Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies
The advent of interventional radiology enabled remarkable advances in diagnosis and treatment of several situations in obstetrics and gynecology. In the field of obstetrics, these advances include temporary occlusion of the iliac arteries to the management of placenta accreta and/or prior, arteriove...
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| Format: | Article |
| Language: | English |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
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| Series: | Einstein (São Paulo) |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100031&lng=en&tlng=en |
| _version_ | 1819263174371704832 |
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| author | Vinicius Adami Vayego Fornazari Denis Szejnfeld Julio Elito Júnior Suzan Menasce Goldman |
| author_facet | Vinicius Adami Vayego Fornazari Denis Szejnfeld Julio Elito Júnior Suzan Menasce Goldman |
| author_sort | Vinicius Adami Vayego Fornazari |
| collection | DOAJ |
| description | The advent of interventional radiology enabled remarkable advances in diagnosis and treatment of several situations in obstetrics and gynecology. In the field of obstetrics, these advances include temporary occlusion of the iliac arteries to the management of placenta accreta and/or prior, arteriovenous fistulas after embolization of uterine curettage and management of ectopic uterine and extra-uterine pregnancies. The non-tubal ectopic pregnancy, either cervical, abdominal, ovarian or in a cesarean scar, often represents major therapeutic challenge, especially when exists a desire to maintain fertility. Despite the systemic methotrexate therapy and surgical resection of the ectopic gestational sac be the most used therapeutic options, the interventionist approach of non-tubal ectopic pregnancies, direct injection of methotrexate in the gestational sac and intra-arterial chemoembolization of uterine arteries constitute in the currently literature viable, safe, effective modalities with low morbidity, shorter hospital stay, and rapid clinical recovery. Because of little variety of materials used, and the increase in training of specialists in the area, the radiological intervention as a treatment option in ectopic pregnancies is financially viable and present considerable accessibility in the world and at most of Brazilian medical centers. |
| first_indexed | 2024-12-23T20:09:24Z |
| format | Article |
| id | doaj.art-334517dc53c84530a859a41e4cab5ce1 |
| institution | Directory Open Access Journal |
| issn | 2317-6385 |
| language | English |
| last_indexed | 2024-12-23T20:09:24Z |
| publisher | Instituto Israelita de Ensino e Pesquisa Albert Einstein |
| record_format | Article |
| series | Einstein (São Paulo) |
| spelling | doaj.art-334517dc53c84530a859a41e4cab5ce12022-12-21T17:32:51ZengInstituto Israelita de Ensino e Pesquisa Albert EinsteinEinstein (São Paulo)2317-638513116716910.1590/S1679-45082015MD3168S1679-45082015000100031Interventional radiology and endovascular surgery in the treatment of ectopic pregnanciesVinicius Adami Vayego FornazariDenis SzejnfeldJulio Elito JúniorSuzan Menasce GoldmanThe advent of interventional radiology enabled remarkable advances in diagnosis and treatment of several situations in obstetrics and gynecology. In the field of obstetrics, these advances include temporary occlusion of the iliac arteries to the management of placenta accreta and/or prior, arteriovenous fistulas after embolization of uterine curettage and management of ectopic uterine and extra-uterine pregnancies. The non-tubal ectopic pregnancy, either cervical, abdominal, ovarian or in a cesarean scar, often represents major therapeutic challenge, especially when exists a desire to maintain fertility. Despite the systemic methotrexate therapy and surgical resection of the ectopic gestational sac be the most used therapeutic options, the interventionist approach of non-tubal ectopic pregnancies, direct injection of methotrexate in the gestational sac and intra-arterial chemoembolization of uterine arteries constitute in the currently literature viable, safe, effective modalities with low morbidity, shorter hospital stay, and rapid clinical recovery. Because of little variety of materials used, and the increase in training of specialists in the area, the radiological intervention as a treatment option in ectopic pregnancies is financially viable and present considerable accessibility in the world and at most of Brazilian medical centers.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100031&lng=en&tlng=enGravidez ectópicaQuimioembolização terapêuticaRadiologia IntervencionistaEmbolização da artéria uterinaMetotrexato |
| spellingShingle | Vinicius Adami Vayego Fornazari Denis Szejnfeld Julio Elito Júnior Suzan Menasce Goldman Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies Einstein (São Paulo) Gravidez ectópica Quimioembolização terapêutica Radiologia Intervencionista Embolização da artéria uterina Metotrexato |
| title | Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies |
| title_full | Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies |
| title_fullStr | Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies |
| title_full_unstemmed | Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies |
| title_short | Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies |
| title_sort | interventional radiology and endovascular surgery in the treatment of ectopic pregnancies |
| topic | Gravidez ectópica Quimioembolização terapêutica Radiologia Intervencionista Embolização da artéria uterina Metotrexato |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100031&lng=en&tlng=en |
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