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Placental vascularity and resorption delay after conservative management of invasive placenta: MR imaging evaluation

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Abstract

Objectives

To assess the potential of magnetic resonance (MR) imaging in evaluating placental vascularity and predicting placental resorption delay after conservative management of invasive placenta.

Methods

MR examinations of 23 women with conservative management of invasive placenta were reviewed. Twelve women had pelvic embolisation because of postpartum haemorrhage (Group 1) and 11 had no embolisation (Group 2). Comparisons between the two groups were made with respect to the delay for complete placental resorption at follow-up MR imaging and degree of placental vascularity 24 h after delivery on early (30s) and late (180 s) phase of dynamic gadolinium chelate-enhanced MR imaging.

Results

The median delay for complete placental resorption in the cohort study was 21.1 weeks (range, 1-111 weeks). In Group 1, the median delay for complete placental resorption was shorter than in Group 2 (17 vs 32 weeks) (P = 0.036). Decreased placental vascularity on the early phase was observed in Group 1 by comparison with Group 2 (P = 0.003). Significant correlation was found between the degree of vascularity on early phase of dynamic MR imaging and the delay for complete placental resorption (r = 0.693; P < 0.001).

Conclusions

MR imaging provides useful information after conservative management of invasive placenta and may help predict delay for complete placental resorption.

Key Points

• MR imaging is useful after conservative management of invasive placenta.

• MR imaging may help predict delay regarding complete placental resorption.

• Early decreased vascularity correlates with reduced delay of placental resorption.

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Authors and Affiliations

  1. Department of Abdominal and Interventional Imaging, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France

    Philippe Soyer, Marc Sirol, Yann Fargeaudou, Laurence Bour, Anthony Dohan, Mourad Boudiaf & Olivier le Dref

  2. Université Paris-Diderot, Sorbonne Paris Cité, 10 rue de Verdun, 75010, Paris, France

    Philippe Soyer, Etienne Gayat, Delphine Hequet & Emmanuel Barranger

  3. Maternité Universitaire de Nancy, Université Henri Poincaré Nancy 1, 10 rue du Docteur Heydenreich, 54000, Nancy, France

    Olivier Morel

  4. Department of Anaesthesiology and Intensive Care Medicine, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France

    Etienne Gayat

  5. Department of Obstetrics and Gynaecology, Hôpital Lariboisière, Assistance Publique-Hôpitaux de Paris, 2 rue Ambroise Paré, 75475, Paris Cedex 10, France

    Delphine Hequet & Emmanuel Barranger

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  1. Philippe Soyer
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Correspondence to Philippe Soyer.

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Soyer, P., Sirol, M., Fargeaudou, Y. et al. Placental vascularity and resorption delay after conservative management of invasive placenta: MR imaging evaluation. Eur Radiol 23, 262–271 (2013). https://doi.org/10.1007/s00330-012-2573-4

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  • DOI: https://doi.org/10.1007/s00330-012-2573-4

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