Arterial thrombosis after REBOA use in placenta accreta spectrum: a case series

Abstract

Background

The use of resuscitative endovascular balloon of the aorta (REBOA) is a useful strategy for bleeding control in placenta accreta spectrum (PAS) management. The incidence of complications associated with this procedure is variable. We report three cases of arterial thrombosis associated with REBOA, and we also analyze the factors that facilitated its occurrence.

Case report

Three women with PAS, presented common femoral and external iliac arterial thrombosis after REBOA use. Among the contributing factors probably associated with thrombosis, we identified the absence of ultrasound guidance for vascular access and the not using of heparin during aortic occlusion.

Conclusions

REBOA use is not exempt from complications and must be performed by experienced groups applying strategies to reduce the risks of complications.

Keywords:

• Placenta accreta
• thrombosis
• endovascular procedures

Disclosure statement

No potential conflict of interest was reported by the author(s).