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RESUMEN Presentamos el caso de una embarazada con placenta istmica, percreta, previa central, con extensas anastomosis vasculares y flujo de alta velocidad. En la resolucion mediante cesarea-histerectomia, para prevenir la hemorragia intraoperatoria, se utilizo una intervencion radiologica en secuencia de oclusion temporal de las iliacas internas, embolizacion de las arterias uterinas, reposicionamiento e insuflacion de balones en iliacas comunes. Se logro mantener estabilidad hemodinamica y el control del sangrado; estan-do ocluida la circulacion uterina hubo perdidas moderadas en la parte final de la operacion. Se discuten la caracteristica poco comun de la implantacion y percretismo istmico, y el beneficio del uso combinado de la oclusion vascular con la cirugia expedita para minimizar el riesgo materno.PALABRAS CLAVES: Placenta previa percreta, embolizacion arterias uterinas,hemorragia obstetrica, radiologia vascular intervencional SUMMARY We present a patient with placenta previa percreta and oclusive. It had extensive vascular anastomosis with high velocity flow, in which resolution by cesarean-hysterectomy was done for bleeding control and followed by temporal occlusion of iliac arteries, embolization of uterine arteries, reposition and insuflation of balloons in common iliac arteries. The patient was stable and moderated bleeding happened to the end of interven-tion when the uterine arterial circulation was occluded. We discuss the uncommon of isthmic implantation and percretism and the benefits of both vascular occlusion and expedite surgery for to minimize maternal compromise or damage.KEY WORDS:

Percretismo placentario: manejo con oclusión de arterias ilíacas internas, embolización de arterias uterinas y oclusión de arterias ilíacas comunes