Placenta Accreta Spectrum Treatment With Intraoperative Multivessel Embolization: the PASTIME protocol

Dora J Melber,Zachary T Berman,Marni B Jacobs,Andrew C Picel,Charlotte L Conturie,Kathy Zhang-Rutledge,Pratibha S Binder,Ramez N Eskander,Anne C Roberts,Michael T Mchale,Gladys A Ramos,Jerasimos Ballas,Thomas F Kelly

American Journal of Obstetrics and Gynecology（2021）

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摘要

A multidisciplinary pathway including a single-surgery protocol with multivessel uterine embolization is associated with a decrease in blood transfusion requirements and EBL with no increase in operative complications. The PASTIME protocol provides a definitive surgical method that warrants consideration by other centers specializing in PAS treatment.

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关键词

arterial embolization,blood loss,blood transfusion,cesarean hysterectomy,interventional radiology,placenta accreta spectrum,postpartum hemorrhage,pregnancy

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