Pre‐cesarean prophylactic balloon placement in the internal iliac artery to prevent postpartum hemorrhage among women with pernicious placenta previa

Dai, Mengjun; Jin, Guangxin; Lin, Jianhua; Zhang, Yu; Chen, Yunyan; Zhang, Xuebin

doi:10.1002/ijgo.12559

Cited by 20 publications

(20 citation statements)

References 22 publications

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“…In the present study, prophylactic UAE during cesarean delivery was found to be associated with lower total blood loss, units of transfused red blood cells, transfusion of plasma, and incidence of DIC, with no major complications directly attributable to the endovascular procedure. The success rate was similar to that of a previous study of prophylactic balloon placement in the internal iliac artery before cesarean, but higher than that in a study where UAE was performed for emergent management of PPH . The reason for the higher success in the present study may be the preoperative placement of the vessel sheath, which reduces the time taken to achieve embolization.…”

Section: Discussionsupporting

confidence: 81%

Prophylactic uterine artery embolization during cesarean delivery for placenta previa complicated by placenta accreta

Yuan

Jin

Chen

et al. 2019

Intl J Gynecology & Obste

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Objective To evaluate the efficacy and safety of prophylactic uterine artery embolization (UAE) during cesarean delivery for women with placenta previa complicated by placenta accreta. Methods A retrospective analysis of women with placenta previa admitted to The Second Affiliated Hospital of Soochow University, Suzhou, China, for elective cesarean between February 2003 and July 2016. Postpartum estimated blood loss, blood transfusion, hysterectomy, disseminated intravascular coagulation (DIC) incidence, intensive care unit (ICU) duration, and postoperative stay were compared between control women who underwent cesarean delivery only and women who underwent prophylactic intraoperative UAE during cesarean. Results There were 28 and 26 women in the UAE and control group, respectively. There were no differences in hysterectomy incidence (P=0.291), or duration of ICU stay (P=0.085), or postoperative hospitalization (P=0.668) between the groups; however, the incidence of DIC was lower in the UAE group (P=0.035). Mean estimated blood loss (P=0.018) and blood transfusion (P=0.011) were also lower in the UAE group. No serious complications were associated with the endovascular procedures. Conclusion Prophylactic intraoperative UAE seemed to effectively reduce blood loss, need for blood transfusion, and incidence of DIC among women with placenta previa complicated by placenta accreta.

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Section: Discussionsupporting

confidence: 81%

Prophylactic uterine artery embolization during cesarean delivery for placenta previa complicated by placenta accreta

Yuan

Jin

Chen

et al. 2019

Intl J Gynecology & Obste

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“…Jun et al Stated that pre-cesarean prophylactic balloon placement (PBP) in the internal iliac artery was a safe and effective method that could diminish the frequency of both postpartum haemorrhage and hysterectomy among women with PPP [14]. Hysterectomy rate was 5% in his study which is higher in comparison to our study.…”

Section: Discussioncontrasting

confidence: 55%

“…Hysterectomy rate was 5% in his study which is higher in comparison to our study. Most of the authors mentioned the use of infrarenal abdominal artery balloon occlusion, PBP placement in the internal iliac artery, embolization of the internal iliac or uterine arteries [14] [15] [16]. However, all of these methods have their own drawbacks including sophisticated skilled manpower and advanced setup whereas the conservative suture methods are simple, less time consuming, feasible, can be performed with less skilled manpower and is cost effective [17].…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis on the Effectiveness of Conservative Compression Suture Technique to Conserve Fertility on Pernicious Placenta Previa

