Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report

The current standard treatment for placenta accreta is a hysterectomy, which carries a significant risk of hemorrhage. Although prophylactic uterine artery embolization (UAE) is established as an effective means of minimizing perioperative bleeding, there are few reports of its use early in pregnanc...

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Autores principales: Shahrrava, Niki, Lerner, Jade, Patel, Neil, Sandman, Zachary, Cuevas, Juana, Moretti, Michael, Bahl, Sumeet
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585350/
https://www.ncbi.nlm.nih.gov/pubmed/37868259
http://dx.doi.org/10.1016/j.crwh.2023.e00554
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author Shahrrava, Niki
Lerner, Jade
Patel, Neil
Sandman, Zachary
Cuevas, Juana
Moretti, Michael
Bahl, Sumeet
author_facet Shahrrava, Niki
Lerner, Jade
Patel, Neil
Sandman, Zachary
Cuevas, Juana
Moretti, Michael
Bahl, Sumeet
author_sort Shahrrava, Niki
collection PubMed
description The current standard treatment for placenta accreta is a hysterectomy, which carries a significant risk of hemorrhage. Although prophylactic uterine artery embolization (UAE) is established as an effective means of minimizing perioperative bleeding, there are few reports of its use early in pregnancy with invasive placenta. A 45-year-old woman, gravida 6, para 1, at 11 weeks of gestation presented with heavy, painless uterine bleeding and was diagnosed with a spontaneous abortion complicated by cervical pregnancy and placenta accreta. The patient underwent bilateral UAE followed by gravid hysterectomy. This case report encourages prophylactic UAE prior to abdominal hysterectomy in patients with early gestational cervical pregnancy and placenta accreta to minimize blood loss during surgery.
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spelling pubmed-105853502023-10-20 Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report Shahrrava, Niki Lerner, Jade Patel, Neil Sandman, Zachary Cuevas, Juana Moretti, Michael Bahl, Sumeet Case Rep Womens Health Article The current standard treatment for placenta accreta is a hysterectomy, which carries a significant risk of hemorrhage. Although prophylactic uterine artery embolization (UAE) is established as an effective means of minimizing perioperative bleeding, there are few reports of its use early in pregnancy with invasive placenta. A 45-year-old woman, gravida 6, para 1, at 11 weeks of gestation presented with heavy, painless uterine bleeding and was diagnosed with a spontaneous abortion complicated by cervical pregnancy and placenta accreta. The patient underwent bilateral UAE followed by gravid hysterectomy. This case report encourages prophylactic UAE prior to abdominal hysterectomy in patients with early gestational cervical pregnancy and placenta accreta to minimize blood loss during surgery. Elsevier 2023-10-11 /pmc/articles/PMC10585350/ /pubmed/37868259 http://dx.doi.org/10.1016/j.crwh.2023.e00554 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Shahrrava, Niki
Lerner, Jade
Patel, Neil
Sandman, Zachary
Cuevas, Juana
Moretti, Michael
Bahl, Sumeet
Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report
title Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report
title_full Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report
title_fullStr Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report
title_full_unstemmed Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report
title_short Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report
title_sort prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10585350/
https://www.ncbi.nlm.nih.gov/pubmed/37868259
http://dx.doi.org/10.1016/j.crwh.2023.e00554
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