Outcomes and complications of uterine artery embolization in patients with cervical ectopic pregnancy and ectopic pregnancies caused by surgical incision

Ectopic pregnancy is an urgent and life-threatening condition that must be diagnosed and treated rapidly. The aim of the current study was to evaluate outcomes and complications of uterine arterial embolization (UAE) in patients with cervical ectopic pregnancy and ectopic pregnancies caused by surgical incisions. In a retrospective study, all patients with cervical and incisional ectopic pregnancies treated by administration of methotrexate and bilateral angioembolization of the uterine artery between September ۲۰۱۲ and September ۲۰۱۷ were reviewed. Inclusion criteria include all pregnancies with abdominal or pelvic pain, vaginal bleeding or spotting with the diagnosis of cervical or incisional ectopic pregnancy undergoing the operation of uterine artery angioembolization. Mothers with a history of kidney diseases, high diastolic blood pressure, and allergy to radiocontrast agents, active hyperthyroidism, and unwillingness to undergo the surgery were excluded from the study. The patientschr('۳۹') information about postoperative complications one day after the embolization and measured β hCG titration in ۲nd, ۴th, ۶th and ۸th week was reviewed. Fifty-six patients with inclusion criteria were investigated. The mean ± SD of age was ۳۲.۲۹±۵.۳۹ years. The results showed that the treatment was successful in ۹۸.۲% of the patients. No specific complications were observed in the cases. Non-specific complications were reported in ۴۷ (۸۳.۹۳%) Patients. The findings of the present study suggest that the UAE in patients with cervical ectopic pregnancy and ectopic pregnancies caused by the incision of previous surgeries was successful, and can be used as a definite treatment with maintaining the productivity of uterine.

Keywords:

Uterine artery embolization , Ectopic pregnancy , UAE , Outcomes and complications , EP