{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:08:23Z","timestamp":1786118903203,"version":"build-2736575974"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:00:00Z","timestamp":1717200000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T00:00:00Z","timestamp":1715817600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Placenta Accreta Spectrum (PAS) stands out as one of the most significant complications in pregnancy, capable of causing maternal morbidity and mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case:<\/jats:title>\n                    <jats:p>In this report, we aim to discuss a case involving unsatisfactory conservative care coupled with uterine angioembolization, resulting in multiple hospitalizations due to placental infection and eventual hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>Both conservative and non-conservative approaches have been utilized to mitigate maternal complications and mortality associated with Placenta Accreta Syndrome. While uterus-preserving methods play a crucial role, leaving the placenta in situ can lead to numerous severe long-term complications. Previous Research highlights the limitations of conservative management in the case of placenta accreta, necessitating careful patient selection due to potential morbidity and the risk of secondary hysterectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>invasive placentation poses challenges in obstetrics, presenting a risk of severe maternal morbidity and mortality. Conservative management poses limitations and risks, emphasizing the need for further research and evidence-based guidelines to enhance the management of PAS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.109774","type":"journal-article","created":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T14:20:54Z","timestamp":1715955654000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Managing Placenta Accreta Spectrum: A case report on combining conservative care with uterine angioembolization"],"prefix":"10.1097","volume":"119","author":[{"given":"Somayyeh Noei","family":"Teymoordash","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Ghahari","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sana","family":"Movahedi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Safkhani","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milad","family":"Gholizadeh","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soheil","family":"Khalili","sequence":"additional","affiliation":[{"name":"Department of Pathology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"10","key":"R1-108-20260422","doi-asserted-by":"crossref","first-page":"963","DOI":"10.1016\/j.placenta.2013.04.016","article-title":"Conservative management of morbidly adherant placenta - a case report and review of literature","volume":"34","author":"Khan","year":"2013","journal-title":"Placenta"},{"issue":"10","key":"R2-108-20260422","article-title":"Placenta Percreta complications","volume":"13","author":"Anderson","year":"2021","journal-title":"Cureus"},{"issue":"10","key":"R3-108-20260422","doi-asserted-by":"crossref","first-page":"1944","DOI":"10.1080\/14767058.2020.1774871","article-title":"Conservative management versus cesarean hysterectomy in patients with placenta increta or percreta","volume":"35","author":"Wang","year":"2022","journal-title":"J. Matern. Fetal Neonatal Med."},{"key":"R4-108-20260422","article-title":"Conservative management of Placenta Percreta: three cases and a review of the literature regarding conservative management of Placenta Accreta Spectrum (PAS) disorders","volume":"2020","author":"Patabendige","year":"2020","journal-title":"Case Rep. Obstet. Gynecol."},{"key":"R5-108-20260422","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.bpobgyn.2021.01.007","article-title":"Role of interventional radiology in placenta accreta spectrum (PAS) disorders","volume":"72","author":"Hawthorn","year":"2021","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"issue":"5","key":"R6-108-20260422","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi","year":"2023","journal-title":"Int. J. Surg."},{"issue":"2","key":"R7-108-20260422","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1007\/s00404-011-1934-6","article-title":"Invasive placentation and uterus preserving treatment modalities: a systematic review","volume":"284","author":"Steins Bisschop","year":"2011","journal-title":"Arch. Gynecol. Obstet."},{"issue":"1","key":"R8-108-20260422","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1002\/ijgo.12090","article-title":"Retrospective cohort study of prophylactic intraoperative uterine artery embolization for abnormally invasive placenta","volume":"137","author":"Pan","year":"2017","journal-title":"Int. J. Gynaecol. Obstet."},{"issue":"8","key":"R9-108-20260422","doi-asserted-by":"crossref","first-page":"777","DOI":"10.3109\/01443615.2015.1011106","article-title":"Systematic review of uterus-preserving treatment modalities for abnormally invasive placenta","volume":"35","author":"Mei","year":"2015","journal-title":"J. Obstet. Gynaecol."},{"issue":"3","key":"R10-108-20260422","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.jogoh.2016.10.010","article-title":"Prise en charge conservatrice du placenta percreta v\u00e9sical avec embolisation des art\u00e8res ut\u00e9rines: \u00e0 partir d'une s\u00e9rie continue de 12 cas [Conservative placenta percreta management using uterine arterial embolization procedure: a series of 12 cases]","volume":"46","author":"Hennetier","year":"2017","journal-title":"J. Gynecol. Obstet. Hum. Reprod."},{"issue":"2","key":"R11-108-20260422","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/aogs.12295","article-title":"Management of placenta percreta: a review of published cases","volume":"93","author":"Clausen","year":"2014","journal-title":"Acta Obstet. Gynecol. 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