{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:26:41Z","timestamp":1765888001900,"version":"build-2065373602"},"reference-count":37,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T00:00:00Z","timestamp":1525132800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Morbidly adherent placentas are a spectrum of abnormalities ranging from placental invasion of the myometrium to invasion past the myometrium and muscular layers into adjacent structures. This entity is becoming more prevalent recently with increased number of cesarean deliveries. Given the high risk of morbidity and mortality, this was traditionally treated with pre-term planned cesarean hysterectomy. However, recently, uterine preservation techniques have been implemented for those women wishing to preserve future fertility or their uterus. Early identification is crucial as studies have shown better outcomes for women treated at tertiary care facilities by a dedicated multidisciplinary team. Interventional radiologists are frequently included in the care of these patients as there are several different endovascular techniques which can be implemented to decrease morbidity in these patients both in conjunction with cesarean hysterectomy and in the setting of uterine preservation. This article will review the spectrum of morbidly adherent placentas, imaging, as well as the surgical and endovascular interventions implemented in the care of these complex patients.<\/jats:p>","DOI":"10.3390\/jcm7050092","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T03:20:27Z","timestamp":1525317627000},"page":"92","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Endovascular Interventions for the Morbidly Adherent Placenta"],"prefix":"10.3390","volume":"7","author":[{"given":"Claire","family":"Kaufman","sequence":"first","affiliation":[{"name":"Department of Radiology, University of Utah, Salt Lake City, UT 84112, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Tadros","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of California San Diego, San Diego, CA 92103, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,5,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"214","DOI":"10.2214\/AJR.16.16281","article-title":"MRI of Placenta Accreta, Placenta Increta, and Placenta Percreta: Pearls and Pitfalls","volume":"208","author":"Kilcoyne","year":"2017","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.jvir.2017.08.015","article-title":"Prophylactic Internal Iliac Artery Occlusion Balloon Placement to Reduce Operative Blood Loss in Patients with Invasive Placenta","volume":"29","author":"Picel","year":"2018","journal-title":"J. Vasc. Interv. Radiol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1111\/aogs.12083","article-title":"Abnormally invasive placenta: Changing trends in diagnosis and management","volume":"92","author":"Guleria","year":"2013","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1016\/j.placenta.2006.06.011","article-title":"Placenta accreta: A review of current advances in prenatal diagnosis","volume":"28","author":"Mazouni","year":"2007","journal-title":"Placenta"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1016\/j.carj.2014.08.002","article-title":"Conservative management of invasive placenta using combined prophylactic internal iliac artery balloon occlusion and immediate postoperative uterine artery embolization","volume":"66","author":"Kingdom","year":"2015","journal-title":"Can. Assoc. Radiol. J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1097\/01.AOG.0000207559.15715.98","article-title":"Placenta previa, placenta accreta, and vasa previa","volume":"107","author":"Oyelese","year":"2006","journal-title":"Obstet. Gynecol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/S0002-9378(97)70463-0","article-title":"Clinical risk factors for placenta previa-placenta accreta","volume":"177","author":"Miller","year":"1997","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1016\/j.ajog.2004.12.074","article-title":"Abnormal placentation: Twenty-year analysis","volume":"192","author":"Wu","year":"2005","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1056\/NEJM195108022450501","article-title":"Placenta accreta: Clinical manifestations and conservative management","volume":"245","author":"Mc","year":"1951","journal-title":"N. Engl. J. Med."},{"key":"ref_10","first-page":"799","article-title":"Risk factors for placenta accreta: A large prospective cohort","volume":"31","author":"Bowman","year":"2014","journal-title":"Am. J. Perinatol."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1097\/AOG.0000000000001005","article-title":"Abnormal Placentation: Placenta Previa, Vasa Previa, and Placenta Accreta","volume":"126","author":"Silver","year":"2015","journal-title":"Obstet. Gynecol."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/j.ajog.2005.06.037","article-title":"Placenta previa-accreta: Risk factors and complications","volume":"193","author":"Usta","year":"2005","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.1097\/01.AOG.0000292082.80566.cd","article-title":"Pregnancy outcomes for women with placenta previa in relation to the number of prior cesarean deliveries","volume":"110","author":"Grobman","year":"2007","journal-title":"Obstet. Gynecol."