The Role of Interventional Radiology in the Management of Abnormally Invasive Placenta: a Systematic Review of Current Evidences

Overview

Journal Quant Imaging Med Surg

Specialty Radiology

Date 2020 Jun 19

PMID 32550143

Citations 9

Authors

Philippe Soyer

Maxime Barat

Romaric Loffroy

Matthias Barral

Raphael Dautry

Vincent Vidal

Olivier Pellerin

Francois Cornelis

Maureen P Kohi

Anthony Dohan

Affiliations

Soon will be listed here.

Abstract

Abnormally invasive placenta (AIP) is a potentially severe condition. To date, arterial embolization in women with postpartum hemorrhage due to AIP is the treatment option for which highest degrees of evidence are available. However, other techniques have been tested, including prophylactic catheter placement, balloon occlusion of the iliac arteries and abdominal aorta balloon occlusion. In this systematic review, we provide an overview of the currently reported interventional radiology procedures that are used for the treatment of postpartum hemorrhage due to AIP and suggest recommendations based on current evidences. Owing to a high rate of adverse events, prophylactic occlusion of internal iliac arteries should be used with caution and applied when the endpoint is hysterectomy. On the opposite, when a conservative management is considered to preserve future fertility, uterine artery embolization should be the preferred option as it is associated with a hysterectomy rate of 15.5% compared to 76.5% with prophylactic balloon occlusion of the internal iliac arteries and does not result in fetal irradiation. Limited data are available regarding the application of systematic prophylactic embolization and no comparative studies with arterial embolization are available.

Citing Articles

Roadmap to safety: a single center study of evidence-informed approach to placenta accreta spectrum.

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Placenta Accreta: A Case Report on the Role of Interventional Radiology.

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Placenta Accreta Spectrum: An Overview.

Ghosh A, Lee S, Lim C, Vogelzang R, Chrisman H Semin Intervent Radiol. 2023; 40(5):467-471.

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Current state of interventional procedures to treat pernicious placenta previa accompanied by placenta accreta spectrum: A review.

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Percreta score to differentiate between placenta accreta and placenta percreta with ultrasound and MR imaging.

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References

Wei X, Zhang J, Chu Q, Du Y, Xing N, Xu X . Prophylactic abdominal aorta balloon occlusion during caesarean section: a retrospective case series. Int J Obstet Anesth. 2016; 27:3-8. DOI: 10.1016/j.ijoa.2015.12.001. View

Wang Z, Li X, Pan J, Zhang X, Shi H, Yang N . Uterine Artery Embolization for Management of Primary Postpartum Hemorrhage Associated with Placenta Accreta. Chin Med Sci J. 2017; 31(4):228-232. DOI: 10.1016/s1001-9294(17)30005-6. View

Teixidor Vinas M, Chandraharan E, Moneta M, Belli A . The role of interventional radiology in reducing haemorrhage and hysterectomy following caesarean section for morbidly adherent placenta. Clin Radiol. 2014; 69(8):e345-51. DOI: 10.1016/j.crad.2014.04.005. View

Meller C, Garcia-Monaco R, Izbizky G, Lamm M, Jaunarena J, Peralta O . Non-conservative Management of Placenta Accreta Spectrum in the Hybrid Operating Room: A Retrospective Cohort Study. Cardiovasc Intervent Radiol. 2018; 42(3):365-370. DOI: 10.1007/s00270-018-2113-y. View

Omar H, Sprenker C, Alvey E, Hoffman M, Karlnoski R, Ching Y . The value of occlusive balloons in the management of abnormal placentation: A retrospective study. J Obstet Gynaecol. 2015; 36(3):333-6. DOI: 10.3109/01443615.2015.1052962. View

Shih J, Liu K, Shyu M . Temporary balloon occlusion of the common iliac artery: new approach to bleeding control during cesarean hysterectomy for placenta percreta. Am J Obstet Gynecol. 2005; 193(5):1756-8. DOI: 10.1016/j.ajog.2005.08.033. View

Bishop S, Butler K, Monaghan S, Chan K, Murphy G, Edozien L . Multiple complications following the use of prophylactic internal iliac artery balloon catheterisation in a patient with placenta percreta. Int J Obstet Anesth. 2010; 20(1):70-3. DOI: 10.1016/j.ijoa.2010.09.012. View

