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Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa

Received: 1 May 2018    Accepted: 29 May 2018    Published: 12 June 2018
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Abstract

Objective: To evaluate the effect of artery sequential interventional therapy (internal iliac artery catheterization and occlusion/ uterine artery or internal iliac artery embolization) on the hemorrhage of pernicious placenta previa. Method: The total of 29 patients with pernicious placenta previa and risk factor of placenta accreta from March 2012 to June 2013 in our hospital were included as control group, who were given traditional method of treatment, while 40 patients with the same disease status from July 2013 to October 2014 as treatment group with artery sequential interventional therapy. The amount of blood loss during operation and red blood cell suspension transfusion, the rate of hysterectomy cesarean time, the amount of cesarean section hemorrhage after 24 hours, duration of postopera tive hospital stay, the time of postoperative antibiotic usage and the prevalence of complications (pain, fever, infection and others) of patients in two groups were evaluated, respectively. Result: The significant difference of amount of blood loss during operation [(868.5±549.77) ml vs. (1506.90±1417.39) ml for treatment group and control group, respectively)] and red blood cell suspension transfusion [(1.50±1.40) U vs. (2.72±2.00) U], the rate of hysterectomy (2.50% vs. 17.24%), cesarean time [(58.86±20.33) min vs. (70.83±29.26) min)] and the prevalence of pain (81.25% vs. 48.28%) and other complications (0.00% vs. 10.35%) (all p values < 0.05) were observed, but not for the amount of cesarean section hemorrhage after 24 hours [(271.66±221.55ml) vs. (255.24±249.47 ml)], the duration of postoperative hospital stay [(5.28±1.66) d vs. (5.69±1.58) d], the time of postoperative antibiotic usage [(3.70±2.16) d vs. (3.48±2.06) d], the pain score [(2.64±0.89) vs. (2.67±1.06)], the prevalence of fever (62.50% vs. 55.17%) and inflammation (5.00% vs. 6.90%) (all p values > 0.05). All patients resumed normal menstruation after weaned for 1 to 3 month and the routine newborn physical examination on 42 days after birth, blood analysis, liver function and neurological examination of infants were normal without blood diseases. Conclusion: Artery sequential interventional therapy for patients with pernicious placenta previa was safe, effective and feasible for pregnant and newborn.

Published in Journal of Gynecology and Obstetrics (Volume 6, Issue 3)
DOI 10.11648/j.jgo.20180603.12
Page(s) 40-46
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Artery Sequencial Interventional Treatment, Pernicious Placenta Previa, Internal Iliac Artery Catheterization, Internal Iliac Artery Occlusion, Uterine Artery Embolization, Internal Iliac Artery Embolization

References
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  • APA Style

    Limin Wang, Dan Luo, Hui Zhou, Chong Xie, Xingtao Liu, et al. (2018). Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa. Journal of Gynecology and Obstetrics, 6(3), 40-46. https://doi.org/10.11648/j.jgo.20180603.12

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    ACS Style

    Limin Wang; Dan Luo; Hui Zhou; Chong Xie; Xingtao Liu, et al. Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa. J. Gynecol. Obstet. 2018, 6(3), 40-46. doi: 10.11648/j.jgo.20180603.12

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    AMA Style

    Limin Wang, Dan Luo, Hui Zhou, Chong Xie, Xingtao Liu, et al. Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa. J Gynecol Obstet. 2018;6(3):40-46. doi: 10.11648/j.jgo.20180603.12

