Uterine Artery Embolization Combined with Dilation and Curettage for the Treatment of Cesarean Scar Pregnancy: Efficacy and Future Fertility View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-03-15

AUTHORS

Amartuvshin Tumenjargal, Hiroyuki Tokue, Hiroshi Kishi, Hiromi Hirasawa, Ayako Taketomi-Takahashi, Yoshito Tsushima

ABSTRACT

PurposeTo investigate the efficacy and safety of uterine artery embolization (UAE) followed by dilation and curettage (D&C) as a treatment for cesarean scar pregnancy (CSP) and to assess pregnancy outcomes after the treatment.Materials and MethodsWe retrospectively analyzed 33 CSP patients treated with UAE followed by D&C. The serum level of beta human chorionic gonadotropin (β-hCG) normalization, hospitalization, menstruation, and successful pregnancy after treatment was assessed as clinical and pregnancy outcomes.ResultsA total of 33 patients were initially treated without severe complications. However, four patients required additional systemic chemotherapy. β-hCG normalization took 35.5 ± 14.9 days (range 13–79), and the hospitalization was 6.5 ± 2.5 days (2–15). All patients resumed normal menstruation after 36 ± 19.2 days (12–86). Of 16 of 33 patients who desired pregnancy after the treatment, seven patients (43.8%) had uneventful parturition.ConclusionsUAE combined with D&C was efficient and safe for CSP management. This minimally invasive procedure may be considered as one of the treatment options which enable preservation of fertility after treatment. More... »

PAGES

1165-1173

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00270-018-1934-z

DOI

http://dx.doi.org/10.1007/s00270-018-1934-z

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1101540391

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29546456


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