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

Journal Article (Journal Article)

Two patients with placenta percreta underwent uterine artery embolization (UAE) for abnormally invasive placenta (AIP) in the first trimester. Patient 1 had a 9-week cervical ectopic, while Patient 2 had a 9-week cesarean scar pregnancy. Elective termination of pregnancy was performed in both patients. UAE was performed with tris-acryl gelatin microspheres as well as gelfoam until stasis and was repeated in cases of revascularization. Both patients were followed with US/MRI/MRA scans and β-hCG levels. Revascularization occurred in both patients following UAE, requiring multiple embolizations to achieve complete placental involution. Serial bland UAE may be an effective technique in the treatment of first-trimester AIP, with the distinct advantage of maintaining a patient's fertility.

Level of evidence

Level IV.

Full Text

Duke Authors

Cited Authors

  • DeMeritt, J; Wajswol, E; Wattamwar, A; Litkouhi, B; Vaidya, A; Sbarra, M; Zamudio, S; Pozzi, RA; Canning, A; Woytanowski, J; Al-Khan, A

Published Date

  • August 2018

Published In

Volume / Issue

  • 41 / 8

Start / End Page

  • 1280 - 1284

PubMed ID

  • 29556708

Pubmed Central ID

  • PMC6428058

Electronic International Standard Serial Number (EISSN)

  • 1432-086X

International Standard Serial Number (ISSN)

  • 0174-1551

Digital Object Identifier (DOI)

  • 10.1007/s00270-018-1929-9


  • eng