Abstract
Placenta Accreta Spectrum (PAS) describes the clinical situation when after delivery of the fetus the placenta does not detach normally from the uterus and cannot be removed without causing potentially catastrophic maternal hemorrhage. The incidence of PAS has increased worldwide, most likely associated with the rising rates of cesarean delivery. PAS is the most common reason for peripartum hysterectomy and contributes to the current failure to reduce the maternal death rate in high-income countries. Antenatal recognition of PAS is important to initiate multidisciplinary planning for a safe delivery in a center of expertise to reduce maternal mortality and morbidity. In this chapter, medical and technical aspects of placental (Doppler) ultrasound are described and related to clinical management. To illustrate the abnormal findings, the ultrasound images and perioperative findings of two patients are visualized.
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References
Silver RM, Landon MB, Rouse DJ, et al. Maternal morbidity associated with multiple repeat cesarean deliveries. Obstet Gynecol. 2006;107(6):1226–32.
Hasegawa J, Tanaka H, Katsuragi S, Sekizawa A, Ishiwata I, Ikeda T. Maternal deaths in Japan due to abnormally invasive placenta. Int J Gynaecol Obstet. 2018;140(3):375–6.
Palacios-Jaraquemada JM, D’Antonio F, Buca D, Fiorillo A, Larraza P. Systematic review on near miss cases of placenta accreta spectrum disorders: correlation with invasion topography, prenatal imaging, and surgical outcome. J Matern Fetal Neonatal Med. 2019:1–8.
Zosmer N, Jauniaux E, Bunce C, Panaiotova J, Shaikh H, Nicholaides KH. Interobserver agreement on standardized ultrasound and histopathologic signs for the prenatal diagnosis of placenta accreta spectrum disorders. Int J Gynaecol Obstet. 2018;140(3):326–31.
Bhide A, Sebire N, Abuhamad A, Acharya G, Silver R. Morbidly adherent placenta: the need for standardization. Ultrasound Obstet Gynecol. 2017;49(5):559–63.
Jauniaux E, Jurkovic D. Placenta accreta: pathogenesis of a 20th century iatrogenic uterine disease. Placenta. 2012;33(4):244–51.
Collins SL, Alemdar B, van Beekhuizen HJ, et al. Evidence-based guidelines for the management of abnormally invasive placenta: recommendations from the International Society for Abnormally Invasive Placenta. Am J Obstet Gynecol. 2019;220(6):511–26.
Jauniaux E, Hussein AM, Fox KA, Collins SL. New evidence-based diagnostic and management strategies for placenta accreta spectrum disorders. Best Pract Res Clin Obstet Gynaecol. 2019;61:75–88.
Jauniaux E, Bhide A, Kennedy A, et al. FIGO consensus guidelines on placenta accreta spectrum disorders: prenatal diagnosis and screening. Int J Gynaecol Obstet. 2018;140(3):274–80.
Palacios-Jaraquemada JM, Karoshi M, Keith LG. Uterovaginal blood supply: the S1 and S2 segmental concepts and their clinical relevance. 2nd ed. London: Sapiens Publishing; 2012.
Palacios Jaraquemada JM, Bruno CH. Magnetic resonance imaging in 300 cases of placenta accreta: surgical correlation of new findings. Acta Obstet Gynecol Scand. 2005;84(8):716–24.
Palacios Jaraquemada JM, Bruno CH, Martin E. MRI in the diagnosis and surgical management of abnormal placentation. Acta Obstet Gynecol Scand. 2013;92(4):392–7.
Collins SL, Stevenson GN, Al-Khan A, et al. Three-dimensional power doppler ultrasonography for diagnosing abnormally invasive placenta and quantifying the risk. Obstet Gynecol. 2015;126(3):645–53.
Shih JC, Palacios Jaraquemada JM, Su YN, et al. Role of three-dimensional power Doppler in the antenatal diagnosis of placenta accreta: comparison with gray-scale and color Doppler techniques. Ultrasound Obstet Gynecol. 2009;33(2):193–203.
Cali G, Forlani F, Lees C, et al. Prenatal ultrasound staging system for placenta accreta spectrum disorders. Ultrasound Obstet Gynecol. 2019;53(6):752–60.
Collins SL, Ashcroft A, Braun T, et al. Proposal for standardized ultrasound descriptors of abnormally invasive placenta (AIP). Ultrasound Obstet Gynecol. 2016;47(3):271–5.
Alfirevic Z, Tang AW, Collins SL, Robson SC, Palacios-Jaraquemada J. Group obotA-hIAE. Pro forma for ultrasound reporting in suspected abnormally invasive placenta (AIP): an international consensus. Ultrasound Obstet Gynecol. 2016;47(3):276–8.
D’Antonio F, Iacovella C, Bhide A. Prenatal identification of invasive placentation using ultrasound: systematic review and meta-analysis. Ultrasound Obstet Gynecol. 2013;42(5):509–17.
Jauniaux E, Bhide A. Prenatal ultrasound diagnosis and outcome of placenta previa accreta after cesarean delivery: a systematic review and meta-analysis. Am J Obstet Gynecol. 2017;217(1):27–36.
Jauniaux E, Alfirevic Z, Bhide A, et al. Placenta praevia and placenta accreta: diagnosis and management. Int J Obstet Gynecol. 2019;126(1):e1–e48.
Pagani G, Cali G, Acharya G, et al. Diagnostic accuracy of ultrasound in detecting the severity of abnormally invasive placentation: a systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2018;97(1):25–37.
Haidar ZA, Papanna R, Sibai BM, et al. Can 3-dimensional power Doppler indices improve the prenatal diagnosis of a potentially morbidly adherent placenta in patients with placenta previa? Am J Obstet Gynecol. 2017;217(2):202.e201–13.
Cali G, Giambanco L, Puccio G, Forlani F. Morbidly adherent placenta: evaluation of ultrasound diagnostic criteria and differentiation of placenta accreta from percreta. Ultrasound Obstet Gynecol. 2013;41(4):406–12.
Aryananda RA, Akbar A, Wardhana MP, et al. New three-dimensional/four-dimensional volume rendering imaging software for detecting the abnormally invasive placenta. J Clin Ultrasound. 2019;47(1):9–13.
Maynard H, Zamudio S, Jauniaux E, Collins SL. The importance of bladder volume in the ultrasound diagnosis of placenta accreta spectrum disorders. Int J Gynaecol Obstet. 2018;140(3):332–7.
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Rijken, M.J., Aryananda, R.A., Collins, S. (2023). Role of Ultrasonography in Placenta Accreta Spectrum. In: Maulik, D., Lees, C.C. (eds) Doppler Ultrasound in Obstetrics and Gynecology. Springer, Cham. https://doi.org/10.1007/978-3-031-06189-9_35
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DOI: https://doi.org/10.1007/978-3-031-06189-9_35
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