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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2017; 01(01): 37-42
DOI: 10.1055/s-0041-1728968
Case Report

Uterine Artery Embolization for Management of Placenta Accreta, a Single-center Experience and Literature Review

Abdallah Noufaily
Departments of Diagnostic and Interventional Radiology, University Medical Center, University of Balamand, Lebanon
,
Raja Achou
Departments of Diagnostic and Interventional Radiology, University Medical Center, University of Balamand, Lebanon
,
Mitri Ashram
Departments of Diagnostic and Interventional Radiology, University Medical Center, University of Balamand, Lebanon
,
Miziana Mokbel
Departments of Obstetrics and Gynecology Saint George Hospital, University Medical Center, University of Balamand, Lebanon
,
Emile Dabaj
Departments of Obstetrics and Gynecology Saint George Hospital, University Medical Center, University of Balamand, Lebanon
,
Elie Snaifer
Departments of Obstetrics and Gynecology Saint George Hospital, University Medical Center, University of Balamand, Lebanon
,
Abbas A. Chamsuddin
Departments of Diagnostic and Interventional Radiology, University Medical Center, University of Balamand, Lebanon
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Abstract

“Morbidly adherent placenta” is a term that describes the continuum of placenta accreta, increta, and percreta. Placenta accreta is the least invasive form, whereas placenta percreta represents a complete penetration of the trophoblast through the uterus that reaches the serosal surface and potentially invades the bladder, rectal wall, and pelvic vessels. Leaving the placenta in situ in the setting of abnormally invasive placenta is now widely practiced. We herein present three cases of abnormal placental implantation diagnosed by antenatal ultrasound and magnetic resonance imaging, in which uterine artery embolization was performed to induce placental infarction and eventually rapid regression but most importantly to minimize peripartum and postpartum bleeding. As we do this, we sought to review the risks of placenta accreta, increta, and percreta and evaluate the role of endovascular therapy to improve maternal outcomes when abnormal placental implantation occurs.

Keywords:

Increta - percreta - placenta accrete - uterine artery embolization


Publikationsverlauf

Artikel online veröffentlicht:
10. April 2021

© 2017. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. https://creativecommons.org/licenses/by-nc-nd/4.0/.

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