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John DeMeritt • Ethan Wajswol • Anoop Wattamwar • Babak Litkouhi • Ami Vaidya • Michael Sbarra • Stacy Zamudio • Rocio Acera Pozzi • Andrew Canning • John Woytanowski • Abdulla Al-Khan
Serial Uterine Artery Embolization for the Treatment of Placenta Percreta in the First Trimester: A Case Report
Abstract 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 b-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.