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  • @article{10.11648/j.jgo.20180603.12,
      author = {Limin Wang and Dan Luo and Hui Zhou and Chong Xie and Xingtao Liu and Liqun Li and Hu Zhao and Jiaji Zhang and Qiannan Hou and Wenjie Qing},
      title = {Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {6},
      number = {3},
      pages = {40-46},
      doi = {10.11648/j.jgo.20180603.12},
      url = {https://doi.org/10.11648/j.jgo.20180603.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20180603.12},
      abstract = {Objective: To evaluate the effect of artery sequential interventional therapy (internal iliac artery catheterization and occlusion/ uterine artery or internal iliac artery embolization) on the hemorrhage of pernicious placenta previa. Method: The total of 29 patients with pernicious placenta previa and risk factor of placenta accreta from March 2012 to June 2013 in our hospital were included as control group, who were given traditional method of treatment, while 40 patients with the same disease status from July 2013 to October 2014 as treatment group with artery sequential interventional therapy. The amount of blood loss during operation and red blood cell suspension transfusion, the rate of hysterectomy cesarean time, the amount of cesarean section hemorrhage after 24 hours, duration of postopera tive hospital stay, the time of postoperative antibiotic usage and the prevalence of complications (pain, fever, infection and others) of patients in two groups were evaluated, respectively. Result: The significant difference of amount of blood loss during operation [(868.5±549.77) ml vs. (1506.90±1417.39) ml for treatment group and control group, respectively)] and red blood cell suspension transfusion [(1.50±1.40) U vs. (2.72±2.00) U], the rate of hysterectomy (2.50% vs. 17.24%), cesarean time [(58.86±20.33) min vs. (70.83±29.26) min)] and the prevalence of pain (81.25% vs. 48.28%) and other complications (0.00% vs. 10.35%) (all p values  0.05). All patients resumed normal menstruation after weaned for 1 to 3 month and the routine newborn physical examination on 42 days after birth, blood analysis, liver function and neurological examination of infants were normal without blood diseases. Conclusion: Artery sequential interventional therapy for patients with pernicious placenta previa was safe, effective and feasible for pregnant and newborn.},
     year = {2018}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa
    AU  - Limin Wang
    AU  - Dan Luo
    AU  - Hui Zhou
    AU  - Chong Xie
    AU  - Xingtao Liu
    AU  - Liqun Li
    AU  - Hu Zhao
    AU  - Jiaji Zhang
    AU  - Qiannan Hou
    AU  - Wenjie Qing
    Y1  - 2018/06/12
    PY  - 2018
    N1  - https://doi.org/10.11648/j.jgo.20180603.12
    DO  - 10.11648/j.jgo.20180603.12
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 40
    EP  - 46
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20180603.12
    AB  - Objective: To evaluate the effect of artery sequential interventional therapy (internal iliac artery catheterization and occlusion/ uterine artery or internal iliac artery embolization) on the hemorrhage of pernicious placenta previa. Method: The total of 29 patients with pernicious placenta previa and risk factor of placenta accreta from March 2012 to June 2013 in our hospital were included as control group, who were given traditional method of treatment, while 40 patients with the same disease status from July 2013 to October 2014 as treatment group with artery sequential interventional therapy. The amount of blood loss during operation and red blood cell suspension transfusion, the rate of hysterectomy cesarean time, the amount of cesarean section hemorrhage after 24 hours, duration of postopera tive hospital stay, the time of postoperative antibiotic usage and the prevalence of complications (pain, fever, infection and others) of patients in two groups were evaluated, respectively. Result: The significant difference of amount of blood loss during operation [(868.5±549.77) ml vs. (1506.90±1417.39) ml for treatment group and control group, respectively)] and red blood cell suspension transfusion [(1.50±1.40) U vs. (2.72±2.00) U], the rate of hysterectomy (2.50% vs. 17.24%), cesarean time [(58.86±20.33) min vs. (70.83±29.26) min)] and the prevalence of pain (81.25% vs. 48.28%) and other complications (0.00% vs. 10.35%) (all p values  0.05). All patients resumed normal menstruation after weaned for 1 to 3 month and the routine newborn physical examination on 42 days after birth, blood analysis, liver function and neurological examination of infants were normal without blood diseases. Conclusion: Artery sequential interventional therapy for patients with pernicious placenta previa was safe, effective and feasible for pregnant and newborn.
    VL  - 6
    IS  - 3
    ER  - 

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Author Information
  • Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Radiology, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Radiology, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Radiology, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

  • Department of Obstetrics, Chengdu Women’s and Children’s Central Hospital, Chengdu, China

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