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Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution

Background: We aimed to identify clinical characteristics and outcomes for each placental type of vasa previa (VP). Methods: Placental types of vasa previa were defined as follows: Type 1, vasa previa with velamentous cord insertion and non-type 1, vasa previa with a multilobed or succenturiate plac...

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Autores principales: Tachibana, Daisuke, Misugi, Takuya, Pooh, Ritsuko K., Kitada, Kohei, Kurihara, Yasushi, Tahara, Mie, Hamuro, Akihiro, Nakano, Akemi, Koyama, Masayasu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392430/
https://www.ncbi.nlm.nih.gov/pubmed/34441302
http://dx.doi.org/10.3390/diagnostics11081369
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author Tachibana, Daisuke
Misugi, Takuya
Pooh, Ritsuko K.
Kitada, Kohei
Kurihara, Yasushi
Tahara, Mie
Hamuro, Akihiro
Nakano, Akemi
Koyama, Masayasu
author_facet Tachibana, Daisuke
Misugi, Takuya
Pooh, Ritsuko K.
Kitada, Kohei
Kurihara, Yasushi
Tahara, Mie
Hamuro, Akihiro
Nakano, Akemi
Koyama, Masayasu
author_sort Tachibana, Daisuke
collection PubMed
description Background: We aimed to identify clinical characteristics and outcomes for each placental type of vasa previa (VP). Methods: Placental types of vasa previa were defined as follows: Type 1, vasa previa with velamentous cord insertion and non-type 1, vasa previa with a multilobed or succenturiate placenta and vasa previa with vessels branching out from the placental surface and returning to the placental cotyledons. Results: A total of 55 cases of vasa previa were included in this study, with 35 cases of type 1 and 20 cases of non-type 1. Vasa previa with type 1 showed a significantly higher association with assisted reproductive technology, compared with non-type 1 (p = 0.024, 60.0% and 25.0%, respectively). The diagnosis was significantly earlier in the type 1 group than in the non-Type 1 group (p = 0.027, 21.4 weeks and 28.6 weeks, respectively). Moreover, the Ward technique for anterior placentation to avoid injury of the placenta and/or fetal vessels was more frequently required in non-type 1 cases (p < 0.001, 60.0%, compared with 14.3% for type 1). Conclusion: The concept of defining placental types of vasa previa will provide useful information for the screening of this serious complication, improve its clinical management and operative strategy, and achieve more preferable perinatal outcomes.
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spelling pubmed-83924302021-08-28 Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution Tachibana, Daisuke Misugi, Takuya Pooh, Ritsuko K. Kitada, Kohei Kurihara, Yasushi Tahara, Mie Hamuro, Akihiro Nakano, Akemi Koyama, Masayasu Diagnostics (Basel) Article Background: We aimed to identify clinical characteristics and outcomes for each placental type of vasa previa (VP). Methods: Placental types of vasa previa were defined as follows: Type 1, vasa previa with velamentous cord insertion and non-type 1, vasa previa with a multilobed or succenturiate placenta and vasa previa with vessels branching out from the placental surface and returning to the placental cotyledons. Results: A total of 55 cases of vasa previa were included in this study, with 35 cases of type 1 and 20 cases of non-type 1. Vasa previa with type 1 showed a significantly higher association with assisted reproductive technology, compared with non-type 1 (p = 0.024, 60.0% and 25.0%, respectively). The diagnosis was significantly earlier in the type 1 group than in the non-Type 1 group (p = 0.027, 21.4 weeks and 28.6 weeks, respectively). Moreover, the Ward technique for anterior placentation to avoid injury of the placenta and/or fetal vessels was more frequently required in non-type 1 cases (p < 0.001, 60.0%, compared with 14.3% for type 1). Conclusion: The concept of defining placental types of vasa previa will provide useful information for the screening of this serious complication, improve its clinical management and operative strategy, and achieve more preferable perinatal outcomes. MDPI 2021-07-29 /pmc/articles/PMC8392430/ /pubmed/34441302 http://dx.doi.org/10.3390/diagnostics11081369 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tachibana, Daisuke
Misugi, Takuya
Pooh, Ritsuko K.
Kitada, Kohei
Kurihara, Yasushi
Tahara, Mie
Hamuro, Akihiro
Nakano, Akemi
Koyama, Masayasu
Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution
title Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution
title_full Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution
title_fullStr Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution
title_full_unstemmed Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution
title_short Placental Types and Effective Perinatal Management of Vasa Previa: Lessons from 55 Cases in a Single Institution
title_sort placental types and effective perinatal management of vasa previa: lessons from 55 cases in a single institution
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8392430/
https://www.ncbi.nlm.nih.gov/pubmed/34441302
http://dx.doi.org/10.3390/diagnostics11081369
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