Neus Rus Calafell, Presenter: Nothing to Disclose

Mercedes Perez-Lafuente, Abstract Co-Author: Nothing to Disclose

Carla Gonzalez Junyent MD, Abstract Co-Author: Nothing to Disclose

Maria Pardo-Antunez, Abstract Co-Author: Nothing to Disclose

Miguel Angel Macedo Pascual MD, Abstract Co-Author: Nothing to Disclose

Antoni Segarra Medrano, Abstract Co-Author: Nothing to Disclose

Arantxa Gelabert Barragan, Abstract Co-Author: Nothing to Disclose

- Imaging findings in the diagnosis of placenta accreta during the gestation using ultrasound and MRI. - The placement of angioplasty occlusive balloons can reduce the risk of bleeding in cases of placenta accrete

The main objective is describe our experience in placement of angioplasty occlusive balloons into the anterior trunk of hypogastric arteries in order to reduce the intraoperative bleeding in patients with placenta accreta. Thus, a descriptive analysis of the procedure will be shown. Firstly, angioplasty balloons are placed into the anterior division of hypogastric arteries through bilateral catheterization of common femoral artery. Secondly, the balloons are inflated in order to check the arteries are totally occluded and, subsequently, they are attached to the arterial sheaths and these arethen set to the patient’s skin. Patients undergo caesarean delivery and, if necessary, the balloons are inflated in order to get intraoperative proper hemostasy. Finally, the balloons are removed immediately after the caesarean procedure but arterial sheaths are removed 24h later depending on patient's evolution. The intraoperative blood loss can be reduced by using angioplasty balloons in patients suffering from placenta accreta. This may improve the prognosis of these patients.

http://abstract.rsna.org/uploads/2014/14015631/14015631_2y4b.pdf

Rus Calafell, N, Perez-Lafuente, M, Gonzalez Junyent, C, Pardo-Antunez, M, Macedo Pascual, M, Segarra Medrano, A, Gelabert Barragan, A, Introduction of Occlusion Balloons in Anterior Division of the Hipogastric Artery as a Prophylaxis Measure for Intraoperative Blood Loss in Cases of Placenta Accreta.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14015631.html