Feasibility and Safety of Prophylactic Uterine Artery Catheterization and Embolization in the Management of Placenta Accreta Gustavo Izbizky, MD, César.

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Feasibility and Safety of Prophylactic Uterine Artery Catheterization and Embolization in the Management of Placenta Accreta Gustavo Izbizky, MD, César Meller, MD, Mario Grasso, MD, Andrea Velazco, MD, Oscar Peralta, MD, Lucas Otaño, MD, PhD, Ricardo Garcia-Monaco, MD, PhD Journal of Vascular and Interventional Radiology Volume 26, Issue 2, Pages 162-169 (February 2015) DOI: 10.1016/j.jvir.2014.10.013 Copyright © 2015 SIR Terms and Conditions

Figure 1 (a) Aortogram shows low placental implantation (asterisk) and vascularization originating from the uterine and vesicovaginal arteries (arrows). The angiogram shows the fetal head (open arrows) and “double-J” formed by catheters (arrowheads). This angiogram was obtained immediately before bilateral and simultaneous catheterization of both uterine arteries. (b) Postembolization angiogram after simultaneous contrast agent injection from both hypogastric arteries after delivery (arrows) shows double-J formed by catheters (arrowheads). Placenta was devascularized after uterine artery and anterior internal iliac trunk free-flow embolization (asterisk). Journal of Vascular and Interventional Radiology 2015 26, 162-169DOI: (10.1016/j.jvir.2014.10.013) Copyright © 2015 SIR Terms and Conditions

Figure 2 Flow chart of patient disposition. Journal of Vascular and Interventional Radiology 2015 26, 162-169DOI: (10.1016/j.jvir.2014.10.013) Copyright © 2015 SIR Terms and Conditions