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Serial Uterine Artery Embolization for the Treatment of Placenta Percreta in the First Trimester: A Case Report

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Abstract

Two patients with placenta percreta underwent uterine artery embolization (UAE) for abnormally invasive placenta (AIP) in the first trimester. Patient 1 had a 9-week cervical ectopic, while Patient 2 had a 9-week cesarean scar pregnancy. Elective termination of pregnancy was performed in both patients. UAE was performed with tris-acryl gelatin microspheres as well as gelfoam until stasis and was repeated in cases of revascularization. Both patients were followed with US/MRI/MRA scans and β-hCG levels. Revascularization occurred in both patients following UAE, requiring multiple embolizations to achieve complete placental involution. Serial bland UAE may be an effective technique in the treatment of first-trimester AIP, with the distinct advantage of maintaining a patient’s fertility.

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This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Correspondence to John DeMeritt.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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DeMeritt, J., Wajswol, E., Wattamwar, A. et al. Serial Uterine Artery Embolization for the Treatment of Placenta Percreta in the First Trimester: A Case Report. Cardiovasc Intervent Radiol 41, 1280–1284 (2018). https://doi.org/10.1007/s00270-018-1929-9

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  • DOI: https://doi.org/10.1007/s00270-018-1929-9

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