Management of puerperal inferior vena cava thrombosis after massive hemorrhage due to placenta increta
Tezikova T.A., Nechaeva M.V., Tezikov Yu.V., Lipatov I.S., Belokoneva T.S., Shmakov R.G.
Background. The significance of a clinical case of life-threatening complications of true ingrowth of placenta previa, such as massive hemorrhage and inferior vena cava thrombosis with a high risk for pulmonary embolism, is determined by the geometric increase in the incidence of abnormally invasive placenta and by the association of near-miss cases with the latter, which dictates the systematization of practical knowledge, the evaluation of the effectiveness of various options for obstetric tactics, and the elaboration of an interdisciplinary approach.
Clinical case report. In the absence of antenatal diagnosis of placental ingrowth, complications, such as hemorrhage and thrombosis of the inferior vena cava, cannot be prevented in obstetric facilities of different medical care levels during staged treatment. The provision of care to the patient by the physicians of an emergency and planned counseling team and a pediatric neonatology team of the regional perinatal center in the central district hospital, followed by specialized treatment determined a favorable outcome for both the mother and the newborn. A separate analysis of complicating factors occurring in the management of pregnant and puerperal women with vital complications of placental ingrowth updates the issues of early diagnosis, optimal delivery tactics, preoperative readiness of a multidisciplinary team, and timely prevention of thromboembolic events.
Conclusion. The accumulation of clinical experience and the elaboration of high-evidence-based treatment policy will undoubtedly make it possible to avoid critical conditions and to substantiate an organ-sparing approach as a determining one.
Keywords
placental ingrowth
hemorrhage
inferior vena cava thrombosis
prevention of thromboembolic events
References
- Say L., Chou D., Gemmill A., Tunçalp Ö., Moller A.B., Daniels J., Gülmezoglu A.M., Temmerman M., Alkema L. Global causes of maternal death: A WHO systematic analysis. Lancet Glob. Heal. 2014.2(6): 323-333.
- O’Brien J.M., Barton J.R., Donaldson E.S. The management of placenta percreta: Conservative and operative strategies. Am. J. Obstet. Gynecol. 1996. 175(6): 1632-8.
- Matsubara S., Kuwata T., Usui R., Watanabe T., Izumi A., Ohkuchi A., Suzuki M., Nakata M. Important surgical measures and techniques at cesarean hysterectomy for placenta previa accrete. Acta Obstet. Gynecol. Scand. 2013. 92 (4): 372-7.
- Chou M.M., Ke Y.M., Wu H.C., Tsai C.P., Ho E.S., Ismail H., Palacios Jaraquemada J.M. Temporary Cross-clamping of the Infrarenal Abdominal Aorta During Cesarean Hysterectomy to Control Operative Blood Loss in Placenta Previa Increta/Percreta. Taiwan. J. Obstet. Gynecol. 2010; 49(1): 72-76.
- Wong V.V., Burke G. Planned conservative management of placenta percreta. J. Obstet. Gynaecol. 2012; 32(5): 447–452. doi: 10.3109/01443615.2012.669429.
- Khan M., Sachdeva P., Arora R., Bhasin S. Conservative management of morbidly adherent placenta – A case report and review of literature. Placenta. 2013; 34(10): 963-966.
- Simsek T., Saruhan Z., Karaveli S. Placenta percreta: Conservative treatment – segmental uterine resection with placenta in one piece. J. Obstet. Gynaecol. 2010; 30(7): 735–736. doi: 10.3109/01443615.2010.501918
- Chandraharan E., Rao S., Belli A.M., Arulkumaran S. The Triple-P procedure as a conservative surgical alternative to peripartum hysterectomy for placenta percreta. Int. J. Gynecol. Obstet. 2012; 117(2): 191-194.
- Баринов С.В. и др. Опыт применения вагинального и маточного катетеров Жуковского, местного гемостатика при лечении послеродовых кровотечений во время кесарева сечения. Акушерство и гинекология. 2016; 7: 34-40. [Barinov S.V. [et al.] The experience of using vaginal and uterine catheters of Zhukovsky, local hemostatic in the treatment of postpartum hemorrhage during cesarean section. Obstetrics and gynecology. 2016; 7: 34-40. (in Russian)]. https://dx.doi.org/10.18565/aig.2016.7.34-40
- Bajwa S.K., Singh A., Bajwa S.J. Contemporary issues in the management of abnormal placentation during pregnancy in developing nations: An Indian perspective. Int. J. Crit.Illn.Inj.Sci. 2013; 3: 183-9.
- Hudon L., Belfort M. A., Broome D. R. Diagnosis and management of placenta percreta: a review. Obstet. Gynecol. Surv. 1998; 53(8): 509-517.
- Eller A.G., Bennett M.A., Sharshiner M., Masheter C., Soisson A.P., Dodson M., Silver R.M. Maternal morbidity in cases of placenta accreta managed by a multidisciplinary care team compared with standard obstetric care. Obstet. Gynecol. 2011; 117(2 Pt1): 331-337.
