Minimally Invasive Treatment of Cesarean Scar and Cervical Pregnancies Using a Cervical Ripening Double Balloon Catheter

Expanding the Clinical Series

Ana Monteagudo, Giuseppe Calì, Andrei Rebarber, Marcos Cordoba, Nathan S. Fox, Eran Bornstein, Pe'er Dar, Anthony Johnson, Mark Rebolos, Ilan E. Timor-Tritsch

Research output: Contribution to journalArticle

Abstract

The efficacy of treating cesarean scar pregnancies and cervical pregnancies with the Cook® cervical ripening balloon catheter, in a multicenter office-based setting is reported. Thirty-eight women were treated. Insertion of the catheter was performed under real-time ultrasound guidance. Patients received adjuvant systemic methotrexate, prophylactic oral antibiotics, and oral pain medication. Serum human chorionic gonadotropin and ultrasound scans were followed serially until resolution. Thirty-seven patients were successfully treated, requiring no further procedures. We found that the Cook cervical ripening balloon technique is a simple, effective, outpatient, minimally invasive treatment with few complications noted in this expanded series.

Original languageEnglish (US)
Pages (from-to)785-793
Number of pages9
JournalJournal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
Volume38
Issue number3
DOIs
StatePublished - Mar 1 2019

Fingerprint

Cervical Ripening
Cicatrix
Catheters
Pregnancy
Chorionic Gonadotropin
Methotrexate
Outpatients
Anti-Bacterial Agents
Pain
Therapeutics
Serum

Keywords

  • cervical pregnancy
  • cesarean scar pregnancy
  • double balloon
  • minimally invasive

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

Cite this

Minimally Invasive Treatment of Cesarean Scar and Cervical Pregnancies Using a Cervical Ripening Double Balloon Catheter : Expanding the Clinical Series. / Monteagudo, Ana; Calì, Giuseppe; Rebarber, Andrei; Cordoba, Marcos; Fox, Nathan S.; Bornstein, Eran; Dar, Pe'er; Johnson, Anthony; Rebolos, Mark; Timor-Tritsch, Ilan E.

In: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, Vol. 38, No. 3, 01.03.2019, p. 785-793.

Research output: Contribution to journalArticle

Monteagudo, Ana ; Calì, Giuseppe ; Rebarber, Andrei ; Cordoba, Marcos ; Fox, Nathan S. ; Bornstein, Eran ; Dar, Pe'er ; Johnson, Anthony ; Rebolos, Mark ; Timor-Tritsch, Ilan E. / Minimally Invasive Treatment of Cesarean Scar and Cervical Pregnancies Using a Cervical Ripening Double Balloon Catheter : Expanding the Clinical Series. In: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine. 2019 ; Vol. 38, No. 3. pp. 785-793.
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