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- W2948011657 abstract "Purpose The use of internal iliac artery balloons for prevention of hemorrhage in cases of placenta accreta is increasing. Most described complications of this technique are maternal and thromboembolic in nature. Complications related to vascular rupture are rare, their presentation is not well described, and the resultant neonatal consequences are infrequently reported. Clinical features A 35-yr-old term parturient with suspected placenta accreta underwent prophylactic endovascular placement of iliac balloons prior to Cesarean delivery. The patient complained of contractionlike pain during balloon placement, and an arterial wall tear was discovered after abdominal incision. This produced significant maternal bleeding and the birth of a neonate with an umbilical venous pH of 6.95 and Apgar scores of 3 and 7. Conclusion In addition to the known maternal risks, fetal risks must be considered when planning the placement of endovascular iliac balloons during pregnancy. We recommend continuous monitoring of maternal and fetal status when performing the procedure. Contraction-like pain during placement should raise the suspicion of arterial disruption." @default.
- W2948011657 created "2019-06-07" @default.
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- W2948011657 date "2013-01-01" @default.
- W2948011657 modified "2023-09-24" @default.
- W2948011657 title "Iliac artery rupture related to balloon insertion for placenta accreta causing maternal hemorrhage and neonatal compromise Rupture de l'artere iliaque lieeal'insertion d'un ballonnet pour placenta accreta ayant provoqueune hemorragie maternelle et un risque neonatal" @default.
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