CLC number: R714.2
On-line Access: 2024-08-27
Received: 2023-10-17
Revision Accepted: 2024-05-08
Crosschecked: 2017-02-08
Cited: 0
Clicked: 4239
Ning Zhang, Wei-hua Lou, Xue-bin Zhang, Jia-ning Fu, Yun-yan Chen, Zhi-guo Zhuang, Jian-hua Lin. Vascular complications following prophylactic balloon occlusion of the internal iliac arteries resolved by successful interventional thrombolysis in a patient with morbidly adherent placenta[J]. Journal of Zhejiang University Science B, 2017, 18(3): 272-276.
@article{title="Vascular complications following prophylactic balloon occlusion of the internal iliac arteries resolved by successful interventional thrombolysis in a patient with morbidly adherent placenta",
author="Ning Zhang, Wei-hua Lou, Xue-bin Zhang, Jia-ning Fu, Yun-yan Chen, Zhi-guo Zhuang, Jian-hua Lin",
journal="Journal of Zhejiang University Science B",
volume="18",
number="3",
pages="272-276",
year="2017",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B1600315"
}
%0 Journal Article
%T Vascular complications following prophylactic balloon occlusion of the internal iliac arteries resolved by successful interventional thrombolysis in a patient with morbidly adherent placenta
%A Ning Zhang
%A Wei-hua Lou
%A Xue-bin Zhang
%A Jia-ning Fu
%A Yun-yan Chen
%A Zhi-guo Zhuang
%A Jian-hua Lin
%J Journal of Zhejiang University SCIENCE B
%V 18
%N 3
%P 272-276
%@ 1673-1581
%D 2017
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B1600315
TY - JOUR
T1 - Vascular complications following prophylactic balloon occlusion of the internal iliac arteries resolved by successful interventional thrombolysis in a patient with morbidly adherent placenta
A1 - Ning Zhang
A1 - Wei-hua Lou
A1 - Xue-bin Zhang
A1 - Jia-ning Fu
A1 - Yun-yan Chen
A1 - Zhi-guo Zhuang
A1 - Jian-hua Lin
J0 - Journal of Zhejiang University Science B
VL - 18
IS - 3
SP - 272
EP - 276
%@ 1673-1581
Y1 - 2017
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B1600315
Abstract: The increasing incidence of morbidly adherent placenta (MAP) is placing women at a higher risk of life-threatening massive hemorrhage. The involvement of interventional radiology to manage this complex condition by performing prophylactic iliac artery balloon occlusion has been reported recently. However, the effectiveness and safety of this technique have not been fully determined. Here we report the case of a 25-year-old woman with placenta increta with preemptive bilateral internal iliac artery balloons who had external iliac artery thrombosis detected by computed tomography angiography (CTA) 72 h post cesarean section. A digital subtraction angiogram (DSA) and intra-arterial thrombolysis were instantly performed followed by supplementary conservative treatments, leading to a desirable resolution of thrombus without sequela. This is the first report of vascular complications with successful interventional thrombolysis in this setting. Our experience suggests that prophylactic iliac artery balloon occlusion should be used cautiously in cases of MAP and consideration given to minimizing vascular complications given the hypercoagulable state of pregnancy.
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