Relationship of Placental Vascular Indices with Macroscopic, Histopathologic, and Intraoperative Blood Loss in Placenta Accreta Spectrum Disorders.
Journal
Obstetrics and gynecology international
ISSN: 1687-9589
Titre abrégé: Obstet Gynecol Int
Pays: United States
ID NLM: 101517078
Informations de publication
Date de publication:
2022
2022
Historique:
received:
11
01
2022
revised:
23
05
2022
accepted:
07
06
2022
entrez:
5
7
2022
pubmed:
6
7
2022
medline:
6
7
2022
Statut:
epublish
Résumé
Placenta accreta spectrum is an obstetrical complication with a high level of morbidity. The 3-dimensional (3D) power Doppler method has been widely used to improve the diagnosis. Therefore, this study aims to elucidate better the relationship of quantitative placental vascular indices towards macroscopic findings, histopathological grading, and intraoperative blood loss in the disorder. A preliminary study using a cross-sectional design was conducted on 34 clinically diagnosed women with PAS. The 3D power Doppler with the VOCAL II software was used to measure the level of vascularization index (VI), flow index (FI), and vascularization flow index (VFI). Gross anatomical appearance and histopathology results were categorized as accreta, increta, and percreta. In addition, the intraoperative blood loss level was measured, and 1500 mL was the cutoff for massive hemorrhage. The vascularity indexes were VI = 44.2 (23.7-74.9), FI = 35.4 (24.9-57), and VFI = 15.3 (8.5-41.7). The FI value was significant in comparing gross pathological stages ( This preliminary study demonstrated an initial potential of the FI value from 3D USG power Doppler to predict the depth of PAS invasion before surgery and intraoperative blood loss level.
Identifiants
pubmed: 35784378
doi: 10.1155/2022/2830066
pmc: PMC9249536
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2830066Informations de copyright
Copyright © 2022 Mohammad Adya Firmansha Dilmy et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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