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Báo cáo ca lâm sàng : Phối hợp chẹn bóng động mạch chậu trong và nút động mạch tử cung dự phòng xuất huyết ở sản phụ mắc rau cài răng lược kết hợp rau tiền đạo
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Abstract
Placenta acrreta spectrum is a condition in which the placenta partially or completely invades and cannot be separated from the uterus muscle. Placenta previa is a condition in which the placenta partially or completely covers the cervix. Both phenomena increase the risk of postpartum haemorrhage, hemostasis disorders, and threaten the life of the mother and the fetus. Combine of the two phenomena increase blood loss in cesarean delivery as well as postpartum period, and is a great challenge required multidisciplinary for successful management. Prophylactic endovascular intervention is a minimally invasive treatment method, which plays an important role in prevent haemorrhage in the management of placenta accreta spectrum. This report describes a case of placenta percreta combine with placenta previa, which received prophylactic endovascular intervention using balloon occlusion of internal illiacs and uterine arteries embolization and underwent a cesarean delivery at 36 weeks. The patient had a successful delivery and preserved the uterus after surgery.
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Keywords
Placenta acrreta spectrum, prophylatic balloon occlusion, uterine artery embolization
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