{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T07:42:01Z","timestamp":1780990921403,"version":"3.54.1"},"reference-count":15,"publisher":"Scientific Scholar","content-domain":{"domain":["clinicalimagingscience.org"],"crossmark-restriction":true},"short-container-title":["JCIS"],"abstract":"<jats:p>Placenta accreta spectrum (PAS) disorder is one of the most dangerous conditions that can affect pregnancy and its incidence is increasing secondary to rising cesarean section rates worldwide. The standard treatment is frequently elective hysterectomy at the time of cesarean delivery; however, uterine and fertility preserving surgery is becoming more common. In the pursuit of a reduction in blood loss and associated maternal morbidity, occlusive vascular balloons are increasingly used at the time of surgery, usually placed with fluoroscopic guidance. Occlusive balloons placed in the infrarenal aorta have been shown in the literature to be superior in terms of blood loss and hysterectomy rates than those placed more distally, such as within iliac or uterine arteries. We present the first five cases performed in Europe of ultrasound-guided infrarenal aortic balloon placement before cesarean for PAS disorder, and describe the technique we used, which provided reduced blood loss, a clearer operating field and avoided fetal and maternal exposure to radiation and intravenous contrast.<\/jats:p>","DOI":"10.25259\/jcis_141_2022","type":"journal-article","created":{"date-parts":[[2023,2,18]],"date-time":"2023-02-18T17:01:54Z","timestamp":1676739714000},"page":"9","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Ultrasound-guided prophylactic abdominal aortic balloon occlusion for placenta accreta spectrum disorder: A case series"],"prefix":"10.25259","volume":"13","author":[{"given":"Mandeep","family":"Grewal","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Queen\u2019s Hospital, Romford, England, United Kingdom,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Magro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Queen\u2019s Hospital, Romford, England, United Kingdom,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna Prasad Bellam","family":"Premnath","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Queen\u2019s Hospital, Romford, England, United Kingdom,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sorina","family":"Bologa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Queen\u2019s Hospital, Romford, England, United Kingdom,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chineze","family":"Otigbah","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Queen\u2019s Hospital, Romford, England, United 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Comparison of cases managed with and without pelvic artery balloon catheters","volume":"8","author":"Levine","year":"1999","journal-title":"J Matern Fetal Med"},{"key":"10.25259\/JCIS_141_2022\/ref-10","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1111\/j.1399-6576.2006.01021.x","article-title":"Muscle glutathione metabolism during ischemia and reperfusion in patients undergoing aorto-bifemoral bypass surgery","volume":"50","author":"Westman","year":"2006","journal-title":"Acta Anaesthesiol Scand"},{"key":"10.25259\/JCIS_141_2022\/ref-11","doi-asserted-by":"publisher","first-page":"1573","DOI":"10.1007\/s00270-016-1418-y","article-title":"Outcome of pregnancies after balloon occlusion of the infrarenal abdominal aorta during caesarean in 230 patients with placenta praevia accreta","volume":"39","author":"Wu","year":"2016","journal-title":"Cardiovasc Intervent 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