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

DeMeritt, John S.; Wajswol, Ethan; Wattamwar, Anoop; Litkouhi, Babak; Vaidya, Ami; Sbarra, Michael; Zamudio, Stacy; Pozzi, Rocio Acera; Canning, Andrew; Woytanowski, J.R.; Al-Khan, Abdulla

doi:10.1007/s00270-018-1929-9

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…20 Additionally, the poor hemostatic effect induced by increased parity may be related to thinning of uterine myometrium and an increase in arteries supplying blood to the uterus. 21 Wang et al 22 showed that a mass >5 cm was a risk factor for patients with CSP who have curettage or for those with UAE combined with curettage. Our study also showed similar results.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for poor hemostasis of prophylactic uterine artery embolization before curettage in cesarean scar pregnancy

Tian

Jia

et al. 2020

J Int Med Res

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Objective To observe the hemostatic effect of prophylactic uterine artery embolization (UAE) in patients with cesarean scar pregnancy (CSP) and to examine the risk factors for poor hemostasis. Methods Clinical data of 841 patients with CSP who underwent prophylactic UAE and curettage were retrospectively analyzed to evaluate the hemorrhage volume during curettage. A hemorrhage volume ≥200 mL was termed as poor hemostasis. The risk factors of poor hemostasis were analyzed and complications within 60 days postoperation were recorded. Results Among the 841 patients, 6.30% (53/841) had poor postoperative hemostasis. The independent risk factors of poor hemostasis were gestational sac size, parity, embolic agent diameter (>1000 μm), multivessel blood supply, and incomplete embolization. The main postoperative complications within 60 days after UAE were abdominal pain, low fever, nausea and vomiting, and buttock pain, with incidence rates of 71.22% (599/841), 47.44% (399/841), 39.12% (329/841), and 36.39% (306/841), respectively. Conclusions Prophylactic UAE before curettage in patients with CSP is safe and effective in reducing intraoperative hemorrhage. Gestational sac size, parity, embolic agent diameter, multivessel blood supply, and incomplete embolization of all arteries supplying blood to the uterus are risk factors of poor hemostasis.

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Section: Discussionmentioning

confidence: 99%

Risk factors for poor hemostasis of prophylactic uterine artery embolization before curettage in cesarean scar pregnancy

Tian

Jia

et al. 2020

J Int Med Res

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“…In acute causes of massive bleeding the management is similar to that of PPH (Kaufman and Tadros 2018 ; DeMeritt et al 2018 ; Shahin and Pang 2018 ; Fitzpatrick et al 2014 ; Sentilhes et al 2013 ).…”

Section: Treatmentmentioning

confidence: 99%

CIRSE standards of practice on gynaecological and obstetric haemorrhage

et al. 2020

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This CIRSE Standards of Practice document provides best practices for obstetric haemorrhage embolisation (OHE) in the management of postpartum haemorrhage (PPH). The document is aimed at interventional radiologists involved in treating postpartum haemorrhage, and has been developed by a writing group established by the CIRSE Standards of Practice Committee.CIRSE Standards of Practice documents are not clinical practice guidelines and do not intend to impose a standard of care, rather provide reasonable approaches to and best practices for specific interventional radiology treatments and techniques.

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Progress of gelatin-based microspheres (GMSs) as delivery vehicles of drug and cell

Dong

Meng

Yang

et al. 2021

Materials Science and Engineering: C

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

Abstract: Level IV.

Cited by 4 publications

References 12 publications

Risk factors for poor hemostasis of prophylactic uterine artery embolization before curettage in cesarean scar pregnancy

Risk factors for poor hemostasis of prophylactic uterine artery embolization before curettage in cesarean scar pregnancy

CIRSE standards of practice on gynaecological and obstetric haemorrhage

Progress of gelatin-based microspheres (GMSs) as delivery vehicles of drug and cell

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