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https://read.qxmd.com/read/30755315/methotrexate-infusion-followed-by-uterine-artery-embolisation-for-the-management-of-placental-adhesive-disorders-a-case-series
#1
M R Babaei, M Oveysi Kian, Z Naderi, S Khodaverdi, Z Raoofi, F Javanmanesh, I Mohseni, S Nasiripour, M Farasatinasab
AIM: To evaluate the efficacy and safety of the uterine artery embolisation (UAE) in combination with methotrexate (MTX) for conservative management of placental adhesive disorders. MATERIAL AND METHODS: Patients with placental adhesive disorders (including accreta, increta, and percreta lesions) that were treated with UAE in combination with MTX were identified and were followed prospectively for outcomes including uterine preservation and complications. RESULTS: Twenty-six patients were identified who had the diagnosis of abnormal placenta implantation during this study...
February 9, 2019: Clinical Radiology
https://read.qxmd.com/read/30700221/systematic-review-on-near-miss-cases-of-placenta-accreta-spectrum-disorders-correlation-with-invasion-topography-prenatal-imaging-and-surgical-outcome
#2
Jose M Palacios-Jaraquemada, Francesco D'Antonio, Danilo Buca, Angel Fiorillo, Pilar Larraza
Purpose of the article: Placental accreta spectrum (PAS) is the most dangerous iatrogenic complication of cesarean potentially leading to massive intra-partum haemorrhage and death. Despite this, identification of near miss cases of PAS has not been consistently reported in the published literature. The aim of this systematic review was to explore prenatal and surgical characteristics of near miss cases of PAS disorders. MATERIALS AND METHODS: Medline, Embase, CINAHL, SciELO, and Cochrane databases were searched...
January 30, 2019: Journal of Maternal-fetal & Neonatal Medicine
https://read.qxmd.com/read/30695903/-risk-factors-and-sonographic-findings-associated-with-the-type-of-placenta-accreta-spectrum-disorders
#3
H J Zhang, R C Dou, L Lin, Q Y Wang, B E Huang, X L Zhao, D J Chen, Y L Ding, H J Ding, S H Cui, W S Zhang, H Xin, W R Gu, Y L Hu, G F Ding, H B Qi, L Fan, Y Y Ma, J L Lu, Y Yang, L Lin, X C Luo, X H Zhang, S R Fan, H X Yang
Objective: To evaluate the risk factors and sonographic findings of pregnancies complicated by placenta increta or placenta percreta. Methods: Totally, 2 219 cases were retrospectively analyzed from 20 tertiary hospitals in China from January 2011 to December 2015. The data were collected based on the original case records. All cases were divided into two groups, the placenta increta (PI) group (79.1%, 1 755/2 219) and the placenta percreta (PP) group (20.9%, 464/2 219) , according to the degree of placental implantation...
January 25, 2019: Zhonghua Fu Chan Ke za Zhi
https://read.qxmd.com/read/30665745/multidisciplinary-approach-to-placenta-percreta-an-observational-case-study
#4
Sabrina Valentine
Abnormal placental implantations can result in postpartum hemorrhage and poor outcomes. With proper diagnosis and preplanning, complications can be minimized and aligned with maternal wishes of abstaining from blood and blood product transfusions.
January 18, 2019: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
https://read.qxmd.com/read/30646863/clinical-evaluation-of-prophylactic-abdominal-aortic-balloon-occlusion-in-patients-with-placenta-accreta-a-systematic-review-and-meta-analysis
#5
Li Chen, Xiaodan Wang, Hengyu Wang, Qin Li, Nan Shan, Hongbo Qi
BACKGROUND: Severe obstetric hemorrhage caused by placenta accreta results in significant maternal morbidity and mortality. As a new technology, abdominal aortic balloon occlusion (AABO) is becoming an important treatment for patients with placenta accreta. To evaluate the safety and efficacy of AABO, we conducted a systematic review and meta-analysis of previous studies. METHODS: We used a three-check subset including placenta accreta (placenta previa, percreta, increta, etc...
