Long-term follow-up of abdominal aortic balloon occlusion for the treatment of pernicious placenta previa with placenta accreta

Wang, Yanli; Jiang, Tian; Huang, Guo‐Hao; Han, Xinwei; Chen, Zhimin; Liu, Chuan; Wang, Xinyan; Zhao, Xin

doi:10.1016/j.jimed.2020.01.004

Cited by 4 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The most serious complication reported in the literature following PAABO use in PAS surgery is arterial thrombosis, with rates of 0.8−1%. [ 6 , 14 ] A meta-analysis comparing PAABO with more distal balloon occlusion demonstrated a higher rate of thrombosis with the latter, thought in part to be related to a higher degree of blood loss. [ 2 ] Studies on aortic clamping duration in abdominal aortic aneurysm or trauma surgeries have shown it to be safe for at least 50 min, and we never exceeded this in our patients.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided prophylactic abdominal aortic balloon occlusion for placenta accreta spectrum disorder: A case series

Grewal

Magro

Premnath

et al. 2023

JCIS

View full text Add to dashboard Cite

Placenta accreta spectrum (PAS) disorder is one of the most dangerous conditions that can affect pregnancy and its incidence is increasing secondary to rising cesarean section rates worldwide. The standard treatment is frequently elective hysterectomy at the time of cesarean delivery; however, uterine and fertility preserving surgery is becoming more common. In the pursuit of a reduction in blood loss and associated maternal morbidity, occlusive vascular balloons are increasingly used at the time of surgery, usually placed with fluoroscopic guidance. Occlusive balloons placed in the infrarenal aorta have been shown in the literature to be superior in terms of blood loss and hysterectomy rates than those placed more distally, such as within iliac or uterine arteries. We present the first five cases performed in Europe of ultrasound-guided infrarenal aortic balloon placement before cesarean for PAS disorder, and describe the technique we used, which provided reduced blood loss, a clearer operating field and avoided fetal and maternal exposure to radiation and intravenous contrast.

show abstract

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided prophylactic abdominal aortic balloon occlusion for placenta accreta spectrum disorder: A case series

Grewal

Magro

Premnath

et al. 2023

JCIS

View full text Add to dashboard Cite

show abstract

“…Pregnancy combined with PPP is likely to lead to premature delivery, DIC, hemorrhagic shock, placental abruption. [ 5 ] One of the most common consequences of PPP is massive hemorrhage during or after labor, with a incidence rate of about 53.9%, of which about 50% of patients have their uterus removed due to intractable massive hemorrhage, and about 7% of patients have died. [ 6 ] How to screen high-risk patients, effectively control bleeding, what kind of the most beneficial intervention measures to choose for patients with PPP are the most urgent questions to answer and solve at present.…”

Section: Introductionmentioning

confidence: 99%

Expression of ADAM17 and its clinical value for patients with pernicious placenta previa: A retrospective study of 148 PPP patients underwent cesarean section

Huang,

Wang,

Xiao

et al. 2024

Medicine

View full text Add to dashboard Cite

To explore the expression and the diagnostic value of ADAM17 in pernicious placenta previa (PPP) combined placental accreta. A total of 148 PPP patients were enrolled and divided into 2 groups: 62 patients with placenta accrete (PPP with PA group) and 86 patients without placenta accrete (PPP without PA group). In the same period, 74 pregnant women without PPP who had undergone cesarean section were selected as controls. The levels of ADAM17 were detected by qt-PCR. Diagnostic efficiency of ADAM17 were evaluated by receiver operating characteristics curve. ADAM17 was higher expression in PPP patients. Multivariate analysis showed that ADAM17 was related to gravida times (HR = 2.43 95% CI, 1.25–3.31), history of cesarean delivery (HR = 3.44, 95% CI = 2.24–4.28), history of abortions (HR = 2.22, 95% CI = 1.57–3.06) for PPP with PA patients and gravida times (HR = 2.01, 95% CI = 1.45–2.86), history of cesarean delivery (HR = 1.89, 95% CI = 1.33–2.48) for PPP patients without PA. Diagnostic efficiency of ADAM17 indicated that the sensitivity and specificity of ADAM17 detection for PPP with PA were 74.41% and 67.21% and for PPP without PA were 89.29% and 85.52%. Area under curve were 0.7876 (0.7090–0.8661) for PPP with PA and 0.9443 (0.9136–0.9750) for PPP without PA. Insummary, ADAM17 was higher expression in patients with PPP. ADAM17 was associated with gravida times, history of cesarean delivery, history of abortions. It also indicated a better diagnostic efficiency for patients with PPP. Further larger sample, multicenter studies should be conducted to confirm the conclusion from our study.

show abstract

“…Placenta accreta spectrum (PAS) is a condition of abnormal placental invasion encompassing the placenta accreta, increta, and percreta, which is a major cause of severe maternal morbidity and mortality (1). PAS has become more common with the increasing rate of cesarean sections (2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

Risk factors of emergency cesarean section in pregnant women with severe placenta accreta spectrum: a retrospective cohort study

Zhao

Yang

et al. 2023

Front. Med.

View full text Add to dashboard Cite

IntroductionPlacenta accreta spectrum (PAS) may cause enormous and potentially life-threatening hemorrhage in the intrapartum and postpartum periods in emergency cesarean section. How to reduce the occurrence of emergency cesarean section in patients with severe PAS is the key to reducing the adverse outcomes of them. This study aimed to investigate the impact of emergency cesarean section on the perioperative outcomes of pregnant women with PAS and neonates, and also aimed to explore the risk factors of emergency cesarean section in pregnant women with PAS.Materials and methodsA retrospective investigation was conducted among 163 pregnant women with severe PAS. Of these, 72 were subjected to emergency cesarean sections. Data on the perioperative characteristics of the mothers and neonates were collected. Multivariable linear regression analysis was used to detect associations between maternal and perioperative characteristics and volume of intraoperative bleeding. Binary logical regression was used to analyze the association between maternal preoperative characteristics and emergency cesarean section. Linear regression analysis is used to analyze the relationship between gestational age and emergency cesarean section.ResultsThe risks of emergency cesarean section increase 98, 112, 124, and 62% when the pregnant women with PAS accompanied by GHD, ICP, more prior cesarean deliveries and more severe PAS type, respectively. Noteworthy, the risk of emergency cesarean section decreases 5% when pre-pregnancy BMI increases 1 kg/m2 (OR: 0.95; CI: 0.82, 0.98; p = 0.038). Moreover, there is no significant linear correlation between emergency cesarean section and gestational age.ConclusionGHD, ICP, multiple prior cesarean deliveries and severe PAS type may all increase the risk of emergency cesarean section for pregnant women with PAS, while high pre-pregnancy BMI may be a protective factor due to less activity level. For pregnant women with severe PAS accompanied by these high risk factors, more adequate maternal and fetal monitoring should be carried out in the third trimester to reduce the risk of emergency cesarean section.

show abstract

Long-term follow-up of abdominal aortic balloon occlusion for the treatment of pernicious placenta previa with placenta accreta

Cited by 4 publications

References 12 publications

Ultrasound-guided prophylactic abdominal aortic balloon occlusion for placenta accreta spectrum disorder: A case series

Ultrasound-guided prophylactic abdominal aortic balloon occlusion for placenta accreta spectrum disorder: A case series

Expression of ADAM17 and its clinical value for patients with pernicious placenta previa: A retrospective study of 148 PPP patients underwent cesarean section

Risk factors of emergency cesarean section in pregnant women with severe placenta accreta spectrum: a retrospective cohort study

Contact Info

Product

Resources

About