Common iliac artery dissection as a complication of common iliac artery balloon occlusion for placenta percreta: A case report

A 37‐year‐old pregnant woman who had undergone three previous cesarean sections was diagnosed as having placenta percreta. We decided to perform cesarean hysterectomy with bilateral common iliac artery balloon occlusion (CIABO). The duration of surgery was 2 h and 2 min and total estimated blood los...

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Published inThe journal of obstetrics and gynaecology research Vol. 47; no. 3; pp. 1172 - 1177
Main Authors Saito, Kimihito, Mariya, Tasuku, Fujibe, Yuya, Saito, Masato, Hirokawa, Naoki, Ishioka, Shinichi, Saito, Tsuyoshi
Format Journal Article
LanguageEnglish
Published Kyoto, Japan John Wiley & Sons Australia, Ltd 01.03.2021
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Abstract A 37‐year‐old pregnant woman who had undergone three previous cesarean sections was diagnosed as having placenta percreta. We decided to perform cesarean hysterectomy with bilateral common iliac artery balloon occlusion (CIABO). The duration of surgery was 2 h and 2 min and total estimated blood loss was 2600 mL. Surgery was completed without any surgical complications, but the pulse oximeter waveform of the left leg became undetectable during surgery. We immediately performed angiography after closure of laparotomy and found abnormal pooling of contrast media at the left common iliac artery in the region in which the balloon was positioned. We made a diagnosis of left common iliac artery dissection caused by CIABO. We performed emergent revascularization by intravascular stenting. We conclude that CIABO can cause common iliac artery dissection by mechanical stimulation of the inflated balloon. Careful intraoperative evaluation of limb ischemia and preparation of intravascular treatment is needed for a safe procedure.
AbstractList A 37‐year‐old pregnant woman who had undergone three previous cesarean sections was diagnosed as having placenta percreta. We decided to perform cesarean hysterectomy with bilateral common iliac artery balloon occlusion (CIABO). The duration of surgery was 2 h and 2 min and total estimated blood loss was 2600 mL. Surgery was completed without any surgical complications, but the pulse oximeter waveform of the left leg became undetectable during surgery. We immediately performed angiography after closure of laparotomy and found abnormal pooling of contrast media at the left common iliac artery in the region in which the balloon was positioned. We made a diagnosis of left common iliac artery dissection caused by CIABO. We performed emergent revascularization by intravascular stenting. We conclude that CIABO can cause common iliac artery dissection by mechanical stimulation of the inflated balloon. Careful intraoperative evaluation of limb ischemia and preparation of intravascular treatment is needed for a safe procedure.
Abstract A 37‐year‐old pregnant woman who had undergone three previous cesarean sections was diagnosed as having placenta percreta. We decided to perform cesarean hysterectomy with bilateral common iliac artery balloon occlusion (CIABO). The duration of surgery was 2 h and 2 min and total estimated blood loss was 2600 mL. Surgery was completed without any surgical complications, but the pulse oximeter waveform of the left leg became undetectable during surgery. We immediately performed angiography after closure of laparotomy and found abnormal pooling of contrast media at the left common iliac artery in the region in which the balloon was positioned. We made a diagnosis of left common iliac artery dissection caused by CIABO. We performed emergent revascularization by intravascular stenting. We conclude that CIABO can cause common iliac artery dissection by mechanical stimulation of the inflated balloon. Careful intraoperative evaluation of limb ischemia and preparation of intravascular treatment is needed for a safe procedure.
Author Saito, Tsuyoshi
Mariya, Tasuku
Fujibe, Yuya
Hirokawa, Naoki
Saito, Kimihito
Saito, Masato
Ishioka, Shinichi
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Keywords placenta percreta
bilateral common iliac artery balloon occlusion
common iliac artery dissection
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Snippet A 37‐year‐old pregnant woman who had undergone three previous cesarean sections was diagnosed as having placenta percreta. We decided to perform cesarean...
A 37-year-old pregnant woman who had undergone three previous cesarean sections was diagnosed as having placenta percreta. We decided to perform cesarean...
Abstract A 37‐year‐old pregnant woman who had undergone three previous cesarean sections was diagnosed as having placenta percreta. We decided to perform...
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SubjectTerms Angiography
Balloon treatment
bilateral common iliac artery balloon occlusion
Case reports
common iliac artery dissection
Contrast media
Dissection
Hysterectomy
Ischemia
Mechanical stimuli
Occlusion
Placenta
placenta percreta
Surgery
Surgical outcomes
Veins & arteries
Title Common iliac artery dissection as a complication of common iliac artery balloon occlusion for placenta percreta: A case report
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