January 15, 2019: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/30625467/comparison-of-efficacy-between-internal-iliac-artery-and-abdominal-aorta-balloon-occlusions-in-pernicious-placenta-previa-patients-with-placenta-accrete
#6
Yan Wei, Jianru Luo, Dan Luo
BACKGROUND: We aimed to compare the hemostatic effect and perioperative outcomes between internal iliac artery (IIA) and abdominal aorta (AA) balloon occlusions in pernicious placenta previa patients complicated with placenta accrete and underwent cesarean delivery. METHODS: One hundred and twenty-three pernicious placenta previa patients complicated with placenta accrete were retrospectively reviewed. Patients who received IIA or AA occlusions were subsequently divided into the IIA group (n = 71) and AA group (n = 52)...
January 9, 2019: Gynecologic and Obstetric Investigation
https://read.qxmd.com/read/30607590/modified-cesarean-hysterectomy-technique-for-management-of-cases-of-placenta-increta-and-percreta-at-a-tertiary-referral-hospital-in-egypt
#7
Ahmed M Hussein, Ahmed Kamel, Ayman Raslan, Dina M R Dakhly, Ali Abdelhafeez, Mohamed Nabil, Mohamed Momtaz
PURPOSE: To evaluate the effect of a modified type II radical hysterectomy on maternal morbidities and mortality in cases with abnormally invasive placenta (AIP). METHODS: 63 cases with AIP were managed at one of the largest referral centers in Egypt in a prospective study design. This technique entails devascularization of the uterus laterally on both sides and to clamp the uterus at the lowest possible point just below the level of the placenta while sparing the ureters...
January 4, 2019: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/30578147/abnormal-placentation
#8
REVIEW
Whitney Booker, Leslie Moroz
The term "morbidly adherent placenta" has recently been introduced to describe the spectrum of disorders including placenta accreta, increta and percreta. Due to excessive invasion of the placenta into the uterus there is associated significant maternal morbidity and mortality. Most significant risk factors for morbidly adherent placenta include history of prior cesarean delivery as well as placenta previa in the current pregnancy. Ultrasound remains the gold standard for antenatal diagnosis, however, in recent years MRI has assisted in identifying complex parametrial involvement...
November 15, 2018: Seminars in Perinatology
https://read.qxmd.com/read/30565213/the-multidisciplinary-management-of-placenta-accreta-spectrum-pas-within-a-single-tertiary-centre-a-ten-year-experience
#9
Nooraishah Yasin, Laura Slade, Elinor Atkinson, Sue Kennedy-Andrews, Steven Scroggs, Rosalie Grivell
INTRODUCTION: Placenta accreta spectrum (PAS) covers a spectrum of placental adherence abnormalities: placenta accreta, increta and percreta. PAS is associated with significant maternal morbidity and mortality. Studies have shown the importance of multidisciplinary teamwork in the management of PAS. AIM: This study was designed to describe the maternal and neonatal morbidity and mortality associated with PAS in our centre over a ten-year period. METHODS: A retrospective cohort study was conducted of pregnancies complicated by PAS between February 2006 and January 2016 at Flinders Medical Centre (FMC), South Australia...
December 18, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://read.qxmd.com/read/30544407/morphological-evaluation-of-cervix-using-mri-at-32-to-36-weeks-of-gestation-findings-for-predicting-invasive-placenta-previa
#10
Wen Liu, Xin Chen, Cong Sun, Xinhong Wei, Guangbin Wang, Ruiqin Shan
This study is to investigate the role of cervical morphology evaluated by magnetic resonance imaging (MRI) in predicting invasive placenta previa (IPP).Totally 105 cases of pregnant women underwent prenatal placental MRI at 32 to 36 weeks of gestation for suspected IPP were included in this study. Cervical morphology (cervical length and placental protrusion) was evaluated independently by 2 radiologists. The association between the cervical morphology and surgery findings was analyzed.Totally, 57 pregnant women were confirmed as IPP...
