PLACENTA PERCRETA - BALLOON OCCLUSION AND EMBOLIZATION OF THE INTERNAL ILIAC ARTERIES TO REDUCE INTRAOPERATIVE BLOOD LOSSES

Obstetric hemorrhage is still a potential cause of maternal mortality and morbidity. Angiographic embolization techniques have been describe d in cases of postcesarean bleeding, vaginal wall hematomas, cervical ectopic pregnancies, and postpartum bleeding to control persistent ble eding from pelvic vessels. We describe two cases of pregnancy complica ted with placenta percreta. Balloon occlusion and embolization of the hypogastric arteries were performed during the cesarean section and hy sterectomy, resulting in a remarkable reduction in intraoperative bloo d loss. Balloon occlusion and embolization of the internal iliac arter ies significantly reduce intraoperative blood losses.