Medline ® Abstract for Reference 106
of 'Postpartum hemorrhage: Medical and minimally invasive management'
106
TI
Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in a favorable outcome in subsequent pregnancies.
AU
Alanis M, Hurst BS, Marshburn PB, Matthews ML
SO
Fertil Steril. 2006;86(5):1514.e3.
OBJECTIVE:
To present a case of selective arterial embolization for the treatment of placenta increta in a patient with subsequent pregnancy.
DESIGN:
Case report and literature review.
SETTING:
Community-based hospital.
PATIENT(S):
A 31-year-old G2P1 woman with placenta increta presenting with delayed postpartum hemorrhage.
INTERVENTION(S):
Selective uterine artery embolization.
MAIN OUTCOME MEASURE(S):
Cessation of uterine hemorrhage, future pregnancy.
RESULT(S):
The patient's uterine bleeding immediately resolved. She subsequently delivered a healthy neonate at term without recurrence of abnormal placentation.
CONCLUSION(S):
Arterial embolization is effective for treating placenta increta in women who wish to preserve fertility. A review of the literature demonstrates a 76.9% success rate and an 11% complication rate.
AD
Department of Obstetrics and Gynecology, Carolinas Medical Center, Charlotte, North Carolina 28232, USA.
PMID