December 2018: Medicine (Baltimore)
https://read.qxmd.com/read/30500963/placenta-accreta-a-spectrum-of-predictable-risk-diagnosis-and-morbidity
#11
Christina M Duzyj, Anne Cooper, Mohak Mhatre, Christina S Han, Michael J Paidas, Jessica L Illuzzi, Anna K Sfakianaki
OBJECTIVE:  Placenta accreta is a feared pathology, in part, because prenatal diagnosis is imperfect. It is not known whether clinical risk factors or sonographic features equally predict the entire graded pathological spectrum of placental overinvasion disease nor whether clinical outcomes differ along the spectrum. STUDY DESIGN:  We conducted a mixed methods retrospective study of a cohort of women screened sonographically for placenta accreta, cross-referenced against cases identified by pathological diagnosis ( N  = 416)...
November 30, 2018: American Journal of Perinatology
https://read.qxmd.com/read/30496259/ovarian-reserve-after-uterine-artery-embolization-in-women-with-morbidly-adherent-placenta-a-cohort-study
#12
Aya Mohr-Sasson, Maya Spira, Rony Rahav, Dafna Manela, Eyal Schiff, Shali Mazaki-Tovi, Raoul Orvieto, Eyal Sivan
OBJECTIVE: To evaluate ovarian reserve in women after preservative cesarean delivery using uterine artery embolization due to morbidly adherent placenta. STUDY DESIGN: A historical cohort study including all women admitted to a single tertiary care center, with morbidly adherent placenta that had preservative cesarean delivery with bilateral uterine artery embolization. Inclusion criteria included gestational age >24 weeks, singleton pregnancy and placenta increta / percreta...
2018: PloS One
https://read.qxmd.com/read/30471891/placenta-accreta-spectrum
#13
Alison G Cahill, Richard Beigi, R Phillips Heine, Robert M Silver, Joseph R Wax
Placenta accreta spectrum, formerly known as morbidly adherent placenta, refers to the range of pathologic adherence of the placenta, including placenta increta, placenta percreta, and placenta accreta. The most favored hypothesis regarding the etiology of placenta accreta spectrum is that a defect of the endometrial-myometrial interface leads to a failure of normal decidualization in the area of a uterine scar, which allows abnormally deep placental anchoring villi and trophoblast infiltration. Maternal morbidity and mortality can occur because of severe and sometimes life-threatening hemorrhage, which often requires blood transfusion...
December 2018: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/30462321/hezeb2-a-master-regulator-of-the-epithelial-mesenchymal-transition-mediates-trophoblast-differentiation
#14
Sonia DaSilva-Arnold, Che-Ying Kuo, Viralkumar Davra, Yvonne Remache, Peter C W Kim, John P Fisher, Stacy Zamudio, Abdulla Al-Khan, Raymond B Birge, Nicholas P Illsley
STUDY QUESTION: Does the upregulation of the zinc finger E-box binding homeobox 2 (ZEB2) transcription factor in human trophoblast cells lead to alterations in gene expression consistent with an epithelial-mesenchymal transition (EMT) and a consequent increase in invasiveness? SUMMARY ANSWER: Overexpression of ZEB2 results in an epithelial-mesenchymal shift in gene expression accompanied by a substantial increase in invasive capacity of human trophoblast cells. WHAT IS KNOWN ALREADY: In-vivo results have shown that cytotrophoblast differentiation into extravillous trophoblast involves an epithelial-mesenchymal transition...
November 21, 2018: Molecular Human Reproduction
https://read.qxmd.com/read/30461695/obstetric-care-consensus-no-7-placenta-accreta-spectrum
#15
(no author information available yet)
Placenta accreta spectrum, formerly known as morbidly adherent placenta, refers to the range of pathologic adherence of the placenta, including placenta increta, placenta percreta, and placenta accreta. The most favored hypothesis regarding the etiology of placenta accreta spectrum is that a defect of the endometrial-myometrial interface leads to a failure of normal decidualization in the area of a uterine scar, which allows abnormally deep placental anchoring villi and trophoblast infiltration. Maternal morbidity and mortality can occur because of severe and sometimes life-threatening hemorrhage, which often requires blood transfusion...
