Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy

Bo Yu, Nataki C. Douglas, Michael M. Guarnaccia, Mark V. Sauer

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Background: Cervical ectopic pregnancy accounts for less than 1% of all ectopic gestations. The most effective, fertility sparing treatment of a cervical ectopic pregnancy is still unclear due to limited reported experience. Case: The diagnosis and management of a 32-year-old with a cervical ectopic pregnancy after in vitro fertilization and embryo transfer is described. The patient had multiple risk factors, including Asherman's syndrome following an abdominal myomectomy and three uterine curettages, for a cervical ectopic pregnancy. Due to her desire for future childbearing, conservative management strategies were chosen. This patient was successfully treated with uterine artery embolization followed by immediate dilation and evacuation of the pregnancy. Conclusions: This report demonstrates that UAE followed by immediate evacuation of a cervical ectopic pregnancy effectively terminates a viable gestation with minimal blood loss while maintaining fertility capacity.

Original languageEnglish (US)
Pages (from-to)721-724
Number of pages4
JournalArchives of Gynecology and Obstetrics
Volume279
Issue number5
DOIs
StatePublished - May 2009
Externally publishedYes

Fingerprint

Uterine Artery Embolization
Ectopic Pregnancy
Pregnancy
Uterine Myomectomy
Fertility
Gynatresia
Curettage
Embryo Transfer
Fertilization in Vitro
Dilatation

Keywords

  • Cervical pregnancy
  • Ectopic
  • IVF
  • Selective embolization

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy. / Yu, Bo; Douglas, Nataki C.; Guarnaccia, Michael M.; Sauer, Mark V.

In: Archives of Gynecology and Obstetrics, Vol. 279, No. 5, 05.2009, p. 721-724.

Research output: Contribution to journalArticle

Yu, Bo ; Douglas, Nataki C. ; Guarnaccia, Michael M. ; Sauer, Mark V. / Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy. In: Archives of Gynecology and Obstetrics. 2009 ; Vol. 279, No. 5. pp. 721-724.
@article{7d932dae0eed4d719791533e413d6f87,
title = "Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy",
abstract = "Background: Cervical ectopic pregnancy accounts for less than 1{\%} of all ectopic gestations. The most effective, fertility sparing treatment of a cervical ectopic pregnancy is still unclear due to limited reported experience. Case: The diagnosis and management of a 32-year-old with a cervical ectopic pregnancy after in vitro fertilization and embryo transfer is described. The patient had multiple risk factors, including Asherman's syndrome following an abdominal myomectomy and three uterine curettages, for a cervical ectopic pregnancy. Due to her desire for future childbearing, conservative management strategies were chosen. This patient was successfully treated with uterine artery embolization followed by immediate dilation and evacuation of the pregnancy. Conclusions: This report demonstrates that UAE followed by immediate evacuation of a cervical ectopic pregnancy effectively terminates a viable gestation with minimal blood loss while maintaining fertility capacity.",
keywords = "Cervical pregnancy, Ectopic, IVF, Selective embolization",
author = "Bo Yu and Douglas, {Nataki C.} and Guarnaccia, {Michael M.} and Sauer, {Mark V.}",
year = "2009",
month = "5",
doi = "10.1007/s00404-008-0775-4",
language = "English (US)",
volume = "279",
pages = "721--724",
journal = "Archives of Gynecology and Obstetrics",
issn = "0932-0067",
publisher = "Springer Verlag",
number = "5",

}

TY - JOUR

T1 - Uterine artery embolization as an adjunctive measure to decrease blood loss prior to evacuating a cervical pregnancy

AU - Yu, Bo

AU - Douglas, Nataki C.

AU - Guarnaccia, Michael M.

AU - Sauer, Mark V.

PY - 2009/5

Y1 - 2009/5

N2 - Background: Cervical ectopic pregnancy accounts for less than 1% of all ectopic gestations. The most effective, fertility sparing treatment of a cervical ectopic pregnancy is still unclear due to limited reported experience. Case: The diagnosis and management of a 32-year-old with a cervical ectopic pregnancy after in vitro fertilization and embryo transfer is described. The patient had multiple risk factors, including Asherman's syndrome following an abdominal myomectomy and three uterine curettages, for a cervical ectopic pregnancy. Due to her desire for future childbearing, conservative management strategies were chosen. This patient was successfully treated with uterine artery embolization followed by immediate dilation and evacuation of the pregnancy. Conclusions: This report demonstrates that UAE followed by immediate evacuation of a cervical ectopic pregnancy effectively terminates a viable gestation with minimal blood loss while maintaining fertility capacity.

AB - Background: Cervical ectopic pregnancy accounts for less than 1% of all ectopic gestations. The most effective, fertility sparing treatment of a cervical ectopic pregnancy is still unclear due to limited reported experience. Case: The diagnosis and management of a 32-year-old with a cervical ectopic pregnancy after in vitro fertilization and embryo transfer is described. The patient had multiple risk factors, including Asherman's syndrome following an abdominal myomectomy and three uterine curettages, for a cervical ectopic pregnancy. Due to her desire for future childbearing, conservative management strategies were chosen. This patient was successfully treated with uterine artery embolization followed by immediate dilation and evacuation of the pregnancy. Conclusions: This report demonstrates that UAE followed by immediate evacuation of a cervical ectopic pregnancy effectively terminates a viable gestation with minimal blood loss while maintaining fertility capacity.

KW - Cervical pregnancy

KW - Ectopic

KW - IVF

KW - Selective embolization

UR - http://www.scopus.com/inward/record.url?scp=63349103433&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=63349103433&partnerID=8YFLogxK

U2 - 10.1007/s00404-008-0775-4

DO - 10.1007/s00404-008-0775-4

M3 - Article

VL - 279

SP - 721

EP - 724

JO - Archives of Gynecology and Obstetrics

JF - Archives of Gynecology and Obstetrics

SN - 0932-0067

IS - 5

ER -