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Puvinathan D
Department of Laboratory Medicine, School of Health and Biomedical Sciences, RMIT University, Victor, Australia
Publications
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Research Article
The Management of Placenta Accreta Spectrum with Internal Iliac Artery Balloon Occlusion: A Systematic Review and Meta-Analysis
Author(s): Puvinathan D and Denise E. Jackson*
Background: Placenta Accreta Spectrum (PAS) is characterised by the invasion of the chorionic villi into the myometrium. It arises most commonly from previous Caesarean Sections (CS) in patients, wherein lower segment scars interrupt the decidualisation of the placenta when preparing for a foetus. Internal iliac artery balloon occlusion provides a way to block the blood flow to the uterus and in turn improve clinical outcomes for patients with PAS disorders. This review aims to determine the effectiveness of the balloon occlusion technique in reducing blood loss in patients with PAS, the resulting neonatal outcomes and the proportion of previous CS in PAS patients. Methods: A systematic review was conducted by searching 4 databases for keywords. A meta-analysis was performed using OpenMeta-Analyst software using arscine transformed proportio.. View more»