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J. Clin. Med. 2018, 7(5), 92; https://doi.org/10.3390/jcm7050092

Endovascular Interventions for the Morbidly Adherent Placenta

1
Department of Radiology, University of Utah, Salt Lake City, UT 84112, USA
2
Department of Radiology, University of California San Diego, San Diego, CA 92103, USA
*
Author to whom correspondence should be addressed.
Received: 31 March 2018 / Revised: 20 April 2018 / Accepted: 23 April 2018 / Published: 1 May 2018
(This article belongs to the Special Issue Image Guided Interventions and Emerging Technologies)
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Abstract

Morbidly adherent placentas are a spectrum of abnormalities ranging from placental invasion of the myometrium to invasion past the myometrium and muscular layers into adjacent structures. This entity is becoming more prevalent recently with increased number of cesarean deliveries. Given the high risk of morbidity and mortality, this was traditionally treated with pre-term planned cesarean hysterectomy. However, recently, uterine preservation techniques have been implemented for those women wishing to preserve future fertility or their uterus. Early identification is crucial as studies have shown better outcomes for women treated at tertiary care facilities by a dedicated multidisciplinary team. Interventional radiologists are frequently included in the care of these patients as there are several different endovascular techniques which can be implemented to decrease morbidity in these patients both in conjunction with cesarean hysterectomy and in the setting of uterine preservation. This article will review the spectrum of morbidly adherent placentas, imaging, as well as the surgical and endovascular interventions implemented in the care of these complex patients. View Full-Text
Keywords: placenta accreta; placenta increta; placenta percreta; internal iliac balloon; uterine artery embolization placenta accreta; placenta increta; placenta percreta; internal iliac balloon; uterine artery embolization
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Kaufman, C.; Tadros, A. Endovascular Interventions for the Morbidly Adherent Placenta. J. Clin. Med. 2018, 7, 92.

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