Duguju¹,

He²,

Li³

et al. 2019

OJOG

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Objective: To evaluate the effectiveness of conservative compression surgical suture techniques used for the management of pernicious placenta previa to conserve fertility in the subsequent pregnancies. Study Design: This was a non-comparative retrospective study of 188 patients diagnosed with pernicious placenta previa who underwent cesarean section in The First Hospital of Jilin University, China, from 1 January 2013 to 1 January 2018. Successful group was defined as those in which the intraoperative bleeding was managed by either modified CHO or by B-lynch suture technique and those who had further intervention including hysterectomy were designated as failure group. Results: Out of 217 patients, 188 met inclusion criteria and 29 patients were excluded. In 188 cases, 183 (97.34%) cases successes and 5 (2.65%) cases had hysterectomy. Among included group, 118 patients (62.76%) had undergone emergency cesarean section and 70 patients (37.23%) underwent elective cesarean section. The emergency group had significantly lesser gestation period of gestation at the time of cesarean section (P = 0.021) and lower neonatal weight (P = 0.001) than that of elective group. The estimated blood loss during surgery was 500 -3200 ml (mean: 925 ml). Additionally, the amount of bleeding was found to be significantly more in patient with intraoperative complication (P = 0.007) and in patient with implanted placenta (P < 0.001). Conclusion: The conservative compression suture technique including modified CHO and B-lynch suture technique during the cesarean delivery is a feasible, safe and effective alternative conservative surgical technique for the management of bleeding in case of pernicious placenta previa. Besides good *These authors contribute equally to this work.

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“…A recent popular label used by clinicians reporting on the prenatal diagnosis of PAS has been “morbidly adherent placenta”, which was used in the 19th century to describe placental retention . It has been recently used in WHO's 10th revision of the International Statistical Classification of Diseases (ICD‐10) (http://www.who.int/classifications/icd) and has led to some exotic translation such as “the pernicious placenta” recently used by Chinese authors in both local and international journals . This point also highlights the limited impact of accreta placentation research on the general scientific literature, as leading medical journals are unlikely to publish articles on diseases that do not have universally accepted diagnostic criteria and unequivocal terminology.…”

Section: Diagnosis Of Pasmentioning

confidence: 99%

“…15 It has been recently used in WHO's 10th revision of the International Statistical Classification of Diseases (ICD-10) (www.who.int/classifications/icd) and has led to some exotic translation such as "the pernicious placenta" recently used by Chinese authors in both local and international journals. 16,17 This point also highlights the limited impact of accreta placentation research on the general scientific literature, as leading medical journals are unlikely to publish articles on diseases that do not have universally accepted diagnostic criteria and unequivocal terminology. Each of the other terminologies used so far are suboptimal and exclusive as they do not describe the different grades of PAS-i.e., "adherent", which does not include the invasive grades increta and percreta, and "invasive", which can be confused with gestational trophoblastic disease and, in particular, invasive intrauterine choriocarcinoma.…”

Section: Diagnosis Of Pasmentioning

confidence: 99%

FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders,

Jauniaux

Ayres‐de‐Campos

Langhoff‐Roos

et al. 2019

Intl J Gynecology & Obste

423

363

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Placenta accreta spectrum is impacting maternal health outcomes globally and its prevalence is likely to increase. Maternal outcomes depend on identification of the condition before or during delivery and, in particular, on the differential diagnosis between its adherent and invasive forms. However, accurate estimation of its prevalence and outcome is currently problematic because of the varying use of clinical criteria to define it at birth and the lack of detailed pathologic examination in most series. Adherence to this new International Federation of Gynecology and Obstetrics (FIGO) classification should improve future systematic reviews and meta‐analyses and provide more accurate epidemiologic data which are essential to develop new management strategies.

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Pre‐cesarean prophylactic balloon placement in the internal iliac artery to prevent postpartum hemorrhage among women with pernicious placenta previa

Abstract: Pre-cesarean PBP in the internal iliac artery was a safe and effective treatment that could reduce the incidence of both postpartum hemorrhage and hysterectomy among women with pernicious placenta previa.

Cited by 20 publications

References 22 publications

Prophylactic uterine artery embolization during cesarean delivery for placenta previa complicated by placenta accreta

Prophylactic uterine artery embolization during cesarean delivery for placenta previa complicated by placenta accreta

Clinical Analysis on the Effectiveness of Conservative Compression Suture Technique to Conserve Fertility on Pernicious Placenta Previa

FIGO classification for the clinical diagnosis of placenta accreta spectrum disorders,

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