Local Methotrexate Plus Uterine Artery Embolization for High-Risk Interstitial Ectopic Pregnancy

被引：1
作者：
Mikhitarian, Mark [1 ]
Goodnight, William [2 ]
Keefe, Nicole [1 ,3 ]
机构：
[1] Univ N Carolina, Dept Radiol, Sch Med, Chapel Hill, NC USA
[2] Univ N Carolina, Dept Obstet & Gynecol, Sch Med, Chapel Hill, NC USA
[3] Univ N Carolina, Dept Radiol, Sch Med, 101 Manning Dr,CB 7510,2000 Old Clin Bldg, Chapel Hill, NC 27599 USA
来源：
SEMINARS IN INTERVENTIONAL RADIOLOGY | 2023年 / 40卷 / 04期
关键词：
interstitial ectopic pregnancy; uterine artery embolization; methotrexate; interventional radiology; MANAGEMENT;
D O I：
10.1055/s-0043-1770712
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Interstitial ectopic pregnancy involves the interstitial portion of the fallopian tube and is among the most hazardous of all ectopic pregnancies, with the highest risk of uterine rupture and maternal mortality. Unlike tubal ectopic pregnancy, management of interstitial pregnancy is not well standardized. Systemic methotrexate (MTX) and surgical resection are the primary treatment options; however, failure rates and risk of bleeding remain high. Alternative minimally invasive techniques have been described-including uterine artery embolization (UAE) and local injection of MTX or potassium chloride-and may confer improved success rates. We report a case of a high-risk 28-year-old female with an interstitial ectopic pregnancy successfully treated with combined local injection of MTX plus UAE. We describe our technique and the unique medical management in the setting of a known bleeding disorder.
引用
收藏
页码：357 / 361
页数：5
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