Document Detail


Internal iliac artery embolization before hysterectomy for placenta accreta.
MedLine Citation:
PMID:  14514814     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Six patients with early sonographic diagnosis of invasive placenta previa increta/percreta before fetal viability were offered hysterectomy to terminate the pregnancy with prophylactic internal iliac artery embolization (IIAE). The mean gestational age at treatment was 19.7 weeks (range, 14-23). Among these six patients undergoing hysterectomy, the mean estimated blood loss was 1,767 mL +/- 1,213 (range, 300-3000), and the mean transfusion requirements were 4.33 U +/- 4.08. With this limited experience, we are encouraged by the apparent reduction in operative blood loss and fewer transfusion requirements after the use of prophylactic IIAE compared with historical controls. These preliminary findings are based on a small number of patients, and therefore further investigation is needed to determine the effectiveness of this procedure.
Authors:
Min M Chou; Jen I Hwang; Jenn J Tseng; Esther Shih C Ho
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of vascular and interventional radiology : JVIR     Volume:  14     ISSN:  1051-0443     ISO Abbreviation:  J Vasc Interv Radiol     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-09-29     Completed Date:  2004-02-13     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9203369     Medline TA:  J Vasc Interv Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1195-9     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, 160, Section 3, Taichungkang Road, Taichung 407, Chung Shan Medical University, Taiwan, Republic of China. mmchou@vghtc.vghtc.gov.tw
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MeSH Terms
Descriptor/Qualifier:
Adult
Angiography
Embolization, Therapeutic*
Female
Humans
Hysterectomy*
Iliac Artery*
Placenta Accreta / surgery*,  therapy*,  ultrasonography
Pregnancy
Prenatal Diagnosis
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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