The Role of Interventional Radiology in Managing Placenta Accreta Spectrum Disorder

Area of Science:

• Obstetrics and Gynecology
• Vascular Surgery
• Interventional Radiology

Background:

• Placenta accrete spectrum disorder (PAS) poses significant risks of hemorrhage during delivery.
• Traditional management may involve hysterectomy, impacting fertility.
• Minimally invasive options are increasingly important for managing PAS.

Purpose of the Study:

• To provide obstetricians with an overview of Interventional Radiology's (IR) role in managing PAS.
• To describe specific endovascular techniques used by IR in PAS management.
• To discuss outcomes, planning, and intraoperative considerations for IR-assisted PAS cases.

Main Methods:

• Review of existing literature on IR techniques for PAS.
• Description of angiographic methods including prophylactic balloon occlusion and embolization.
• Analysis of outcomes data and planning strategies.

Main Results:

• IR offers effective minimally invasive strategies for hemorrhage control in PAS.
• Techniques include prophylactic balloon occlusion and pre-emptive embolization.
• IR can help preserve fertility by avoiding hysterectomy.

Conclusions:

• Interventional Radiology is a vital component in the multidisciplinary management of PAS.
• Endovascular techniques provide crucial options for hemorrhage control and fertility preservation.
• Collaboration between IR and obstetrics is key for optimal PAS patient care.