Optimal Management Strategies for Placenta Accreta

Eller, A.G.; Porter, T. Flint; Soisson, Patrick; Silver, Robert M.

doi:10.1097/01.aoa.0000370525.13554.fd

Cited by 60 publications

(97 citation statements)

References 0 publications

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“…107 Perioperative ureteric stent placement can facilitate palpation of ureters intraoperatively, although ureteric trauma has not been significantly reduced with this approach in retrospective series. 125 However, Ng et al 118 reported a lower incidence of urologic complications after preoperative urologic assessment with placement of temporary ureteral catheters in a small series. Prophylactic antibiotics should be administered 1 hour before surgery and repeated if the surgery is prolonged or if heavy bleeding occurs.…”

Section: Delivery Considerationsmentioning

confidence: 97%

“…125,127,128 However, Tan et al 129 and Carnevale et al 130 reported their experiences with prophylactic balloon occlusion of the internal iliac artery after fetal delivery and before performance of hysterectomy for placenta accreta and demonstrated a reduction in blood loss and transfusion requirements. Prophylactic pelvic artery catheterization and embolization can decrease perioperative blood loss and allow for uterine preservation, although some investigators similarly report no evidence that these techniques reduce the need for cesarean hysterectomy or the amount of operative blood loss.…”

Section: Endovascular Interventionsmentioning

confidence: 99%

See 1 more Smart Citation

Abnormal Placentation

Rao¹,

Belogolovkin²,

Yankowitz³

et al. 2012

Obstetrical &Amp; Gynecological Survey

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Placenta previa, placenta accreta, and vasa previa cause significant maternal and perinatal morbidity and mortality. With the increasing incidence of both cesarean delivery and pregnancies using assisted reproductive technology, these 3 conditions are becoming more common. Advances in grayscale and Doppler ultrasound have facilitated prenatal diagnosis of abnormal placentation to allow the development of multidisciplinary management plans to achieve the best outcomes for mother and baby. We present a comprehensive review of the literature on abnormal placentation including an evidence-based approach to diagnosis and management.

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Section: Delivery Considerationsmentioning

confidence: 97%

Section: Endovascular Interventionsmentioning

confidence: 99%

Abnormal Placentation

Rao¹,

Belogolovkin²,

Yankowitz³

et al. 2012

Obstetrical &Amp; Gynecological Survey

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show abstract

“…Placenta increta is a variant form, defined as chorionic villi invading the myometrium, and percreta is the penetration of chorionic villi through the uterus. 37,38 One of the studies reported a scheduled delivery at 34 to 35 weeks with steroid administration to promote lung maturity. The accreta spectrum is more common with anterior or central previas; however, it can occur at any placental site, myomectomy sites, or other areas at risk for abnormal placentation, such as the uterine cornua or a rudimentary horn.…”

Section: Placenta Accretamentioning

confidence: 99%

ACR Appropriateness Criteria® Second and Third Trimester Bleeding

Podrasky

Javitt

Glanc

et al. 2013

Ultrasound Quarterly

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Vaginal bleeding occurring in the second or third trimesters of pregnancy can variably affect perinatal outcome, depending on whether it is minor (i.e. a single, mild episode) or major (heavy bleeding or multiple episodes.) Ultrasound is used to evaluate these patients. Sonographic findings may range from marginal subchorionic hematoma to placental abruption. Abnormal placentations such as placenta previa, placenta accreta and vasa previa require accurate diagnosis for clinical management. In cases of placenta accreta, magnetic resonance imaging is useful as an adjunct to ultrasound and is often appropriate for evaluation of the extent of placental invasiveness and potential involvement of adjacent structures. MRI is useful for preplanning for cases of complex delivery, which may necessitate a multi-disciplinary approach for optimal care.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every two years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

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“…Chengdu 610072, P. R. China. E-mail: meijie68@126.com massive haemorrhage and emergency hysterectomy (Eller et al 2009;Kayem et al 2004). Th erefore, this option should be abandoned when other options are available.…”

Section: Introductionmentioning

confidence: 99%

“…Th e approach most oft en recommended is a caesarean -hysterectomy, with no attempt to detach the placenta (Oyelese and Smulian 2006;Gynecologists 2002). However, hysterectomy makes future childbearing impossible and is associated with signifi cant morbidity in women with AIP (Eller et al 2009;Oyelese and Smulian 2006). Recent studies have demonstrated the interest in attempting to preserve the uterus and to avoid hysterectomy by leaving part or all of the adherent placenta in utero, thereby maintaining fertility and potentially minimising complications (Oyelese and Smulian 2006;Kayem et al 2004;Sentilhes et al 2010).…”

Section: Introductionmentioning

confidence: 99%

Systematic review of uterus-preserving treatment modalities for abnormally invasive placenta

Mei

Zou

et al. 2015

Journal of Obstetrics and Gynaecology

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This is a systematic review for evaluating failure rates (secondary hysterectomy or maternal mortality) and success rates (subsequent menstruation or pregnancy) following radiological or conservative surgical interventions for abnormally invasive placenta (AIP). Twelve cohort studies and 8 case series or case reports were included. The cumulative outcomes showed success rates of 159/177 (89.8) for arterial embolisation, a secondary hysterectomy in 20/177 (11.3%), a subsequent menstruation in 74/85 (87.1%) and a subsequent pregnancy in 3/10 (30%). Artery occlusion balloon presented a success rate of 33/42 (78.6%), and a secondary hysterectomy presented that of 8/42 (19%). Uterus-preserving surgery showed a success rate of 48/76 (63.2), a secondary hysterectomy in 23/76 (30%), maternal mortality in 2/54 (3.7%), a subsequent menstruation in 20/37 (81.1%) and a subsequent pregnancy in 21/27 (77.8%). This review indicates that different uterine-sparing radiological and surgical techniques may be effective in managing AIP in select patients.

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Optimal Management Strategies for Placenta Accreta

Cited by 60 publications

References 0 publications

Abnormal Placentation

Abnormal Placentation

ACR Appropriateness Criteria® Second and Third Trimester Bleeding

Systematic review of uterus-preserving treatment modalities for abnormally invasive placenta

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