Document Detail


An oocyte pick-up procedure complicated with pseudoaneurysm of the internal iliac artery.
MedLine Citation:
PMID:  18423457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe a patient with a pseudoaneurysm of the internal iliac artery after oocyte retrieval, during an intracytoplasmic sperm injection (ICSI) and embryo transfer cycle. DESIGN: Case report. SETTING: Tertiary center for assisted reproductive technologies (ART). PATIENT(S): A 22-year-old woman with a duration of 6 years of primary infertility. INTERVENTION(S): The evaluation of the pseudoaneurysm with ultrasonography and angiography. The management of pregnancy complicated with pseudoaneurysm and viable treatment modalities. MAIN OUTCOME MEASURE(S): Healthy baby and treatment of pseudoaneurysm. RESULTS(S): A healthy female infant with a birth weight of 1,470 g was born by cesarean section at 32 weeks of gestation. The pseudoaneurysm of the left inferior pudental artery was completely embolized with 1 mL (50%) of N-butyl-2-cyanoacrylate. CONCLUSION(S): The pseudoaneurysm of the iliac vessels is an extremely rare complication of the oocyte retrieval procedure. With a multidisciplinary approach, optimal management should depend on the diameter and localization of the pseudoaneurysm, week of gestation, hemodynamic status of the mother and infant, and the available technologies.
Authors:
Gurkan Bozdag; Ahmet Basaran; Barbaros Cil; Ibrahim Esinler; Hakan Yarali
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-18
Journal Detail:
Title:  Fertility and sterility     Volume:  90     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-10     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2004.e11-3     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Hacettepe University, School of Medicine, Ankara, Turkey. gbozdag@hacettepe.edu.tr
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology*,  pathology,  therapy
Cesarean Section
Embolization, Therapeutic
Embryo Transfer*
Female
Gestational Age
Humans
Iliac Aneurysm / etiology*,  pathology,  therapy
Infant, Newborn
Infertility, Female / therapy*
Live Birth
Magnetic Resonance Angiography
Oocyte Retrieval / adverse effects*
Pregnancy
Pregnancy Complications, Cardiovascular / etiology*,  pathology,  therapy
Sperm Injections, Intracytoplasmic*
Treatment Outcome
Ultrasonography, Doppler
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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