Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

749
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
749

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Patient Blood Management in postpartum haemorrhage: a narrative review and expert opinion towards improving patient outcomes during pregnancy and childbirth.

British journal of anaesthesia·2026
Same author

Remifentanil patient-controlled analgesia for labour analgesia: guidance from the obstetric anaesthetists' association: Recommendations for well tolerated provision of remifentanil PCA for labour analgesia.

European journal of anaesthesiology·2026
Same author

Hypoglycaemia in a patient with undiagnosed Doege-Potter syndrome: A case report and narrative literature review.

European journal of anaesthesiology and intensive care·2026
Same author

The RECLAIM adaptive platform trial for the evaluation of treatments for post-COVID condition in the Netherlands: core protocol.

Trials·2026
Same author

Pain management after elective caesarean section under neuraxial anaesthesia: an updated systematic review and procedure-specific postoperative pain management (PROSPECT) recommendations.

Anaesthesia·2026
Same author

Prediction of Platelet Transfusion Outcomes in Preterm Newborns With Severe Thrombocytopenia-Reply.

JAMA·2026

Related Experiment Video

Updated: May 1, 2026

Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods
09:04

Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods

Published on: September 10, 2018

9.7K

Prophylactic Radiologic Interventions for Postpartum Hemorrhage Control in Women With Placenta Accreta Spectrum

Lisanne R Bonsen1, Kosma Sleijpen, Joris Hendriks

  • 1Departments of Obstetrics and Gynaecology, Clinical Epidemiology, Clinical Endocrinology, and Biomedical Data Sciences, Leiden University Medical Center, and Leiden University Libraries, Leiden University, Leiden, the Department of Radiology, Catharina Hospital, Eindhoven, the Department of Radiology, Haaglanden Medical Center, The Hague, and Athena Institute, VU University, Amsterdam, the Netherlands; and the Department of Cardiovascular Sciences, Section Anesthesiology, KU Leuven and UZ Leuven, Leuven, Belgium.

Obstetrics and Gynecology
|July 2, 2024
PubMed
Summary

Prophylactic radiologic interventions like balloon catheters may significantly reduce blood loss during cesarean delivery for placenta accreta spectrum disorder. Further research is needed to confirm efficacy across different severities and assess safety.

More Related Videos

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
05:46

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Published on: January 17, 2019

10.0K
Mouse In Vivo Placental Targeted CRISPR Manipulation
07:39

Mouse In Vivo Placental Targeted CRISPR Manipulation

Published on: April 14, 2023

2.6K

Related Experiment Videos

Last Updated: May 1, 2026

Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods
09:04

Comprehensive Evaluation of the Effectiveness and Safety of Placenta-Targeted Drug Delivery Using Three Complementary Methods

Published on: September 10, 2018

9.7K
Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
05:46

Introduction of Intracapsular Rotary-cut Procedures IRCP: A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation

Published on: January 17, 2019

10.0K
Mouse In Vivo Placental Targeted CRISPR Manipulation
07:39

Mouse In Vivo Placental Targeted CRISPR Manipulation

Published on: April 14, 2023

2.6K

Area of Science:

  • Obstetrics and Gynecology
  • Interventional Radiology
  • Maternal-Fetal Medicine

Background:

  • Placenta accreta spectrum (PAS) disorder presents significant risks during cesarean delivery, primarily due to severe perioperative hemorrhage.
  • Prophylactic radiologic interventions are increasingly explored to mitigate bleeding risks in these high-risk pregnancies.
  • A systematic review and network meta-analysis is crucial to synthesize existing evidence on the efficacy of these interventions.

Purpose of the Study:

  • To quantify the association between prophylactic radiologic interventions and perioperative blood loss in women with PAS undergoing cesarean delivery.
  • To compare the effectiveness of different radiologic interventions, including balloon catheters and uterine artery embolization, in reducing blood loss.
  • To evaluate secondary outcomes such as red blood cell transfusion requirements and adverse events.

Main Methods:

  • A systematic literature search was conducted across major databases (PubMed, EMBASE, Cochrane Library, Web of Science) up to January 3, 2023.
  • Included studies involved women with PAS undergoing cesarean delivery, excluding emergency procedures.
  • Data extraction and risk of bias assessment were performed independently by two authors using the Cochrane Risk of Bias tool.

Main Results:

  • Fifty studies comprising 5,962 women were included, consisting of 2 RCTs and 48 observational studies.
  • Prophylactic proximal balloon occlusion demonstrated a significant mean blood loss reduction of -1,041 mL (95% CI, -1,371 to -710) compared to controls.
  • Distal balloon occlusion showed a mean blood loss reduction of -406 mL (95% CI, -645 to -167), and uterine artery embolization showed -936 mL (95% CI, -1,522 to -350), though with higher bias.

Conclusions:

  • Prophylactic placement of balloon catheters or sheaths before planned cesarean delivery in women with PAS may substantially reduce perioperative blood loss.
  • The predominance of observational studies necessitates caution in interpreting results; further high-quality research is warranted.
  • Future studies should investigate efficacy based on PAS severity and the safety profile of these radiologic interventions.