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Information regarding surgical procedures, operative data, and outcomes during hospitalization were obtained from medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The procedure was successful in all 16 cases included. Mean operative time was 78 minutes (range 65\u201390) and mean estimated blood loss was 1550 mL (range 1000\u20132500). Complications such as fever, buttock pain, or acute limb ischemia were not observed. The procedure was performed after partial cystectomy for two patients with bladder invasion. Postoperative Doppler imaging indicated uterine recovery and normalized uterine blood flow in all patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Direct puncture embolization of the internal iliac artery during cesarean delivery was a safe, effective, simple, and rapid method to control hemorrhage among women with pernicious placenta previa and placenta accreta.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2016.05.018","type":"journal-article","created":{"date-parts":[[2016,8,24]],"date-time":"2016-08-24T00:14:55Z","timestamp":1471997695000},"page":"264-267","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Direct puncture embolization of the internal iliac artery during cesarean delivery for pernicious placenta previa coexisting with placenta accreta"],"prefix":"10.1002","volume":"135","author":[{"given":"Zhenyu","family":"Chen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ju","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaxi","family":"Jin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wan","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8,21]]},"reference":[{"issue":"7","key":"e_1_2_6_2_2","first-page":"494","article-title":"New understanding of the diagnosis and management of pernicious placenta previa [in Chinese]","volume":"18","author":"He Y.","year":"2015","journal-title":"Chin J Perinat Med"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2007.00619.x"},{"issue":"7","key":"e_1_2_6_4_2","first-page":"552","article-title":"Clinical analysis of bilateral internal iliac arteries balloon occlusion in controlling hemorrhage during caesarean section of patients with pernicious placenta previa","volume":"30","author":"Liu Y.","year":"2014","journal-title":"J Pract Obstet Gynecol"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1247599"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2006.01235.x"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9502300616"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.07.2417"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01451.x"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2009.08.037"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.074"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2004.00208.x"},{"key":"e_1_2_6_13_2","first-page":"94","article-title":"Ligation of the hypogastric (internal iliac) arteries in the control of hemorrhage from carcinoma of the cervix","volume":"117","author":"Lang W.R.","year":"1963","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0756.2010.01198.x"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000207559.15715.98"},{"issue":"1","key":"e_1_2_6_16_2","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0020-7292(02)80003-0","article-title":"ACOG committee opinion. 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