scholarly journals OP19.05: Concordance between obstetric ultrasound and magnetic resonance in antenatal diagnosis of placenta accreta spectrum disorders

2019 ◽  
Vol 54 (S1) ◽  
pp. 149-149
Author(s):  
F. Prefumo ◽  
A. Vitucci ◽  
S. Gambarini ◽  
A. Fichera ◽  
C. Cavalli ◽  
...  
Keyword(s):  
Magnetic Resonance ◽  
Placenta Accreta ◽  
Antenatal Diagnosis ◽  
Obstetric Ultrasound ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders

scholarly journals VP46.04: The value of sonographic (US) and magnetic resonance imaging in the management of placenta accreta spectrum disorders

2020 ◽  
Vol 56 (S1) ◽  
pp. 268-269
Author(s):  
K.R. Sylvester‐Armstrong ◽  
C. Reeder ◽  
E. Wert ◽  
K. Patrick ◽  
E. Gultekin‐Elbir ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Placenta Accreta ◽  
Resonance Imaging ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders

Magnetic resonance imaging is often misleading when used as an adjunct to ultrasound in the management of placenta accreta spectrum disorders

2018 ◽  
Vol 218 (6) ◽  
pp. 618.e1-618.e7 ◽  
Author(s):  
Brett D. Einerson ◽  
Christina E. Rodriguez ◽  
Anne M. Kennedy ◽  
Paula J. Woodward ◽  
Meghan A. Donnelly ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Placenta Accreta ◽  
Resonance Imaging ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders

scholarly journals Placenta Accreta Spectrum Disorders and Cesarean Scar Pregnancy Screening: Are we Asking the Right Questions?

2021 ◽  
Vol 43 (05) ◽  
pp. 347-350
Author(s):  
Conrado Milani Coutinho ◽  
Laure Noel ◽  
Veronica Giorgione ◽  
Lígia Conceição Assef Marçal ◽  
Amar Bhide ◽  
...  
Keyword(s):  
Placenta Accreta ◽  
Cesarean Scar Pregnancy ◽  
Cesarean Scar ◽  
Placenta Accreta Spectrum ◽  
Spectrum Disorders ◽  
The Right

Clinical outcomes of a false positive antenatal diagnosis of placenta accreta spectrum

2021 ◽  
Author(s):  
Bahram Salmanian ◽  
Amir A. Shamshirsaz ◽  
Karin Fox ◽  
nazlisadat meshinchi asl ◽  
Hadi Erfani ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Resource Utilization ◽  
False Positive ◽  
Maternal Morbidity ◽  
Placenta Accreta ◽  
Antenatal Diagnosis ◽  
Estimated Blood Loss ◽  
Management Protocol ◽  
Significant Difference ◽  
Placenta Accreta Spectrum

Objective: Antenatal diagnosis of placenta accreta spectrum (PAS) is critical to reduce maternal morbidity. While clinical outcomes of women with PAS have been extensively described, little information is available regarding the women who undergo cesarean delivery with a presumptive PAS diagnosis which is not confirmed by histopathologic examination. We sought to examine resource utilization and clinical outcomes of this group of women with a false-positive diagnosis of PAS. Study design: Retrospective analysis of patients with prenatally diagnosed PAS cared for between 2015 and 2020 by our multidisciplinary PAS team. Maternal outcomes were examined. Univariate analysis was performed and a multivariate model was employed to compare outcomes between women with and without histopathologically confirmed PAS. Results: A total of 162 patients delivered with the pre-operative diagnosis of PAS. Of these, 146 (90%) underwent hysterectomy and had histopathologic confirmation of PAS. Thirteen women did not undergo the planned hysterectomy. Three women underwent hysterectomy but pathologic examination did not confirm PAS. In comparing women with and without pathologic confirmation of PAS, the false positive PAS group delivered later in pregnancy (34 vs. 33 weeks of gestation, P=0.015) and had more planned surgery (88% vs. 47%, P = 0.002). There was no difference in skin incision type or hysterotomy placement for delivery. No significant difference in either the estimated blood loss or blood components transfused was noted between groups. Conclusion: Careful intraoperative evaluation of women with pre-operatively presumed PAS resulted in a 3/149 (2%) retrospectively unnecessary hysterectomy. Management of women with PAS in experienced centers benefits patients both in terms of resource utilization and avoidance of unnecessary maternal morbidity, understanding that our results are produced in a center of excellence for PAS. We also propose a management protocol to assist in the avoidance of unnecessary hysterectomy in women with the pre-operative diagnosis of PAS.

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