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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-09-01
|
| Series: | Case Reports in Women's Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911223000784 |
| _version_ | 1797647530502127616 |
|---|---|
| author | Niki Shahrrava Jade Lerner Neil Patel Zachary Sandman Juana Cuevas Michael Moretti Sumeet Bahl |
| author_facet | Niki Shahrrava Jade Lerner Neil Patel Zachary Sandman Juana Cuevas Michael Moretti Sumeet Bahl |
| author_sort | Niki Shahrrava |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-11T15:18:52Z |
| format | Article |
| id | doaj.art-28b98b25123c486ebbac216974a0ddfa |
| institution | Directory Open Access Journal |
| issn | 2214-9112 |
| language | English |
| last_indexed | 2024-03-11T15:18:52Z |
| publishDate | 2023-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj.art-28b98b25123c486ebbac216974a0ddfa2023-10-29T04:19:54ZengElsevierCase Reports in Women's Health2214-91122023-09-0139e00554Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case reportNiki Shahrrava0Jade Lerner1Neil Patel2Zachary Sandman3Juana Cuevas4Michael Moretti5Sumeet Bahl6St. George's University School of Medicine, St. George's, Grenada, West Indies; Corresponding author at: St. George's University School of Medicine, Grenada, West Indies.Rutgers New Jersey Medical School, 185 S Orange Ave, Newark, NJ 07103, United StatesThe Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United StatesThe Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United StatesThe Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United StatesThe Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United StatesThe Brooklyn Hospital Center, 121 Dekalb Ave, Brooklyn, NY 11201, United StatesThe 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.http://www.sciencedirect.com/science/article/pii/S2214911223000784Uterine artery embolizationCervical pregnancyPlacenta accretaSpontaneous abortionPostpartum hemorrhage |
| spellingShingle | Niki Shahrrava Jade Lerner Neil Patel Zachary Sandman Juana Cuevas Michael Moretti Sumeet Bahl Prophylactic uterine artery embolization in first-trimester cervical pregnancy termination with placenta accreta: A case report Case Reports in Women's Health Uterine artery embolization Cervical pregnancy Placenta accreta Spontaneous abortion Postpartum hemorrhage |
| 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 | Uterine artery embolization Cervical pregnancy Placenta accreta Spontaneous abortion Postpartum hemorrhage |
| url | http://www.sciencedirect.com/science/article/pii/S2214911223000784 |
| work_keys_str_mv | AT nikishahrrava prophylacticuterinearteryembolizationinfirsttrimestercervicalpregnancyterminationwithplacentaaccretaacasereport AT jadelerner prophylacticuterinearteryembolizationinfirsttrimestercervicalpregnancyterminationwithplacentaaccretaacasereport AT neilpatel prophylacticuterinearteryembolizationinfirsttrimestercervicalpregnancyterminationwithplacentaaccretaacasereport AT zacharysandman prophylacticuterinearteryembolizationinfirsttrimestercervicalpregnancyterminationwithplacentaaccretaacasereport AT juanacuevas prophylacticuterinearteryembolizationinfirsttrimestercervicalpregnancyterminationwithplacentaaccretaacasereport AT michaelmoretti prophylacticuterinearteryembolizationinfirsttrimestercervicalpregnancyterminationwithplacentaaccretaacasereport AT sumeetbahl prophylacticuterinearteryembolizationinfirsttrimestercervicalpregnancyterminationwithplacentaaccretaacasereport |