title: Conservative management of placenta increta with selective arterial embolization preserves future fertility and results in a favorable outcome in subsequent pregnancies.
abstract: OBJECTIVE
  To present a case of selective arterial embolization for the treatment of placenta increta in a patient with subsequent pregnancy.
  
  
  METHODS
  Case report and literature review.
  
  
  METHODS
  Community-based hospital.
  
  
  METHODS
  A 31-year-old G2P1 woman with placenta increta presenting with delayed postpartum hemorrhage.
  
  
  METHODS
  Selective uterine artery embolization.
  
  
  METHODS
  Cessation of uterine hemorrhage, future pregnancy.
  
  
  RESULTS
  The patient's uterine bleeding immediately resolved. She subsequently delivered a healthy neonate at term without recurrence of abnormal placentation.
  
  
  CONCLUSIONS
  Arterial embolization is effective for treating placenta increta in women who wish to preserve fertility. A review of the literature demonstrates a 76.9% success rate and an 11% complication rate.
authors.affiliation: Department of Obstetrics and Gynecology, Carolinas Medical Center, Charlotte, North Carolina 28232, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Alanis
authors.forename: Bradley S
authors.initials: BS
authors.lastname: Hurst
authors.forename: Paul B
authors.initials: PB
authors.lastname: Marshburn
authors.forename: Michelle L
authors.initials: ML
authors.lastname: Matthews
mesh_terms: D000328:Adult; D004621:Embolization, Therapeutic / Q000379:methods*; D005260:Female; D005298:Fertility; D006801:Humans; D010921:Placenta Accreta / Q000628:therapy*; D011247:Pregnancy; D011256:Pregnancy Outcome; D016896:Treatment Outcome