Prophylactic Transcatheter Arterial Embolization Helps Intraoperative Hemorrhagic Control for REMOVING Invasive Placenta
| العنوان: | Prophylactic Transcatheter Arterial Embolization Helps Intraoperative Hemorrhagic Control for REMOVING Invasive Placenta |
|---|---|
| المؤلفون: | Hsin-Hsin Cheng, Leo Leung-Chit Tsang, Te-Yao Hsu, Kun-Long Huang, Hsuan-Ning Hung, Yun-Ju Lai, Ching-Chang Tsai, Hung-Chun Fu |
| المصدر: | Journal of Clinical Medicine Volume 7 Issue 11 Journal of Clinical Medicine, Vol 7, Iss 11, p 460 (2018) |
| بيانات النشر: | MDPI AG, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, intrapartum hemorrhage, Blood transfusion, medicine.medical_treatment, lcsh:Medicine, transcatheter arterial embolization, placenta extirpation, Article, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, medicine.artery, medicine, 030212 general & internal medicine, Uterine artery, reproductive and urinary physiology, 030219 obstetrics & reproductive medicine, Hysterectomy, cesarean section, business.industry, Arterial Embolization, lcsh:R, Retrospective cohort study, abnormal placentation, General Medicine, Intraoperative Hemorrhage, Internal iliac artery, Intensive care unit, Surgery, business, placenta removal |
| الوصف: | Objectives: The purpose of this article is to investigate the estimated blood loss in pregnant women undergoing cesarean section and placental extirpation to treat abnormal placentation and compare the outcomes of those who underwent prophylactic transcatheter arterial embolization (TAE) with those who did not. Methods: A retrospective study was conducted on 17 pregnant women diagnosed with abnormal placentation in 2001&ndash 2018 in a single tertiary center. The patients were diagnosed by surgical finding, ultrasound, or magnetic resonance imaging (MRI). These patients were divided into two groups: a prophylactic TAE group (11 patients) and a control group (6 patients). In the former group, prophylactic TAE of the bilateral uterine artery (UA) and/or internal iliac artery (IIA) was performed immediately after delivery of the infant. The placenta was removed in both groups. The primary outcomes were estimated blood loss (EBL), units of packed red blood cell (pRBC) transfusion, operative time, whether hysterectomy was performed, whether the patient was transferred to the intensive care unit (ICU), and hospitalization days. The secondary outcome was maternal complications. Results: Patients who received prophylactic TAE had significantly reduced intraoperative blood loss (990.9 ± 701.7 mL vs. 3448.3 ± 1767.4 mL, p = 0.018). Units of pRBC transfusion, operative time, hysterectomy, transfer to the ICU, and postoperative hospitalization days were not significantly different between the two groups. Thirteen patients (9 in the TAE group and 4 in the control group) received a blood transfusion during the operation. Three patients underwent a hysterectomy (1 in the TAE group and 2 in the control group). Five patients were transferred to the ICU (3 in the TAE group and 2 in the control group) for maternal complications or monitoring. In the prophylactic TAE group, 3 patients (27%) had a subsequent pregnancy within the next 5 years. Conclusions: Prophylactic TAE was safe and effective for reducing intraoperative hemorrhage from removing an invasive placenta in patients with abnormal placentation. |
| وصف الملف: | application/pdf |
| تدمد: | 2077-0383 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23f734091f61146ccbf3208af8e27eaeTest https://doi.org/10.3390/jcm7110460Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....23f734091f61146ccbf3208af8e27eae |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20770383 |
|---|