Uterine artery embolization combined with methotrexate in the treatment of cesarean scar pregnancy: Results of a case series and review of the literature

Journal of Vascular and Interventional Radiology

Volumn 23, Issue 12, 2012, Pages 1582-1588

  Zhang, Bo ^a   Jiang, Zai Bo ^a   Huang, Ming Sheng ^a   Guan, Shou Hai ^a   Zhu, Kang Shun ^a   Qian, Jie Sheng ^a   Zhou, Bin ^a   Li, Ming An ^a   Shan, Hong ^b  

^a THE THIRD AFFILIATED HOSPITAL OF SUN YAT SEN UNIVERSITY   (China)

^b SUN YAT SEN UNIVERSITY   (China)

Author keywords

cesarean scar pregnancy; CSP; UAE; uterine artery embolization

Indexed keywords

CHORIONIC GONADOTROPIN; GELFOAM; GONADOTROPIN; HEMOGLOBIN; METHOTREXATE; NONIONIC CONTRAST MEDIUM; PROGESTERONE; PROTHROMBIN;

ADULT; ANGIOGRAPHY; BLEEDING; CESAREAN SCAR PREGNANCY; CESAREAN SECTION; CLINICAL ARTICLE; CLINICAL FEATURE; CONSERVATIVE TREATMENT; CURETTAGE; DIAGNOSTIC ERROR; ECHOGRAPHY; EMERGENCY TREATMENT; FEMALE; FOLLOW UP; GESTATIONAL AGE; GESTATIONAL SAC; HUMAN; HYSTERECTOMY; INDUCED ABORTION; LABORATORY TEST; OUTCOME ASSESSMENT; PHYSICAL EXAMINATION; PREGNANCY; PREGNANCY DISORDER; PRIORITY JOURNAL; PROTHROMBIN TIME; RETROSPECTIVE STUDY; REVIEW; THROMBOCYTE COUNT; UTERINE ARTERY; UTERINE ARTERY EMBOLIZATION; VASCULARIZATION;

EID: 84869997389     PISSN: 10510443     EISSN: 15357732     Source Type: Journal    
DOI: 10.1016/j.jvir.2012.08.013     Document Type: Article

References (33)

