title: [Iliac artery occlusion balloons for suspected placenta accreta during cesarean section].
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.
authors.affiliation: Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario La Paz, Madrid, España. Electronic address: nataliaburgosfrias@gmail.com.
authors.forename: N
authors.initials: N
authors.lastname: Burgos Frías
authors.affiliation: Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario La Paz, Madrid, España.
authors.forename: E
authors.initials: E
authors.lastname: Gredilla
authors.affiliation: Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario La Paz, Madrid, España.
authors.forename: E
authors.initials: E
authors.lastname: Guasch
authors.affiliation: Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario La Paz, Madrid, España.
authors.forename: F
authors.initials: F
authors.lastname: Gilsanz
mesh_terms: D000328:Adult; D000672:Amputation Stumps / Q000098:blood supply; D021721:Balloon Occlusion / Q000379:methods*; D016913:Blood Component Transfusion; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002584:Cervix Uteri / Q000098:blood supply; D017604:Cesarean Section, Repeat; D003131:Combined Modality Therapy; D005260:Female; D006489:Hemostatic Techniques; D006801:Humans; D007044:Hysterectomy; D007083:Iliac Artery; D010052:Ovariectomy; D010921:Placenta Accreta / Q000628:therapy*; D010923:Placenta Previa / Q000000981:diagnostic imaging; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000517:prevention & control / Q000601:surgery; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology; D011300:Preoperative Care / Q000379:methods*; D013916:Thrombelastography; D014463:Ultrasonography; D001743:Urinary Bladder / Q000098:blood supply; D014592:Uterine Hemorrhage / Q000209:etiology / Q000517:prevention & control / Q000601:surgery / Q000628:therapy
keywords: Acretismo placentario; Hemorragia masiva obstétrica; Massive obstetric hemorrhage; Placenta accrete; Profilaxis; Prophylaxis; Tratamiento; Treatment