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Placenta percreta

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https://www.readbyqxmd.com/read/28065219/uterine-artery-embolization-for-management-of-primary-postpartum-hemorrhage-associated-with-placenta-accreta
#1
Wang Zhi-Wei, Li Xiao-Guang, Pan Jie, Zhang Xiao-Bo, Shi Hai-Feng, Yang Ning, Jin Zheng-Yu
Objective To evaluate the efficacy and safety of uterine artery embolization (UAE) in the management of primary postpartum hemorrhage associated with placenta accreta. Methods We retrospectively reviewed the medical records of patients with placenta accreta between January 2010 and August 2014. Totally 18 women (mean age 30.8±4.2 years) of primary massive postpartum hemorrhage with diagnosis of placenta accrete received treatment of UAE after delivery. Images of DSA and medical records were reviewed. Technical success was defined as control of bleeding after embolization...
November 20, 2016: Chinese Medical Sciences Journal, Chung-kuo i Hsüeh K'o Hsüeh Tsa Chih
https://www.readbyqxmd.com/read/28050333/placenta-percreta-and-incomplete-uterine-rupture-after-endometrial-ablation-and-tubal-occlusion
#2
Jaden R Kohn, Edwina Popek, Concepcion R Diaz-Arrastia, Xiaoming Guan, Alireza A Shamshirsaz, Michael A Belfort, Karin A Fox
Endometrial ablation offers symptomatic relief for menorrhagia. Pregnancy after ablation is rare but is often complicated due to pregnancy loss, growth restriction, preterm premature rupture of membranes, preterm delivery, and morbidly adherent placentation, a dangerous complication that can result in hemorrhage, intensive care unit admission, and cesarean hysterectomy. We report a case of pregnancy conceived contemporaneously with endometrial ablation and tubal occlusion. Diagnosis of pregnancy was delayed due to low suspicion...
October 2016: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/27984036/minimizing-blood-loss-at-cesarean-hysterectomy-for-placenta-previa-percreta
#3
Michael A Belfort, Alireza A Shamshiraz, Karin Fox
Preventing blood loss at the time of a cesarean delivery during a scheduled, nonemergent cesarean hysterectomy for placenta percreta may reduce the need for crystalloid and blood product transfusion. Commonly a classical hysterotomy is created and this can result in as much as a 500-800 mL blood loss before the hysterotomy is closed. Our technique involves placement of 4 full-thickness interrupted sutures in a box pattern to create an unperfused area of upper uterine segment. Diathermy is used to open the uterus to the membranes in the center of the "box" without blood loss...
January 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27977409/ykl-40-expression-in-abnormal-invasive-placenta-cases
#4
İlay Gözükara, Tümay Özgür, Kenan Dolapçıoğlu, Arif Güngören, Oya Soylu Karapınar
OBJECTIVE: YKL-40 is a secreted glycoprotein and has been implicated in the proliferation and differentiation of malignant cells, extracellular tissue remodelling, neovascularisation, inhibition of cancer cell apoptosis and stimulation of tumour-associated fibroblasts. The purpose of this study was to evaluate YKL-40 tissue expression in extravillous trophoblast invasion and its possible implication in placenta creta. METHODS: A total of 35 placenta creta cases and six control cases were included in the study, of which eight cases were placenta accreta, 12 were increta and 15 were percreta...
December 15, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/27969555/internal-iliac-artery-rupture-caused-by-endovascular-balloons-in-a-woman-with-placenta-percreta
#5
Jessica Papillon-Smith, Sukhbir Sony Singh, Cleve Ziegler
BACKGROUND: Prior to Caesarean section (CS) for morbidly adherent placenta (MAP), endovascular balloons are often placed prophylactically to minimize hemorrhage. However, there have been few reports describing complications of this intervention. CASE: A 41-year-old woman with a diagnosis of placenta percreta had endovascular balloon catheters placed before CS. Intraoperatively the right internal iliac artery ruptured, requiring vascular repair, multiple transfusions of blood and plasma, and admission to the intensive care unit...
November 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27907939/intraoperative-intermittent-blocking-of-the-common-iliac-arteries-in-cases-of-placenta-percreta-without-the-use-of-fluoroscopy
#6
S Heinze, B Filsinger, G Kastenholz, R J Schröder
Background: The number of patients with placenta accreta, percreta and increta is increasing. The morbidity and mortality are higher mostly due to hemorrhage. Therefore, new methods to reduce the risk of severe bleeding are necessary. Methods: Three patients were treated in collaboration by obstetricians, urologists, anesthesiologists, and radiologists. An MRI of the pelvis was performed and the diameters and lengths of the iliac arteries were measured to avoid fluoroscopy during the preoperative placement of catheter balloons into the iliac arteries...
