Ces radiol. 2016, 70(2):72-77 | DOI: 10.55095/CesRadiol2016/011

Prophylactic occlusion of internal iliac arteries in patients with abnormal inherent or inserted placentaOriginal article

Marie Černá1, Martin Köcher1, Karel Huml2, Vojtěch Prášil1, Martin Hazlinger1
1 Radiologická klinika LF UP a FN, Olomouc
2 Gynekologická klinika LF UP a FN, Olomouc

Aim: To describe the technique of prophylactic occlusion of internal iliac arteries in pregnant patients with pathologic placenta during Caesarean section and evaluate our first experience.

Method: From November 2015 to January 2016 we performed a prophylactic occlusion of the internal iliac arteries in 4 pregnant patients aged 29, 32, 37 and 41 years. The combined procedures were indicated in two patients with prenatally diagnosed placenta previa (placenta praevia centralis) and in two patients with placenta praevia and suspected placenta accreta (placenta praevia accreta centralis). Fogarty embolectomy catheters were used for occlusion of internal iliac arteries inserted by cross-over technique.

Results: The insertion of Fogarty catheters was technically successful in all patients. Fluoroscopy times required for the insertion of catheters were 2.01, 2.13, 2.28 and 2.40 minutes, the radiation doses were minimal. Hysterectomy was not performed in any patients. Complications related to the interventional radiology were not found in any patients.

Conclusions: A prophylactic occlusion of internal iliac arteries is a simple method with minimal risk of complications.

Keywords: placenta praevia, placenta accreta, obstetric hemorrhage, prophylactic occlusion of internal iliac artery, embolization

Accepted: April 15, 2016; Published: June 1, 2016  Show citation

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Černá M, Köcher M, Huml K, Prášil V, Hazlinger M. Prophylactic occlusion of internal iliac arteries in patients with abnormal inherent or inserted placenta. Ces radiol. 2016;70(2):72-77. doi: 10.55095/CesRadiol2016/011.
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