Three-dimensional color power Doppler imaging in the assessment of uteroplacental neovascularization in placenta previa increta/percreta

Am J Obstet Gynecol. 2001 Nov;185(5):1257-60. doi: 10.1067/mob.2001.115282.

Abstract

A case of placenta previa increta/percreta was diagnosed at 18 weeks' gestation with the 3-dimensional color power Doppler imaging technique. Unusually extensive uteroplacental vascular network architecture was seen on the 3-dimensional angiohistogram. After appropriate counseling, the patient chose to terminate the pregnancy. A hysterectomy was performed with prophylactic preoperative embolization of internal iliac arteries at 21 weeks' gestation, and histopathologic examination revealed placenta previa increta/percreta. This new 3-dimensional angiohistogram technique allowed us to visualize all 3 orthogonal planes of the angioarchitectural information. It appears to be a useful complementary tool and is likely to play a more defining and clarifying role in assessing the quantification of abnormal uteroplacental neovascularization for patients with placenta previa increta/percreta.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Angiography, Digital Subtraction
  • Female
  • Humans
  • Imaging, Three-Dimensional*
  • Neovascularization, Pathologic / diagnostic imaging*
  • Placenta / blood supply*
  • Placenta / diagnostic imaging
  • Placenta Previa / diagnostic imaging*
  • Placenta Previa / physiopathology*
  • Pregnancy
  • Ultrasonography, Doppler, Color*
  • Uterus / blood supply*
  • Uterus / diagnostic imaging