December 2016: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/27806657/another-look-at-ultrasound-and-magnetic-resonance-imaging-for-diagnosis-of-placenta-accreta
#7
Nancy E Budorick, Reinaldo Figueroa, Michael Vizcarra, James Shin
OBJECTIVE: To compare the ability of magnetic resonance imaging (MRI) and ultrasound (US) in the diagnosis of placenta accreta, to examine the success of various sonographic and MRI features to correctly predict invasive placenta, and to define a specific role for MRI in placenta accreta. METHODS: After Institutional Review Board approval, a blinded retrospective review was undertaken of US and MRI findings from 45 patients who had an obstetrical US and placental MRI between August 2006 and January 2012...
November 2, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27803553/spontaneous-rupture-of-uterus-in-a-primigravida-at-26%C3%A2-weeks-of-gestation-with-placenta-previa-and-percreta
#8
Rakhee R Sahu, Vanita S Raut, Veena Sewlikar, Neha Jain
No abstract text is available yet for this article.
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27776031/morbidly-adherent-placenta-interprofessional-management-strategies-for-the-intrapartum-period
#9
Suzanne McMurtry Baird, Nan H Troiano, Margaret Betsy Babb Kennedy
"Morbidly adherent placenta" is a term that describes the continuum of placenta accreta, increta, and percreta. The incidence of this type of abnormal placentation has increased significantly over recent decades. The reason is probably multifactorial but, partly, because of factors such as the increasing number of cesarean births. Women at greatest risk are those who have myometrial damage caused by a previous cesarean birth, with either anterior or posterior placenta previa overlying the uterine scar. This condition poses significant risks of morbidity and/or mortality to the pregnant woman and her fetus...
October 2016: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/27762597/mri-of-placenta-accreta-placenta-increta-and-placenta-percreta-pearls-and-pitfalls
#10
Aoife Kilcoyne, Anuradha S Shenoy-Bhangle, Drucilla J Roberts, Rachel Clark Sisodia, Debra A Gervais, Susanna I Lee
OBJECTIVE: The purpose of this article is to provide a primer for radiologists performing MRI for suspected placenta accreta, illustrating normal and abnormal findings and diagnostic pitfalls. Appropriate examination indications and recommendations for optimizing image acquisition and interpretation are summarized. CONCLUSION: MRI increases the accuracy of the workup of high-risk patients and aids in multidisciplinary delivery planning to improve maternal outcome...
January 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/27743480/conservative-management-of-abnormally-invasive-placenta-an-untold-factor-to-consider
#11
LETTER
Shigeki Matsubara
No abstract text is available yet for this article.
October 14, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27741191/chylous-ascites-complicating-modified-radical-hysterectomy-for-placenta-percreta
#12
Heather Miller, Matthew L Anderson, Christopher P Smith, Alireza A Shamshirsaz, Karin A Fox
BACKGROUND: Chylous ascites is defined as the pathologic accumulation of lymphatic fluid within the peritoneal cavity and has been reported to complicate gynecologic surgeries, with an incidence of 0.17-2%. We report a case of chylous ascites after complex surgery for placenta percreta. CASE: A 26-year-old woman underwent cesarean delivery followed by bilateral uterine artery embolization and modified radical hysterectomy at 26 5/7 weeks of gestation for placenta percreta invading the urinary bladder...
October 6, 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27720098/contrast-enhanced-ultrasound-ceus-in-the-prenatal-evaluation-of-suspected-invasive-placenta-percreta
#13
Rory Windrim, John Kingdom, Hyun-Jung Jang, Peter N Burns
BACKGROUND: Morbidly adherent placentation now complicates approximately 1 in 500 pregnancies. Our group and others have demonstrated that antenatal diagnosis of invasive placentation and team-based delivery reduce severe morbidity. Ultrasound and magnetic resonance imaging (MRI) are both employed in the antenatal evaluation of pregnancies with suspected placenta increta/percreta. Accurate diagnosis in this context is essential to direct resources appropriately. Ultrasound methods, including colour and power Doppler, are the mainstays of screening at-risk women, whereas MRI is reserved for diagnostic purposes because of its cost and limited accessibility...
