Document Detail


Is uterine artery embolization for cervical ectopic pregnancy always safe?
MedLine Citation:
PMID:  17980340     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The study objective was to assess the feasibility and the efficacy of bilateral uterine artery embolization (BUAE) for the treatment of cervical pregnancy. The design was a series of 3 cases of viable cervical pregnancy diagnosed by transvaginal ultrasonography and treated by means of BUAE and subsequent uterine curettage. Three women with viable cervical pregnancy underwent BUAE and subsequent uterine curettage in the department of obstetrics and gynecology, High Risk Pregnancy Center, University "Federico II" of Naples. Measurements included surgical outcomes and preservation of fertility. The treatment was effective in all cases. Two patients resumed normal menstruation about 1 month after the procedure, whereas 1 patient underwent a hysterectomy 2 weeks after embolization because of acute ischemic degeneration of a concomitant myoma. The conservative management of cervical pregnancy with angiographic BUAE is a feasible and effective option, even if subsequent hysterectomy may be required. Counseling is necessary.
Authors:
Pasquale Martinelli; Giuseppe M Maruotti; Rosamaria Oppedisano; Annalisa Agangi; Laura L Mazzarelli; Carmela Votino; Mario Quarantelli; Vittorio Iaccarino
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  14     ISSN:  1553-4650     ISO Abbreviation:  -     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-11-05     Completed Date:  2007-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  758-63     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, High Risk Pregnancy Center, University Federico II, Naples, Italy. martinel@unina.it
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MeSH Terms
Descriptor/Qualifier:
Adult
Arteries / surgery
Cervix Uteri / blood supply*,  pathology
Dilatation and Curettage
Electrocoagulation / adverse effects,  methods
Embolization, Therapeutic*
Female
Humans
Hysterectomy
Pregnancy
Pregnancy, Ectopic / therapy*
Uterus / blood supply*

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


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