillon‐Smith ◽  
Sebastian Hobson ◽  
Lisa Allen ◽  
John Kingdom ◽  
Rory Windrim ◽  
...  
Keyword(s):  
Cohort Study ◽  
Iliac Artery ◽  
Retrospective Cohort ◽  
Internal Iliac Artery ◽  
Placenta Accreta ◽  
Balloon Occlusion ◽  
Artery Ligation ◽  
Internal Iliac ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders
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