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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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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. |
format | Online Article Text |
id | pubmed-8392430 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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