naa a22 4500 510743463 CHVBK 20180411083036.0 cr unu---uuuuu 180411e20131201xx s 000 0 eng 10.1007/s12630-013-0038-0 doi (NATIONALLICENCE)springer-10.1007/s12630-013-0038-0 Iliac artery rupture related to balloon insertion for placenta accreta causing maternal hemorrhage and neonatal compromise [Elektronische Daten] [Jordan Gagnon, Louis Boucher, Ian Kaufman, Richard Brown, Albert Moore] Rupture de l'artère iliaque liée à l'insertion d'un ballonnet pour placenta accreta ayant provoqué une hémorragie maternelle et un risque néonatal 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 contraction-like 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. Canadian Anesthesiologists' Society, 2013 Gagnon Jordan Department of Anesthesia, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut Boucher Louis Department of Radiology, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut Kaufman Ian Department of Anesthesia, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut Brown Richard Department of Obstetrics and Gynecology, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut Moore Albert Department of Anesthesia, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/12(2013-12-01), 1212-1217 0832-610X 60:12<1212 2013 60 12630 https://doi.org/10.1007/s12630-013-0038-0 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12630-013-0038-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gagnon Jordan Department of Anesthesia, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Boucher Louis Department of Radiology, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Kaufman Ian Department of Anesthesia, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Brown Richard Department of Obstetrics and Gynecology, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 700 1- Moore Albert Department of Anesthesia, Royal Victoria Hospital, McGill University Health Centre, 687 Avenue des Pins Ouest, H3A 1A1, Montreal, QC, Canada aut NATIONALLICENCE 773 0- Canadian Journal of Anesthesia/Journal canadien d'anesthésie Springer US; http://www.springer-ny.com 60/12(2013-12-01), 1212-1217 0832-610X 60:12<1212 2013 60 12630 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer