Prophylactic bilateral uterine artery catheterization and embolization in treatment of pernicious placenta previa and accreta
10.13929/j.1672-8475.201701010
- VernacularTitle:双侧子宫动脉预留导管栓塞在凶险性前置胎盘伴胎盘植入中的应用
- Author:
Wei LI
;
Caifang NI
;
Jianwei ZOU
;
Zhi LI
- Keywords:
Placenta previa;
Placenta accreta;
Uterus;
Cesarean section;
Embolization,therapeutic
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(6):339-342
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application value of prophylactic bilateral uterine artery catheterization and embolization in treatment of patients with pernicious placenta previa and accreta.Methods Data of 16 patients with pernicious placenta previa and accreta who underwent prophylactic bilateral uterine artery catheterization and uterine artery embolization and cesarean section were retrospectively analyzed.The amount of intraoperation blood loss,the amount of blood transfusion,cesarean hysterectomy rate,fluoroscopy operative time,radiation dose,complications and neonatal outcome were recorded.Results The technical success rate of the combined treatment was 93.75％ (15/16).The mean amount of blood loss was (1 575.00 ± 1 040.83)ml.The mean amount of blood transfusion was (3.44 ± 2.34)U leukoreduced red blood cells.The mean fluoroscopy operative time and radiation dose before delivery were (0.89±0.24)min and (7.17 ± 2.12)mGy.One newborn was diagnosed as severe asphyxia.The mean Apgar score of another 15 newborns was (9.38± 0.89) at 5 min after birth.One patient underwent hysterectomy due to postpartum hemorrhage complicated with disseminated intravascular coagulation.Buttock pain was found in 2 cases.Conclusion Prophylactic bilateral uterine artery catheterization and embolization can be used for the treatment of pernicious placenta previa and accreta.The combined treatment can control postpartum hemorrhage during placental dissection and reduce transfusion requirements and hysterectomy rate with few minor complications and low radiation exposure dose.
