Arteriovenous malformation identification after conservative management of placenta percreta with uterine artery embolization and adjunctive therapy

Placenta percreta is a complication of pregnancy with significant morbidity and mortality rates. Conservative management may be considered when fertility preservation is desired or to possibly reduce morbidity when there is invasion of pelvic structures. We present 3 cases of antenatally diagnosed p...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2011-05, Vol.204 (5), p.e4-e8
Main Authors: Barber, James T., DO, Tressler, Terry B., DO, Willis, Gregory S., DO, Martinez, Francis J., DO, Peisner, David B., MD, Goodman, Jay D., MD, Taboada, Claudia D., DO
Format: Article
Language:English
Subjects:
Adult
Antineoplastic Agents, Phytogenic - therapeutic use
arteriovenous malformation
Arteriovenous Malformations - diagnosis
Cesarean Section
chemotherapy
embolization
Etoposide - therapeutic use
Female
Humans
Hysterectomy
Obstetrics and Gynecology
Placenta Accreta - therapy
placenta percreta
Postpartum Hemorrhage - therapy
Pregnancy
Treatment Outcome
Uterine Artery Embolization
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Summary:Placenta percreta is a complication of pregnancy with significant morbidity and mortality rates. Conservative management may be considered when fertility preservation is desired or to possibly reduce morbidity when there is invasion of pelvic structures. We present 3 cases of antenatally diagnosed placenta percreta that were managed conservatively. A finding after the operation included the identification of arteriovenous malformations.
ISSN:0002-9378
1097-6868
DOI:10.1016/j.ajog.2011.01.001