Vasa previa in which velamentous cord insertion is combined with “boomerang vessels” that surround the placenta

Placenta ◽  
2021 ◽  
Vol 114 ◽  
pp. 147
Author(s):  
Takuma Watanabe ◽  
Hideaki Terada ◽  
Keita Imai ◽  
Mami Abe ◽  
Nanae Isaki ◽  
...  
2019 ◽  
Vol 36 (1) ◽  
pp. 73-78
Author(s):  
Amanda Gandhi

Vasa previa is a life-threatening complication of a velamentous cord insertion. Understanding variations of this condition is vital to ensuring optimal patient outcomes. The case presented is of a 27-year-old primigravida woman whose condition was diagnosed during her second-trimester obstetric sonographic examination. The case demonstrated an unusual variation of vasa previa, in which a single fetal vessel separated from the membranous insertion located near the fundal placenta and traversed posteriorly through the chorionic membrane to within 0.83 cm of the internal os. The case was followed with the most up-to-date standards recommended by the American Institute of Ultrasound in Medicine.


2015 ◽  
Vol 293 (2) ◽  
pp. 361-367 ◽  
Author(s):  
Yael Baumfeld ◽  
Gil Gutvirtz ◽  
Iris Shoham ◽  
Eyal Sheiner

2007 ◽  
Vol 27 (7) ◽  
pp. 457-459 ◽  
Author(s):  
S Jantarasaengaram ◽  
C Suthipintawong ◽  
S Kanchanawat ◽  
K Thanagumtorn

2021 ◽  
Vol 10 (4) ◽  
pp. 572
Author(s):  
Hyun-Mi Lee ◽  
SiWon Lee ◽  
Min-Kyung Park ◽  
You Jung Han ◽  
Moon Young Kim ◽  
...  

Background: The purpose of this study was to evaluate the prevalence of velamentous cord insertion (VCI) and the actual association between pathologically confirmed VCI and perinatal outcomes in twins based on the chorionicity. Methods: All twin pregnancies that received prenatal care at a specialty clinic for multiple pregnancies, from less than 12 weeks of gestation until delivery in a single institution between 2015 and 2018 were included in this retrospective cohort study. Results: A total of 941 twins were included in the study. The prevalence of VCI in dichorionic (DC) twins and monochorionic diamniotic (MCDA) twins was 5.8% and 7.8%, respectively (p = 0.251). In all study population, the prevalence of vasa previa and placenta accreta spectrum was higher in VCI group than that of non-VCI group (p = 0.008 and 0.022). In MCDA twins with VCI, birth weight, 1 and 5-min Apgar score were lower than DC twins with VCI (p = 0.010, 0.002 and 0.000). There was no significant association between VCI and selective fetal growth restriction (p = 0.486), twin-to-twin transfusion syndrome (p = 0.400), and birth-weight discordance (>20% and >25%) (p = 0.378 and 0.161) in MCDA twins. Conclusion: There was no difference in the incidence of VCI in twins based on the chorionicity. Moreover, VCI was not a risk factor for adverse perinatal outcomes excepting vasa previa and placenta accreta spectrum, which had a high incidence in twins with VCI.


2020 ◽  
Vol 59 (1) ◽  
pp. 167-168
Author(s):  
Kazuya Mimura ◽  
Masayuki Endo ◽  
Shinya Matsuzaki ◽  
Takuji Tomimatsu ◽  
Tadashi Kimura

2007 ◽  
Vol 30 (4) ◽  
pp. 567-567
Author(s):  
A. G. Shamas ◽  
L. Kambhampati ◽  
O. Abu Ghazza ◽  
R. Kadir ◽  
Z. Al Dabbagh

Diagnostics ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. 1369
Author(s):  
Daisuke Tachibana ◽  
Takuya Misugi ◽  
Ritsuko K. Pooh ◽  
Kohei Kitada ◽  
Yasushi Kurihara ◽  
...  

Background: We aimed to identify clinical characteristics and outcomes for each placental type of vasa previa (VP). Methods: Placental types of vasa previa were defined as follows: Type 1, vasa previa with velamentous cord insertion and non-type 1, vasa previa with a multilobed or succenturiate placenta and vasa previa with vessels branching out from the placental surface and returning to the placental cotyledons. Results: A total of 55 cases of vasa previa were included in this study, with 35 cases of type 1 and 20 cases of non-type 1. Vasa previa with type 1 showed a significantly higher association with assisted reproductive technology, compared with non-type 1 (p = 0.024, 60.0% and 25.0%, respectively). The diagnosis was significantly earlier in the type 1 group than in the non-Type 1 group (p = 0.027, 21.4 weeks and 28.6 weeks, respectively). Moreover, the Ward technique for anterior placentation to avoid injury of the placenta and/or fetal vessels was more frequently required in non-type 1 cases (p < 0.001, 60.0%, compared with 14.3% for type 1). Conclusion: The concept of defining placental types of vasa previa will provide useful information for the screening of this serious complication, improve its clinical management and operative strategy, and achieve more preferable perinatal outcomes.


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