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

1 Citation (Scopus)

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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