Technical Considerations for the Use of REBOA in the Management of Placenta Accreta Spectrum

Authors

  • Albaro José Nieto-Calvache Fundación Valle del Lili, Cali, Colombia
  • Fernando Rodríguez Departamento de Cirugía General, División de Trauma y Emergencias, Fundación Valle del Lili, Cali, Colombia.
  • Carlos A Ordoñez Departamento de Cirugía General, División de Trauma y Emergencias, Fundación Valle del Lili, Cali, Colombia.
  • Adriana Cardona Astaiza Departamento de Cirugía Vascular, Fundación Valle del Lili, Cali, Colombia
  • Juan Pablo Carbonell
  • Lina María Vergara-Galliadi Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
  • Stiven Ernesto Sinisterra-Díaz Centro de Investigaciones Clínicas, Fundación Valle del Lili, Cali, Colombia.
  • Adriana Messa Bryon Clínica de Espectro de Acretismo Placentario, Fundación Valle del Lili, Cali, Colombia

DOI:

https://doi.org/10.26676/jevtm.v6i2.236

Keywords:

Endovascular Procedures, Placenta Accreta, Uterine Hemorrhage, Postpartum Hemorrhage, Vascular Surgical Procedures

Abstract

Introduction: In recent years, the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) has become popular to prevent or treat massive bleeding due to placenta accreta spectrum (PAS).

Objective: There are multiple variations in REBOA use in this context and although the experience of vascular surgeons is extensive with aortic balloons, there are particularities in the management of these devices in the obstetric population that deserve to be discussed.

Methods: We discuss some technical considerations or “lessons learned” in our center that may be useful for other groups starting to use REBOA in PAS

Conclusion: Although REBOA is a useful strategy to prevent or treat massive bleeding due to PAS, its incorporation into management protocols must be carried out in a programmed and supervised manner.

Downloads

Additional Files

Published

2022-09-04

Issue

Section

Tips and Techniques