October 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27651577/unscarred-uterine-rupture-a-retrospective-analysis
#14
Manisha Vernekar, Roy Rajib
INTRODUCTION: Uterine rupture is a catastrophic obstetrical emergency associated with a significant feto-maternal morbidity and mortality. Many risk factors for uterine rupture, as well as a wide range of clinical presentations, have been identified. OBJECTIVES: To analyze the frequency, predisposing factors, and maternal and fetal outcomes of uterine rupture. METHODS: A retrospective analysis of cases of unscarred uterine rupture was conducted at the Department of Obstetrics and Gynecology, RIMS, Imphal from June 1, 2010 to June 30, 2012...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27651244/mri-of-placenta-percreta-differentiation-from-other-entities-of-placental-adhesive-disorder
#15
Shanigarn Thiravit, Sukanya Lapatikarn, Kobkun Muangsomboon, Voraparee Suvannarerg, Phakphoom Thiravit, Pornpim Korpraphong
OBJECTIVES: To retrospectively review the MRI findings of placenta percreta and identify those helpful for differentiation from non-placenta percreta. MATERIALS AND METHODS: The MRI images of 21 patients with a preliminary diagnosis of placental adhesive disorder scanned between 2005 and 2014 were evaluated. Radiologists blinded to the final diagnosis evaluated six previously described MRI findings of placenta adhesive disorder. The sensitivity, specificity, accuracy, negative predictive value (NPV), and positive predictive value (PPV) of MRI for the diagnosis of placenta percreta were also calculated...
January 2017: La Radiologia Medica
https://www.readbyqxmd.com/read/27592155/major-obstetric-hemorrhage
#16
A Le Gouez, F J Mercier
Major obstetric hemorrhage is a challenge for anesthesiologists because it remains responsible for over 10% of maternal deaths in high-income countries. A standardized multidisciplinary management, described in locally validated protocols and based on international guidelines is mandatory to prevent these deaths. The first difficulty relies on the systematic underestimation of the bleeding. Collection bags must be used to facilitate the diagnosis and therefore rapid management. The etiologies in antenatal or postpartum must be well-known in order to be treated adequately...
November 2016: Transfusion Clinique et Biologique: Journal de la Société Française de Transfusion Sanguine
https://www.readbyqxmd.com/read/27535339/review-of-peripartum-hysterectomy-rates-at-a-tertiary-australian-hospital
#17
Hon C Cheng, Anita Pelecanos, Renuka Sekar
BACKGROUND: Peripartum hysterectomy is commonly performed for catastrophic postpartum haemorrhage uncontrolled by conservative medical and surgical therapies. Currently, information about the incidence and indications for peripartum hysterectomy are not well defined in Australia. AIMS: Evaluate the incidence and indications of peripartum hysterectomy in the Royal Brisbane and Women's Hospital (RBWH) between 2000 and 2014. MATERIALS AND METHODS: A 15-year retrospective cohort study of peripartum hysterectomies at RBWH was conducted...
December 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27527121/successful-conservative-management-of-placenta-percreta-investigation-by-serial-magnetic-resonance-imaging-of-the-clinical-course-and-a-literature-review
#18
Masaaki Sawada, Shinya Matsuzaki, Kazuya Mimura, Keiichi Kumasawa, Masayuki Endo, Tadashi Kimura
Placenta percreta is a rare condition that presents a risk of massive intraoperative hemorrhage. To decrease maternal morbidity in such cases, conservative management was recently adopted as an option. Nevertheless, severe morbidity occurs in 42% of cases. In addition, the clinical course of conservative management remains unclear. We encountered a case of placenta percreta that was successfully treated by conservative management without complications or other clinical interventions. Serial magnetic resonance imaging (MRI) was performed to investigate the natural course of conservative management of placenta percreta...
December 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27488384/how-do-we-manage-blood-product-support-in-the-massively-hemorrhaging-obstetric-patient
#19
Kerry L O'Brien, Lynne Uhl
Obstetric hemorrhage remains a leading cause of maternal mortality with more than 140,000 deaths annually worldwide. Abnormal placentation has increased to become the most common diagnosis requiring massive blood transfusion in obstetrics, with uterine atony a close second. At our institution, as well as nationwide, there has been a steady increase in pregnancies complicated by abnormal placentation, including accreta, increta, and percreta. Providers at our facility created the New England Center for Placental Disorders in May 2015 to address these complex patients...
September 2016: Transfusion
https://www.readbyqxmd.com/read/27473003/accreta-placentation-a-systematic-review-of%C3%A2-prenatal-ultrasound-imaging-and-grading-of%C3%A2-villous-invasiveness
#20
REVIEW
Eric Jauniaux, Sally L Collins, Davor Jurkovic, Graham J Burton
BACKGROUND: Determining the depth of villous invasiveness before delivery is pivotal in planning individual management of placenta accreta. We have evaluated the value of various ultrasound signs proposed in the international literature for the prenatal diagnosis of accreta placentation and assessment of the depth of villous invasiveness. OBJECTIVE: We undertook a PubMed and MEDLINE search of the relevant studies published from the first prenatal ultrasound description of placenta accreta in 1982 through March 30, 2016, using key words "placenta accreta," "placenta increta," "placenta percreta," "abnormally invasive placenta," "morbidly adherent placenta," and "placenta adhesive disorder" as related to "sonography," "ultrasound diagnosis," "prenatal diagnosis," "gray-scale imaging," "3-dimensional ultrasound", and "color Doppler imaging...
December 2016: American Journal of Obstetrics and Gynecology
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