[Anesthetic management of caesarean section using common iliac artery balloon occlusion in patients with placenta previa]
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Updated: May 25, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Atsushi Sawada1, Ryo Miyashita, Mitsutaka Edanaga
1Department of Anesthesiology, Sapporo Medical University School ofMedicine, Sapporo 060-8543.
We report anesthetic management of caesarean section using common iliac artery balloon occlusion in 6 patients with placenta previa. Placenta previa might induce critical hemorrhage during caesarean section. We performed caesarean section safely, with preoperative placement of occlusive balloon catheters in the bilateral common iliac arteries. This technique provided satisfactory condition for control of bleeding during the operation. There was no perioperative complication in these patients. Common iliac artery balloon occlusion could reduce blood loss during caesarean section in patients with placenta previa.
We report anesthetic management of caesarean section using common iliac artery balloon occlusion in 6 patients with placenta previa. Placenta previa might induce critical hemorrhage during caesarean section. We performed caesarean section safely, with preoperative placement of occlusive balloon catheters in the bilateral common iliac arteries. This technique provided satisfactory condition for control of bleeding during the operation. There was no perioperative complication in these patients. Common iliac artery balloon occlusion could reduce blood loss during caesarean section in patients with placenta previa.
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