- Wright J.D., Pri-Paz S., Herzog T.J., Shah M., Bonanno C., Lewin S.N., Simpson L.L., Gaddipati S., Sun X., D’Alton M.E., Devine P. Predictors of massive blood loss in women with placenta accrete. Am. J. Obstet. Gynecol. 2011; 205(1): 38.e1-6.
- Виницкий А.А., Шмаков Р.Г., Чупрынин В.Д. Сравнительная оценка эффективности методов хирургического гемостаза при органосохраняющем родоразрешении у пациенток с врастанием плаценты. Акушерство и гинекология. 2017; 7: 68-74. [Vinitsky A.A., Shmakov R.G., Chuprynin V.D. Comparative evaluation of the effectiveness of surgical hemostasis methods in organ-preserving delivery in patients with placental ingrowth. Obstetrics and gynecology. 2017; (7): 68-74. (in Russian)]. https://dx.doi.org/10.18565/aig.2017.7.68-74
- Федорова Т.А., Шмаков Р.Г., Пырегов А.В., Виницкий А.А. Опыт применения рекомбинантного активированного фактора коагуляции VII в лечении массивного акушерского кровотечения при врастании плаценты. Медицинский совет. 2016;12: 14-18. [Fedorova T.A., Shmakov R.G., Pyregov A.V., Vinitsky A.A. Experience with the use of recombinant activated coagulation factor VII in the treatment of massive obstetric hemorrhage with placental ingrowth. Medical Council. 2016; 12: 14-18. (in Russian)]. https://doi.org/10.21518/2079-701X-2016-12-14-20
- Alalaf S.K., Jawad R.K., Muhammad P.R. et al. Bemiparin versus enoxaparin as thromboprophylaxis following vaginal and abdominal deliveries: a prospective clinical trial. BMC Pregnancy Childbirth.2015 Mar 28; 15: 72. doi: 10.1186/s12884-015-0515-2. PubMed PMID: 25884460
- James A.H., Tapson V.F., Goldhaber S.Z. Thrombosis during pregnancy and the postpartum period. American Journal of Obstetrics and Gynecology. 2005; 193 (1): 216-19.
- Dizon-Townson D.S, Nelson L.M., Jang H., Varner M.W, Ward K. The incidence of the factor V Leiden mutation in an obstetric population and its relationship to deep vein thrombosis. Am J Obstet Gynecol. 1997; 176:883–6.doi: 10.1016/S0002-9378(97)70615-X
Received 08.04.2019
Accepted 19.04.2019
About the Authors
Tatyana A. Tezikova, Deputy chief doctor for Obstetrics and Gynecology, Perinatal Center of Samara Regional Clinical Hospital named after V.D. Seredavin.E-mail: t-tezikova@mail.ru ORCID https://orcid.org/0000-0001-9747-9588. Tashkentskaya street, 159, Samara, Russia, 443095.
Marina V. Nechaeva, Ph.D., Head of reception of Perinatal Center of Samara Regional Clinical Hospital named after V.D. Seredavin, E-mail: nechaevamv@sokb.ru
ORCID https://orcid.org/0000-0001-6468-8199. Tashkentskaya street, 159, Samara, Russia, 443095,
Yuri V. Tezikov, Professor, Doctor of medical Sciences, Head of the Department of Obstetrics and Gynecology №1 Samara State Medical University, Ministry of Health of Russia E-mail: yra.75@inbox.ru ORCID https://orcid.org/0000-0002-8946-501X
Chapaevskaya street, 89, Samara, Russia, 443099,
Igor S. Lipatov, Professor, Doctor of medical Sciences, Department of Obstetrics and Gynecology №1 Samara State Medical University, Ministry of Health of RussiaE-mail: I.lipatoff2012@yandex.ru ORCID https://orcid.org/0000-0001-7277-7431. Chapaevskaya street, 89, Samara, Russia, 443099,
Tatyana S. Belokoneva, Ph.D., associate professor of the Department of Obstetrics and Gynecology №1 Samara State Medical University, Ministry of Health of Russia,
E-mail: belokonevats@mail.ru ORCID
Chapaevskaya street, 89, Samara, Russia, 443099
Roman G., Shmakov MD, PhD, professor, director of the institute of Оbstetrics, Federal State Budget Institution National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of Russian Federation, Akademika Oparina street, 4, Moscow, Russia, 117997. Tel. +79161710676. E-mail: mdshmakov@mail.ru ORCID https://orcid.org/0000-0002-2206-1002
For citation: Tezikova T.A., Nechaeva M.V., Tezikov Yu.V., Lipatov I.S., Belokoneva T.S., Shmakov R.G. Management of puerperal inferior vena cava thrombosis after massive hemorrhage due to placenta increta
Akusherstvo i Ginekologiya/ Obstetrics and gynecology. 2019; 9: 198-203 (In Russian).
https://dx.doi.org/10.18565/aig.2019.9.198-203
Similar Articles