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Fitzpatrick, K.E., Sellers, S., Spark, P., Kurinczuk, J.J., Brocklehurst, P., and Knight, M. (2012). Incidence and risk factors for placenta accreta\/increta\/percreta in the UK: A national case-control study. PLoS ONE, 7.","DOI":"10.1371\/journal.pone.0052893"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.ajog.2015.04.034","article-title":"Conservative management of morbidly adherent placenta: Expert review","volume":"213","author":"Fox","year":"2015","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Society for Maternal-Fetal Medicine, and Belfort, M.A. (2010). Placenta accreta. Am. J. Obstet. Gynecol., 203, 430\u2013439.","DOI":"10.1016\/j.ajog.2010.09.013"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1148\/rg.287085060","article-title":"Placenta accreta: Spectrum of US and MR imaging findings","volume":"28","author":"Baughman","year":"2008","journal-title":"Radiographics"},{"key":"ref_18","first-page":"692","article-title":"Persistence of placenta previa according to gestational age at ultrasound detection","volume":"99","author":"Dashe","year":"2002","journal-title":"Obstet. Gynecol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1007\/s00261-012-9929-8","article-title":"MR imaging of the placenta: What a radiologist should know","volume":"38","author":"Masselli","year":"2013","journal-title":"Abdom. Imaging"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1080\/02841850410001114","article-title":"Magnetic resonance imaging with true fast imaging with steady-state precession and half-fourier acquisition single-shot turbo spin-echo sequences in cases of suspected placenta accreta","volume":"45","author":"Kim","year":"2004","journal-title":"Acta Radiol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2214\/AJR.11.7957","article-title":"MRI of pregnancy-related issues: Abnormal placentation","volume":"198","author":"Leyendecker","year":"2012","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1007\/s00330-008-0862-8","article-title":"Magnetic resonance imaging in the evaluation of placental adhesive disorders: Correlation with color Doppler ultrasound","volume":"18","author":"Masselli","year":"2008","journal-title":"Eur. Radiol."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Committee on Obstetric Practice (2012). Committee opinion no. 529: Placenta accreta. Obstet. Gynecol., 120, 207\u2013211.","DOI":"10.1097\/AOG.0b013e318262e340"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/AOG.0b013e3182051db2","article-title":"Maternal morbidity in cases of placenta accreta managed by a multidisciplinary care team compared with standard obstetric care","volume":"117","author":"Eller","year":"2011","journal-title":"Obstet. Gynecol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.ajog.2014.08.019","article-title":"Maternal morbidity in patients with morbidly adherent placenta treated with and without a standardized multidisciplinary approach","volume":"212","author":"Shamshirsaz","year":"2015","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.ajog.2016.10.030","article-title":"Minimizing blood loss at cesarean-hysterectomy for placenta previa percreta","volume":"216","author":"Belfort","year":"2017","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1097\/AOG.0b013e3181d066d4","article-title":"Maternal outcome after conservative treatment of placenta accreta","volume":"115","author":"Sentilhes","year":"2010","journal-title":"Obstet. Gynecol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.ajog.2012.06.007","article-title":"Preoperative intravascular balloon catheters and surgical outcomes in pregnancies complicated by placenta accreta: A management paradox","volume":"207","author":"Ballas","year":"2012","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.2214\/AJR.07.2417","article-title":"Perioperative endovascular internal iliac artery occlusion balloon placement in management of placenta accreta","volume":"189","author":"Tan","year":"2007","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1022","DOI":"10.1097\/AOG.0000000000001113","article-title":"Precesarean prophylactic balloon catheters for suspected placenta accreta","volume":"126","author":"Salim","year":"2015","journal-title":"Obstet. Gynecol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1016\/j.ejogrb.2014.05.007","article-title":"Prophylactic use of intravascular balloon catheters in women with placenta accreta, increta and percreta","volume":"179","author":"Cali","year":"2014","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1573","DOI":"10.1007\/s00270-016-1418-y","article-title":"Outcome of pregnancies after balloon occlusion of the infrarenal abdominal aorta during caesarean in 230 patients with placenta praevia accreta","volume":"39","author":"Wu","year":"2016","journal-title":"Cardiovasc. Interv. Radiol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1024\/0301-1526\/a000577","article-title":"Comparison of temporary abdominal aortic occlusion with internal iliac artery occlusion for patients with placenta accrete\u2014A non-randomised prospective study","volume":"46","author":"Wang","year":"2017","journal-title":"Vasa"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1951","DOI":"10.1016\/j.fertnstert.2008.02.170","article-title":"Prophylactic intraoperative uterine artery embolization to control hemorrhage in abnormal placentation during late gestation","volume":"91","author":"Yu","year":"2009","journal-title":"Fertil. Steril."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/j.jvir.2014.10.013","article-title":"Feasibility and safety of prophylactic uterine artery catheterization and embolization in the management of placenta accreta","volume":"26","author":"Izbizky","year":"2015","journal-title":"J. Vasc. Interv. Radiol."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1458","DOI":"10.1007\/s00270-014-0855-8","article-title":"Prophylactic uterine artery embolization assisted cesarean section for the prevention of intrapartum hemorrhage in high-risk patients","volume":"37","author":"Li","year":"2014","journal-title":"Cardiovasc. Interv. Radiol."},{"key":"ref_37","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. Gynecol. Obstet."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/7\/5\/92\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T15:02:44Z","timestamp":1760194964000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/7\/5\/92"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5,1]]},"references-count":37,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2018,5]]}},"alternative-id":["jcm7050092"],"URL":"https:\/\/doi.org\/10.3390\/jcm7050092","relation":{},"ISSN":["2077-0383"],"issn-type":[{"type":"electronic","value":"2077-0383"}],"subject":[],"published":{"date-parts":[[2018,5,1]]}}}