Evidence map›Paper›PMID 41545597›Full record

ArticleCVIR endovascular2026

Prophylactic bilateral internal iliac artery balloon occlusion with immediate sheath removal for placenta accreta spectrum.

Sooyeon Joy Kim, Natalie Layden, Scott Fleming, Hasan İlksen Hasan, Amin Bahabri, Sarah Louise Rylance, Gurjeet Singh Dulku

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PubMed Full text at PMC Publisher
In one paragraph

Article in CVIR endovascular, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sooyeon Joy KimMedical Imaging and Interventional Radiology Department, Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service, Murdoch, WA, 6150, Australia. joy.kim@health.wa.gov.au.
Natalie LaydenMedical Imaging and Interventional Radiology Department, Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service, Murdoch, WA, 6150, Australia.
Scott FlemingMedical Imaging and Interventional Radiology Department, Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service, Murdoch, WA, 6150, Australia.
Hasan İlksen HasanMedical Imaging and Interventional Radiology Department, Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service, Murdoch, WA, 6150, Australia.
Amin BahabriObstetrics and Gynaecology Department, Fiona Stanley Hospital, South Metropolitan Health Service, Murdoch, WA, 6150, Australia.
Sarah Louise RylanceObstetrics and Gynaecology Department, Fiona Stanley Hospital, South Metropolitan Health Service, Murdoch, WA, 6150, Australia.
Gurjeet Singh DulkuMedical Imaging and Interventional Radiology Department, Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service, Murdoch, WA, 6150, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConsistent with global trends, the incidence of placenta accreta spectrum (PAS) is increasing in Australia. Prophylactic internal iliac arterial balloon occlusion (PIIABO) is an endovascular intervention utilised to assist haemorrhage control during caesarean delivery in women with PAS, offering a potentially uterus-preserving alternative to hysterectomy. However, existing outcomes remain heterogeneous. This study aimed to evaluate the endovascular safety of PIIABO with immediate sheath removal in the management of PAS, with a secondary assessment of haemostatic and procedural outcomes. MATERIALS AND

methodsA 10-year retrospective, single-centre cohort study of all patients with suspected PAS who underwent PIIABO was conducted with data obtained from electronic medical records and Radiology Information System (RIS)/Picture Archiving and Communication System (PACS).

resultsFifteen patients underwent PIIABO. The mean maternal age was 34.1 years, with a mean gravidity of 4.2 and a parity of 2.3; all had prior caesarean delivery and 93% had concurrent major placenta praevia (n = 14). Mean gestational age at delivery was 34.9 weeks. Diagnosis was established by MRI (n = 11, 87.5% concordance) and ultrasound (n = 4, 50% concordance). Twelve patients underwent hysterectomy, confirming 1 accreta, 3 increta, and 8 percreta; 3 patients preserved uterus, with intraoperative evidence of percreta (n = 2) or normal placentation (n = 1). Mean estimated blood loss was 2273 mL, and 11 patients received blood transfusions, including four who required ≥ 4 units of packed red blood cells. Mean balloon inflation time was 129.9 min, sheath dwell time 265.5 min, and operating theatre time 265.7 min. Mean dose-area product was 55.03 Gy.cm

conclusionPIIABO with immediate sheath removal demonstrated favourable procedural outcomes and a low complication rate in patients with PAS, supporting its safe implementation within a multidisciplinary care pathway.

Indexed as

Interventional radiologyPlacenta accreta spectrumPostpartum haemorrhageProphylactic balloon occlusionUterine artery embolisation

Identifiers

PMID41545597
PMCPMC12811181

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.