1. J.V. Larsen, and M.H. Solomon Pregnancy in a uterine scar sacculus: an unusual case of postabortal hemorrhage S Afr Med J 53 1978 142 143
2. T. Jiang, G. Liu, L. Huang, H. Ma, and S. Zhang Methotrexate therapy followed by suction curettage followed by Foley tamponade for caesarean scar pregnancy Eur J Obstet Gynecol Reprod Biol 156 2011 209 211
3. K.M. Seow, L.W. Huang, Y.H. Lin, M.Y. Lin, Y.L. Tsai, and J.L. Hwang Cesarean scar pregnancy: issues in management Ultrasound Obstet Gynecol 23 2004 247 253
4. H. Li, H.Y. Guo, and J.S. Han Endoscopic treatment of ectopic pregnancy in a cesarean scar J Minim Invasive Gynecol 18 2011 31 35
5. F. Lian, Y. Wang, and W. Chen Uterine artery embolization combined with local methotrexate and systemic methotrexate for treatment of cesarean scar pregnancy with different ultrasonographic pattern Cardiovasc Intervent Radiol 35 2012 286 291
6. M.M. Chou, J.I. Hwang, J.J. Tseng, Y.F. Huang, and E.S. Ho Cesarean scar pregnancy: quantitative assessment of uterine neovascularization with 3-dimensional color power Doppler imaging and successful treatment with uterine artery embolization Am J Obstet Gynecol 190 2004 866 868
7. A. Ash, A. Smith, and D. Maxwell Caesarean scar pregnancy Br J Obstet Gynaecol 114 2007 253 263
8. R. Maymon, R. Halperin, and S. Mendlovic Ectopic pregnancies in caesarean section scars: the 8 year experience of one medical centre Hum Reprod 19 2004 278 284
9. T. Angstmann, G. Gard, T. Harrington, E. Ward, A. Thomson, and W. Giles Surgical management of placenta accreta: a cohort series and suggested approach Am J Obstet Gynecol 202 2010 38.e1 38.e9
10. Y. Oyelese, and J.C. Smulian Placenta previa, placenta accreta, and vasa previa Obstet Gynecol 107 2006 927 941
11. D.L. Fylstra Ectopic pregnancy within a cesarean scar: a review Obstet Gynecol Surv 57 2002 537 543
12. D. Jurkovic, K. Hillaby, B. Woelfer, A. Lawrence, R. Salim, and C.J. Elson First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment cesarean section scar Ultrasound Obstet Gynecol 21 2003 220 227
13. Y. Zhuang, and L. Huang Uterine artery embolization compared with methotrexate for the management of pregnancy implanted within a cesarean scar Am J Obstet Gynecol 201 2009 152.e1 152.e3
14. M.J. Yang, and M.H. Jeng Combination of transarterial embolization of uterine arteries and conservative surgical treatment for pregnancy in a cesarean section scar. A report of 3 cases J Reprod Med 48 2003 213 216
15. J. Sugawara, M. Senoo, H. Chisaka, N. Yaegashi, and K. Okamura Successful conservative treatment of a cesarean scar pregnancy with uterine artery embolization Tohoku J Exp Med 206 2005 261 265
16. E.L. Hois, J.F. Hibbeln, M.J. Alonzo, M.E. Chen, and M.G. Freimanis Ectopic pregnancy in a cesarean section scar treated with intramuscular methotrexate and bilateral uterine artery embolization J Clin Ultrasound 36 2008 123 127
17. L. Tulpin, O. Morel, C. Malartic, and E. Barranger Conservative management of a cesarean scar ectopic pregnancy: a case report Cases J 2 2009 7794
18. X.Y. Yang, H. Yu, K.M. Li, Y.X. Chu, and A. Zheng Uterine artery embolisation combined with local methotrexate for treatment of caesarean scar pregnancy Br J Obstet Gynaecol 117 2010 990 996
19. S. Marcus, E. Cheng, and B. Goff Extrauterine pregnancy resulting from early uterine rupture Obstet Gynecol 94 1999 804 805
20. C. Li, C. Li, D. Feng, C. Jia, B. Liu, and X. Zhan Transcatheter arterial chemoembolization versus systemic methotrexate for the management of cesarean scar pregnancy Int J Gynaecol Obstet 113 2011 178 182
21. C.M. Yan A report of four cases of caesarean scar pregnancy in a period of 12 months Hong Kong Med J 13 2007 141 143
22. L.Z. Jiao, J. Zhao, and X.R. Wan Diagnosis and treatment of cesarean scar pregnancy Chin Med Sci J 23 2008 10 15
23. H. Sadeghi, T. Rutherford, and B.W. Rackow Cesarean scar ectopic pregnancy: case series and review of the literature Am J Perinatol 27 2010 111 120
24. O. Akbayir, A. Gedikbasi, A. Akyol, A. Ucar, S. Saygi-Ozyurt, and A. Gulkilik Cesarean scar pregnancy: a rare cause of uterine arteriovenous malformation J Clin Ultrasound 39 2011 534 538
25. X. Wu, X. Zhang, J. Zhu, and W. Di Caesarean scar pregnancy: comparative efficacy and safety of treatment by uterine artery chemoembolization and systemic methotrexate injection Eur J Obstet Gynecol Reprod Biol 161 2012 75 79
26. J. Kiley, and L.P. Shulman Cesarean scar ectopic pregnancy in a patient with multiple prior cesarean sections: a case report J Reprod Med 54 2009 251 254
27. F. Liang, and J. He Methotrexate-based bilateral uterine arterial chemoembolization for treatment of cesarean scar pregnancy Acta Obstet Gynecol Scand 89 2010 1592 1594
28. J.K. Ko, H.L. Wan, S.F. Ngu, V.Y. Cheung, and E.H. Ng Cesarean scar molar pregnancy Obstet Gynecol 119 2012 449 451
29. T. Imbar, A. Bloom, F. Ushakov, and S. Yagel Uterine artery embolization to control hemorrhage after termination of pregnancy implanted in a cesarean delivery scar J Ultrasound Med 22 2003 1111 1115
30. F. Ghezzi, D. Laganà, M. Franchi, C. Fugazzola, and P. Bolis Conservative treatment by chemotherapy and uterine arteries embolization of a cesarean scar pregnancy Eur J Obstet Gynecol Reprod Biol 103 2002 88 91
31. Q. Yang, S. Piao, G. Wang, Y. Wang, and C. Liu Hysteroscopic surgery of ectopic pregnancy in the cesarean section scar J Minim Invasive Gynecol 16 2009 432 436
32. H.P. Jander, and N.A. Russinovich Transcatheter Gelfoam embolization in abdominal, retroperitoneal, and pelvic hemorrhage Radiology 136 1980 337 344
33. N. Smorgick, Z. Vaknin, M. Pansky, R. Halperin, A. Herman, and R. Maymon Combined local and systemic methotrexate treatment of viable ectopic pregnancy: outcomes of 31 cases J Clin Ultrasound 36 2008 545 550