Cardiovasc Intervent Radiol (2017) 40:1351–1357 DOI 10.1007/s00270-017-1664-7 CLINICAL INVESTIGATION ARTERIAL INTERVENTIONS Safety and Efﬁcacy of Uterine Artery Embolization in Ectopic Pregnancies Refractory to Systemic Methotrexate Treatment: A Single-Center Study 1 1 1 1 • • • • Joon Ho Kwon Gyoung Min Kim Kichang Han Man Deuk Kim 1 1 Jong Yun Won Do Yun Lee Received: 15 February 2017 / Accepted: 21 April 2017 / Published online: 1 May 2017 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2017 Abstract normalization of serum b-hCG levels during follow-up Background To investigate the use of uterine artery monitoring (P = 0.01). Uterine preservation was achieved embolization (UAE) to manage ectopic pregnancies that in all 13 patients, without major procedural complications. are refractory to systemic methotrexate (MTX) therapy and Conclusion UAE appears safe and effective as treatment plagued by persistently high serum b-human chorionic of ectopic pregnancies marked by persistently high serum gonadotrophin (hCG) levels and vaginal bleeding. The b-hCG levels and vaginal bleeding after systemic MTX safety and efﬁcacy of UAE were addressed. treatment. Materials and Methods A retrospective review was con- ducted for thirteen patients (mean age 35.2 years; range Keywords Ectopic
CardioVascular and Interventional Radiology – Springer Journals
Published: May 1, 2017
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