December 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30461691/obstetric-care-consensus-no-7-summary-placenta-accreta-spectrum
#16
(no author information available yet)
Placenta accreta spectrum, formerly known as morbidly adherent placenta, refers to the range of pathologic adherence of the placenta, including placenta increta, placenta percreta, and placenta accreta. The most favored hypothesis regarding the etiology of placenta accreta spectrum is that a defect of the endometrial-myometrial interface leads to a failure of normal decidualization in the area of a uterine scar, which allows abnormally deep placental anchoring villi and trophoblast infiltration. Maternal morbidity and mortality can occur because of severe and sometimes life-threatening hemorrhage, which often requires blood transfusion...
December 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30448828/clinical-and-ultrasound-predictors-of-placenta-accreta-in-pregnant-women-with-antepartum-diagnosis-of-placenta-previa-a-multicenter-study
#17
Davide De Vita, Giampiero Capobianco, Giovanni Gerosolima, Carmen Sciorio, Ermenegilda Coppola, Fabio Parazzini, Maurizio Silvestri, Anna Paola Caruso, Maddalena Morlando, Raffaele Petta, Alessandro Pascarella, Salvatore Dessole, Elsa Viora
BACKGROUND/AIMS: Abnormally invasive placenta (AIP) includes placenta accreta, increta, and percreta and represents major complications of pregnancy. This study was designed to assess the role of ultrasonography in the identification of AIP among pregnant women with antepartum diagnosis of placenta previa. METHODS: A cross-sectional study was performed between May 2015 and April 2016 in 11 centers, including 242 women with antepartum diagnosis of placenta previa...
November 16, 2018: Gynecologic and Obstetric Investigation
https://read.qxmd.com/read/30431609/a-prospective-evaluation-and-management-of-different-types-of-placenta-praevia-using-parallel-vertical-compression-suture-to-preserve-uterus
#18
COMPARATIVE STUDY
Adrian C Ratiu, Doru C Crisan
The rising tendency of cesarean sections will lead invariably to more complications such as placenta praevia. The aim of our study was to evaluate the utility of parallel vertical compression suture to preserve uterus in cases of placenta praevia, and to propose a rational approach of these problematic cases, according to their grade of myometrial invasion.We prospectively included 95 consecutive cases diagnosed with placenta praevia (group1 [Gr1]) where we used parallel compression suture and compared to retrospectively analyzed 100 consecutive cases managed without using this technique (group 2 [Gr2])...
November 2018: Medicine (Baltimore)
https://read.qxmd.com/read/30293299/-rupture-of-uterus-and-penetrated-small-intestine-caused-by-placenta-percreta-a-case-report
#19
S Y Hou, Y H Qian, H J Jia
No abstract text is available yet for this article.
September 25, 2018: Zhonghua Fu Chan Ke za Zhi
https://read.qxmd.com/read/30258488/resuscitative-endovascular-balloon-occlusion-of-the-aorta-deployed-by-acute-care-surgeons-in-patients-with-morbidly-adherent-placenta-a-feasible-solution-for-two-lives-in-peril
#20
REVIEW
Ramiro Manzano-Nunez, Maria F Escobar-Vidarte, Claudia P Orlas, Juan P Herrera-Escobar, Samuel M Galvagno, Juan J Melendez, Natalia Padilla, Justin C McCarty, Albaro J Nieto, Carlos A Ordoñez
Morbidly adherent placenta (MAP), which includes accreta, increta, and percreta, is a condition characterized by the invasion of the uterine wall by placental tissue. The condition is associated with higher odds of massive post-partum hemorrhage. Several interventions have been developed to improve hemorrhage-related outcomes in these patients; however, there is no evidence to prefer any intervention over another. Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an endovascular intervention that may be useful and effective to reduce hemorrhage and transfusions in MAP patients...
2018: World Journal of Emergency Surgery: WJES
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