Role of the Interventional Radiologist in Treating Obstetric—Gynecologic Pathology

Velling, Thomas E.; Brennan, Frank J.; Hall, Lee D.; Watabe, John T.

doi:10.2214/ajr.175.5.1751273

Cited by 10 publications

(5 citation statements)

References 10 publications

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“…One of the causes of infertility is proximal obstruction of the fallopian tubes. This is present in 20% of women with tubal disease (Velling et al , 2000; Sulak et al , 1987). Selective tubal catheterization is an emerging treatment for infertility and subfertility in women who have been diagnosed with proximal fallopian tube obstruction.…”

Section: Fallopian Tube Recanalization To Treat Infertilitymentioning

confidence: 99%

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E-health and interventional radiology in gynecology

Alghanimi

2021

IJHRH

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Purpose This paper aims to summarize the radiological interventions that can be used by obstetricians and gynecologists. Design/methodology/approach E-health systems apply in all hospital sectors in the world; interventional radiology (IR) now includes transcatheter and percutaneous techniques that can be applied to various organ systems, including the female reproductive system and pelvis. Interventional radiologists can now offer many services to obstetricians and gynecologists. With the advent of new procedures and refinement of existing techniques, there are now a number of procedures that can be used to treat both vascular and non-vascular diseases. This review summarizes the radiological interventions that can be used by obstetricians and gynecologists. Findings This review is intended to help gynecologists and obstetricians understand the role of IR in their specialty. Many valuable vascular and nonvascular interventional services can be provided by radiologists for both obstetric and gynecological indications. Many of these IR procedures are minimally invasive with less risk to the patients. Originality/value IR is now being used to treat some conditions encountered in obstetrics and gynecology, in particular, uterine leiomyomas, placenta accreta, postpartum hemorrhage and pelvic congestion syndrome. Moreover, with the help of IR, radiologists can also manage several nonvascular pathologies, including drainage of pelvic abscesses, fallopian tube recanalization, image-guided biopsy and fluid collections involving ovarian lesions. The major challenges faced when performing obstetric IR procedures are reduction of radiation exposure for the patient and fetus and preservation of fertility. This review highlights the role of IR in the treatment of various vascular and nonvascular pathologies encountered in obstetrics and gynecology.

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Section: Fallopian Tube Recanalization To Treat Infertilitymentioning

confidence: 99%

Section: Fallopian Tube Recanalization To Treat Infertilitymentioning

confidence: 99%

E-health and interventional radiology in gynecology

Alghanimi

2021

IJHRH

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“…2 ), selective catheterization of the culprit tubal ostium is performed. 22 This is achieved by placement of an angled or curved diagnostic catheter through the balloon catheter or balloon-tip introducer sheath with the assistance of a hydrophilic guidewire (typically 0.038-in diameter; Fig. 3 ).…”

Section: Fallopian Tube Recanalization Techniquementioning

confidence: 99%

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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“… 1 , 2 Examples of treatments administered by interventional radiologists include angioplasty, biopsies, stenting, thrombolysis, embolization, and radiofrequency ablation. 1 , 3 , 4 , 5 , 6…”

Section: Introductionmentioning

confidence: 99%

“…3 ). 3 , 8 , 12 , 16 , 18 In patients affected by gynecological malignancies, endovascular treatment of metrorrhagia could be a valid therapeutic alternative, especially in elderly patients with poor clinical conditions not suitable for surgery. A bilateral and superselective embolization using nonresorbable embolic agents should be performed, except for those cases in which there is infiltration of major vessels causing pseudoaneurysms or fistulas that require embolization.…”

Section: Introductionmentioning

confidence: 99%

Interventional radiology in gynecology and obstetric practice: Safety issues

Pinto

Giurazza

Califano

et al. 2021

Seminars in Ultrasound, CT and MRI

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Interventional radiology is continuing to reshape current practice in many specialties of clinical care and the fields of gynecology and obstetrics are no exception. Imaging skills, clinical knowledge as well as vascular and non-vascular interventional technical ability, are essential to practice interventional radiology effectively. Patient safety is of paramount importance in interventional radiology as in all branches of medicine. Potential failures occur throughout successful procedures and are attributed to a spectrum of errors, including equipment unavailability, planning errors, and communication errors. These are mainly preventable by improved preprocedural planning and teamwork. Of all the targeted and effective actions that can be undertaken to reduce adverse events, the use of safety checklists might have a prominent role. The advantage of a safety checklist for interventional radiology is that it guarantees that human error in terms of forgetting key steps in patient preparation, intraprocedural care, and postoperative care are not forgotten.

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Role of the Interventional Radiologist in Treating Obstetric—Gynecologic Pathology

Cited by 10 publications

References 10 publications

E-health and interventional radiology in gynecology

E-health and interventional radiology in gynecology

Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility

Interventional radiology in gynecology and obstetric practice: Safety issues

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