Vasa previa - SonoWorld

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<strong>Vasa</strong> <strong>previa</strong> Table II - Review of reported cases 1990-2006. Reference No. of Vaginal G.A. (wks) TAS TVS Pathology Number of Time and mode Associated anomalies cases bleeding at diagnosis + + vessels of delivery or neonatal complications as initial CDU CDU presentation Harding et al. 1 Yes 24 wk 4d 1 Succenturiate One large vessel (1990) lobe Nelson et al. 1 No 26 wk 1 Velamentous Four major vessels (1990) Cord insertion Hsieh et al. 1 No 30 wk 1 Succenturiate Fetal vessels (1991) Lobe Arts et al. 1 Yes 39 wk 1* Succenturiate Several vessels 39 wk, Elective C.S Normal (1993) Lobe + Velamentous Cord insertion Meyer et al. 1 No 27 wk 1 1 Marginal Large vein and (1993) Cord insertion small artery Hata et al. 1 Yes 30 wk 1 Velamentous Network of vessels (1994) Cord insertion Fleming et al. 1 No 1 1 Bilobed Several vessels (1996) Placenta Sauerbrei and 1 No 36 wk 1 1 Velamentous Several vessels 36 wk, Elective C.S. Normal Davies (1998) Cord insertion 1 Yes 28 wk 1 1 Placenta 4 Vessels 33 wk, Elective C.S. Normal Membranacea Devesa et al. 1 No 20 wk 1 1 Velamentous cord Large vessel 37 wk, Elective C.S. Normal (1996) insertion Fung et al. 1 Yes 35 wk 1 Bilobed placenta Network of vessels 36 wk, Elective C.S. Normal (1998) 1 Yes (heavy) Not diagnosed 1 Velamentous cord Network of vessels 39 wk, Elective C.S. Resuscitation + blood insertion Transfusion + convulsion 1 No Not diagnosed Network of vessels 39 wk, Emergency C.S. Velamentous cord Normal insertion 37 wk, Elective C.S. Journal of Prenatal Medicine 2007; 1 (1): 2-13 9
Y. Derbala et al. Table II - Review of reported cases 1990-2006. Reference No. of Vaginal G.A. (wks) TAS TVS Pathology Number of Time and mode Associated anomalies cases bleeding at diagnosis + + vessels of delivery or neonatal complications as initial CDU CDU presentation Oyelese et al. 1 Yes 38 wk 1 Velamentous cord Network of vessels 38 wk, Normal Stillborn ex sanguinated (1998) insertion Vaginal Delivery fetus 1 No (clear 23 wk 1 1 Network of vessels fluid only) Succenturiate lobe 24 wk, Emergency C.S. Died at 7 days of life 1 34 wk 1 2 Vessels (A & V) (chorio-amionitis) sepsis and prematurity Yes Velamentous cord insertion 36 wk, Elective C.S. Normal Lee et al. 1 No 21 wk 1d 1(3D) Bilobed Large vessel 33 wk, Elective C.S. Normal (2000) Multiplanar Placenta + 1 No 34 wk 3d volume (3D) Velamentous cord Large vessel 35 wk, Elective C.S. Normal Flightpath Velamentous cord Canterino 1 No 19 wk 1(3D) 1 Velamentous cord Network of vessels 35 wk, Elective C.S. Respiratory distress et al. (2004) insertion Syndrome Stafford 1 Yes 28wk 3 Bilobed Network of vessels 30 wk 2d, elective C.S. Normal et al (2004) Placenta (low-lying ) Oyelese 1 No 30 wk 1 1 + 3D Bilobed placenta Large vessel 35 wk, elective C.S. Normal et al. (2004) 1 Yes 24 wk 1 (3D) 1 + 3D Velamentous cord Network of vessels 34 wk, elective C.S. Normal insertion Hsieh 1 Yes 27 wk 1 (3D) Velamentous cord Network of vessels 34 wk, elective C.S. Normal et al. (2006) insertion 1 Yes 35 wk 1 (3D) Network of vessels 35 wk 2d, elective C.S. Normal Succenturiate lobe Ushakov 1 15 wk 1 Velamentous cord Fetal vessels (in all Elective C.S. was done et al. (2006) insertion 4 cases) as a to all the cases 1 22 wk 1 network of vessels (All 4 cases) 1 26 wk 1 1 30 wk 1 G.A. = gestational age; SGA = small for gestational age; PROM = premature rupture of membranes; CS = cesarean section; TAS = trans-abdominal sonography; TVS = trans-vaginal sonography; CDU = Color- Doppler ultrasonography. 10 Journal of Prenatal Medicine 2007; 1 (1): 2-13
Page 1 and 2: Vasa previa Yasmine Derbala, MD Fra
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