Abstract
INTRODUCTION: Few reports exist on the prophylactic use of a resuscitative endovascular balloon occlusion of the aorta (REBOA) catheter and its application for prolonged occlusion times exceeding 60 minutes during cesarean hysterectomy in placenta accreta spectrum disorders. CASE: In the case of suspected placenta percreta, the prophylactic placement of a REBOA catheter before cesarean hysterectomy provided prompt life-saving post-arrest resuscitation and 166 minutes of occlusion time without any REBOA-related complications. CONCLUSION: Prophylactic REBOA catheter placement is a groundbreaking approach with the potential to revolutionize the management of obstetric hemorrhage. This case underscores the efficacy of prolonged endovascular occlusion, using both partial and complete aortic occlusion techniques and core aortic blood pressure monitoring to assess hemodynamic status.