Interventional Radiologist's Approach to Fallopian Tube Recanalization

Kohi, Maureen

doi:10.1016/j.tvir.2021.100736

Cited by 5 publications

(9 citation statements)

References 11 publications

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“…Once the tube is recanalised, a confirmatory salpingogram is performed 37 . Technical success rates are as high as 100%, however subsequent pregnancy rates are relatively low at 41% at 1 year post‐procedure 39 . The tubes are at risk of re‐occluding; as such, patients are counselled to start trying to conceive within the first week post‐procedure 37 .…”

Section: Fallopian Tube Obstructionmentioning

confidence: 99%

“…37 Technical success rates are as high as 100%, however subsequent pregnancy rates are relatively low at 41% at 1 year post-procedure. 39 The tubes are at risk of re-occluding; as such, patients are counselled to start trying to conceive within the first week post-procedure. 37 For those who do not conceive within the first 6 months the chance of re-occlusion is around 50%.…”

Section: Pulmonary Embolism and Deep Vein Thrombosismentioning

confidence: 99%

“…37 Risks include infection, extravasation of contrast, abdominal pain, vaginal bleeding and hypersensitivity reactions to contrast. 39,40 The rate of infection is 1-3%; as such, the use of prophylactic antibiotics is indicated if the patient has a history of prior pelvic inflammatory disease (PID). 39,40 Tubo-ovarian abscesses Tubo-ovarian abscesses (TOA) are a recognised complication of PID that can threaten fertility.…”

Section: Pulmonary Embolism and Deep Vein Thrombosismentioning

confidence: 99%

See 2 more Smart Citations

The clinical applications of interventional radiological techniques in obstetrics and gynaecology

Davies

Parker

Basu

et al. 2023

The Obstetric & Gynaecologis

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Uterine artery embolisation can be used as a minimally invasive technique for the management of benign gynaecological conditions refractory to other medical treatments. The Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Radiologists (RCR) recommend the use of interventional radiology (IR) techniques for the prophylaxis and management of postpartum haemorrhage. Interventional radiologists can percutaneously drain postoperative collections or tubo-ovarian abscesses. Interventional radiology plays a role in the management of early pregnancy complications such as ectopic pregnancy and gestational trophoblastic disease. Interventional radiology can aid the care of patients with gynaecological malignancies. Learning objectivesTo understand the various IR techniques applicable to obstetrics and gynaecology To understand the risk and benefit profiles of these techniques To understand when the techniques could be appropriate and how they compare to surgical alternatives Ethical issuesThere are limited data regarding the use of some IR procedures owing to the ethical issues of using experimental techniques to treat pregnant women or women who wish to conceive. The availability of IR procedures is hospital specific so treatment is not available to all who may benefit.

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Section: Fallopian Tube Obstructionmentioning

confidence: 99%

Section: Pulmonary Embolism and Deep Vein Thrombosismentioning

confidence: 99%

Section: Pulmonary Embolism and Deep Vein Thrombosismentioning

confidence: 99%

See 1 more Smart Citation

The clinical applications of interventional radiological techniques in obstetrics and gynaecology

Davies

Parker

Basu

et al. 2023

The Obstetric & Gynaecologis

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“…Interventional fallopian tube recanalization (FTR) is extremely effective for treating tubal obstruction in cases of infertility with a technical success rate as high as 90% ( Ikechebelu et al, 2018 ; Gao et al, 2019 ). One-year pregnancy rate following FTR is approximately 41% ( Kohi, 2021 ). FTR is an alternative to vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) and should be top-of-mind in the setting of infertility due to fallopian tube obstruction ( Kohi, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…One-year pregnancy rate following FTR is approximately 41% ( Kohi, 2021 ). FTR is an alternative to vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) and should be top-of-mind in the setting of infertility due to fallopian tube obstruction ( Kohi, 2021 ). FTR is a safe treatment option in patients with fallopian tube obstruction, with high technical success rate and increased chances of pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Dose-Effect Relationship of Chitosan and Danshen Combined Injection for Fallopian Tube Recanalization

Huang

Liang

et al. 2022

Front. Pharmacol.

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Objectives: This study examined the dose-effect relationship of chitosan and danshen combined injections on the long-term prevention of fallopian tube re-obstructions, with increased pregnancy rates in infertile women.Methods: High-performance liquid chromatography was used to determine the content changes of combined chitosan and danshen injection. Two hundred and eighty patients with fallopian tube obstructions were randomly assigned to four groups. Group A (control group, saline), Group B (2 ml chitosan, 4 ml danshen), Group C (2 ml chitosan, 10 ml danshen), and Group D (1 ml chitosan, 10 ml danshen). Injections were administered after tubal recanalization.Results: The effective constituent of chitosan and danshen injection was stable. Tubal patency rate was 94.2% and 87.3% in Group C after 1 and 3 years, respectively, which was significantly higher than Groups A (38.6%, 31.5%), B (73.5%, 64.1%), and D (68.5%, 50.7%). Intrauterine pregnancy rates were 61.8% and 79.4% in Group C after 1 and 3 years, respectively, and were significantly higher than Groups A (31.8%, 34.8%), B (40.1%, 62.5%), and D (38.5%, 58.5%) (p < 0.05).Conclusion: Combined Chitosan and danshen injections prevented tubal obstruction and increased pregnancy rates for long periods using an optimal ratio of 1 part chitosan and 5 parts danshen.

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Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility

Mody,

Salazar,

Kohi

2023

Semin intervent Radiol

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Infertility affects approximately 15% of patients worldwide, with up to 40% of cases attributed to tubal disease, and up to 25% of those being proximal fallopian tube obstruction (FTO). Evaluation of tubal patency can be performed via laparoscopic chromopertubation, hysterosalpingography, or hysterosalpingo-contrast-sonography (HyCoSy). In patients with proximal tubal obstruction, fallopian tube recanalization (FTR) can result in up to 100% technical success rate with pregnancy rates of 12.8 to 51%. More pregnancies occur when oil-soluble contrast media are used versus water-soluble contrast media. Complications of FTR are rare and include tubal perforation, ectopic pregnancy, and pelvic infection. Reocclusion of fallopian tubes may occur in 20 to 50% of patients; however, FTR may be repeated in these cases. Overall, FTR is underutilized in the treatment of infertility secondary to proximal FTO and it can obviate costly and time-consuming assistive reproductive techniques such as in vitro fertilization in some patients, as well as decreasing physical and emotional stress.

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Interventional Radiologist's Approach to Fallopian Tube Recanalization

Cited by 5 publications

References 11 publications

The clinical applications of interventional radiological techniques in obstetrics and gynaecology

The clinical applications of interventional radiological techniques in obstetrics and gynaecology

Dose-Effect Relationship of Chitosan and Danshen Combined Injection for Fallopian Tube Recanalization

Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility

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