Uterine Artery Embolization following Cesarean Delivery but prior to Hysterectomy in the Management of Patients with Invasive Placenta

2019 ◽  
Vol 30 (5) ◽  
pp. 687-691 ◽  
Author(s):  
Melinda Wang ◽  
Deddeh Ballah ◽  
Alana Wade ◽  
Andrew G. Taylor ◽  
Gabrielle Rizzuto ◽  
...  
Keyword(s):  
Cesarean Delivery ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Invasive Placenta

scholarly journals Pregnancy after Uterine Artery Embolization: A Case Report in a Woman with Leiomyomata

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Helena Isabel Lopes ◽  
Maria Isabel Sá ◽  
Rosa Maria Rodrigues
Keyword(s):  
Case Report ◽  
Cesarean Delivery ◽  
Postpartum Hemorrhage ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Uterine Fibroids ◽  
Abnormal Placentation ◽  
Artery Embolization ◽  
Increased Risk ◽  
Transverse Position

Background. Several pregnancies have been reported after embolization of uterine artery. This procedure is an accepted nonsurgical treatment for symptomatic uterine fibroids but its safety in women desiring future childbearing is not well established.Case Report. We present a 40-year-old woman with leiomyomata who became pregnant after previously undergone uterine artery embolization for three times. The placenta was previa and the fetus was in transverse position. She had a cesarean delivery of an appropriately grown fetus at 37 weeks, which was followed by uterine atony requiring hysterectomy.Conclusion. Although pregnancy-related outcomes remain understudied, the available reports evidence that pregnancies after uterine artery embolization may be at significantly increased risk for postpartum hemorrhage, cesarean delivery, abnormal placentation, and malpresentation. In patients who are undergoing this type of treatment and contemplating pregnancy, the possibility of adverse complications should be taken in consideration and women should be appropriately advised.

Uterine Artery Embolization in the Twentieth Week of Pregnancy in Abnormally Invasive Placenta with Live Birth

2021 ◽  
Vol 32 (3) ◽  
pp. 339-342
Author(s):  
Angela Köninger ◽  
Udo Schwenk ◽  
Antonella Iannaccone ◽  
Nikolaos Koliastas ◽  
Rainer Kimmig ◽  
...  
Keyword(s):  
Live Birth ◽  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Artery Embolization ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

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

2017 ◽  
Vol 01 (01) ◽  
pp. 37-42
Author(s):  
Abdallah Noufaily ◽  
Raja Achou ◽  
Mitri Ashram ◽  
Miziana Mokbel ◽  
Emile Dabaj ◽  
...  
Keyword(s):  
Uterine Artery Embolization ◽  
Uterine Artery ◽  
Placenta Accreta ◽  
Rectal Wall ◽  
Artery Embolization ◽  
Single Center Experience ◽  
Invasive Placenta ◽  
Abnormally Invasive Placenta

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.

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