MITTY H, Sterling K, Alvarez M, Gendler R . Obstetric hemorrhage: prophylactic and emergency arterial catheterization and embolotherapy. Radiology. 1993; 188(1):183-7. DOI: 10.1148/radiology.188.1.8511294. View

Cui S, Zhi Y, Cheng G, Zhang K, Zhang L, Shen L . Retrospective analysis of placenta previa with abnormal placentation with and without prophylactic use of abdominal aorta balloon occlusion. Int J Gynaecol Obstet. 2017; 137(3):265-270. DOI: 10.1002/ijgo.12132. View

10.

Morel O, Malartic C, Muhlstein J, Gayat E, Judlin P, Soyer P . Pelvic arterial ligations for severe post-partum hemorrhage. Indications and techniques. J Visc Surg. 2011; 148(2):e95-102. DOI: 10.1016/j.jviscsurg.2011.02.002. View

11.

Hwang S, Jeon G, Kim M, Kim S, Lee J, Choi M . Transcatheter arterial embolisation for the management of obstetric haemorrhage associated with placental abnormality in 40 cases. Eur Radiol. 2013; 23(3):766-73. DOI: 10.1007/s00330-012-2612-1. View

12.

Teare J, Evans E, Belli A, Wendler R . Sciatic nerve ischaemia after iliac artery occlusion balloon catheter placement for placenta percreta. Int J Obstet Anesth. 2014; 23(2):178-81. DOI: 10.1016/j.ijoa.2013.11.002. View

13.

Sewell M, Rosenblum D, Ehrenberg H . Arterial embolus during common iliac balloon catheterization at cesarean hysterectomy. Obstet Gynecol. 2006; 108(3 Pt 2):746-8. DOI: 10.1097/01.AOG.0000201992.80130.2c. View

14.

Silver R, Barbour K . Placenta accreta spectrum: accreta, increta, and percreta. Obstet Gynecol Clin North Am. 2015; 42(2):381-402. DOI: 10.1016/j.ogc.2015.01.014. View

15.

Wu Q, Liu Z, Zhao X, Liu C, Wang Y, Chu Q . Outcome of Pregnancies After Balloon Occlusion of the Infrarenal Abdominal Aorta During Caesarean in 230 Patients With Placenta Praevia Accreta. Cardiovasc Intervent Radiol. 2016; 39(11):1573-1579. PMC: 5052309. DOI: 10.1007/s00270-016-1418-y. View

16.

Soyer P, Sirol M, Fargeaudou Y, Bour L, Morel O, Dohan A . Placental vascularity and resorption delay after conservative management of invasive placenta: MR imaging evaluation. Eur Radiol. 2012; 23(1):262-71. DOI: 10.1007/s00330-012-2573-4. View

17.

Petrov D, Karlberg B, Singh K, Hartman M, Mittal P . Perioperative Internal Iliac Artery Balloon Occlusion, In the Setting of Placenta Accreta and Its Variants: The Role of the Interventional Radiologist. Curr Probl Diagn Radiol. 2017; 47(6):445-451. DOI: 10.1067/j.cpradiol.2017.10.010. View

18.

Kai K, Hamada T, Yuge A, Kiyosue H, Nishida Y, Nasu K . Estimating the Radiation Dose to the Fetus in Prophylactic Internal Iliac Artery Balloon Occlusion: Three Cases. Case Rep Obstet Gynecol. 2015; 2015:170343. PMC: 4477202. DOI: 10.1155/2015/170343. View

19.

Soyer P, Dohan A, Dautry R, Guerrache Y, Ricbourg A, Gayat E . Transcatheter Arterial Embolization for Postpartum Hemorrhage: Indications, Technique, Results, and Complications. Cardiovasc Intervent Radiol. 2015; 38(5):1068-81. DOI: 10.1007/s00270-015-1054-y. View

20.

Xie L, Wang Y, Luo F, Man Y, Zhao X . Prophylactic use of an infrarenal abdominal aorta balloon catheter in pregnancies complicated by placenta accreta. J Obstet Gynaecol. 2017; 37(5):557-561. DOI: 10.1080/01443615.2017.1291588. View