Retained placenta accreta with marked vascularity, uterine artery pseudoaneurysm, and placental polyp: overlapping clinical entities?

Reply to “Retained placenta accreta with marked vascularity, uterine artery pseudoaneurysm, and placental polyp: overlapping clinical entities?”

“…2d, they commented that this angiographic image shows similarity to the image observed in pseudoaneurysm [2]. However, we think that this structure with hypervascular stain shows the bundle of arterio-venous shunt-like structure (this becomes clear if you simply magnify the image) similarly as shown in three-dimensional computerized tomographic angiography (Fig.…”

“…Dear Editor, We thank Dr. Matsubara and colleagues for their interest in our work [1] and their comments [2].…”

Removal of retained products of conception showing marked vascularity without uterine artery embolization: Two case reports

“…Possible treatment options for RPOC are TCR or vacuum aspiration with a suction cannula . As previously reported, the evacuation procedure for RPOC with marked vascularity in the uterus might cause massive bleeding . Some obstetricians and gynecologists would prefer UAE .…”

“…Thus, before this protocol involving the maximum laminaria procedure and targeted removal of RPOC, as a cautionary measure, we set up UAE as backup. In patients with massive bleeding, UAE is better than hysterectomy if they desire more pregnancies . We explained the treatment strategies including UAE and hysterectomy to the patients before the treatment and they agreed to all the procedures before we commenced.…”

“…Retained products of conception (RPOC) with marked vascularity can cause massive postabortal or post‐partum hemorrhage . These clinical presentations resemble placental polyps and uterine artery pseudoaneurysms . Uterine artery embolization (UAE) is presumed to be effective in preserving the uterus and is widely performed before the removal of RPOC.…”