Effect of pigtail catheter application on obstetric outcomes in in vitro fertilization/intracytoplasmic sperm injection pregnancies following hyperstimulation syndrome

• Published in: Turkish journal of obstetrics and gynecology Vol. 14; no. 2; pp. 94 - 99
• Main Authors: Çağlar Aytaç, Pınar, Kalaycı, Hakan, Yetkinel, Selçuk, Alkaş, Didem, Yüksel Şimşek, Seda, Haydardedeoğlu, Bülent, Bulgan Kılıçdağ, Esra
• Format: Journal Article
• Language: English
• Published: Turkey Türk Jinekoloji ve Obstetrik Derneği 01.06.2017; Galenos Publishing
• Subjects: Clinical Investigation; Kadın Hastalıkları; Tıp; Ankara; Türkiye; in vitro fertilization; Ovarian hyperstimulation syndrome; ascites; pigtail catheter; asit; Ovaryan hiperstimülasyon sendromu; pigtail kateter; in vitro fertilizasyon
• ISSN: 2149-9322; 2149-9330
• DOI: 10.4274/tjod.33340

To evaluate the effects of percutaneous pigtail catheter drainage on the outcomes of intracytoplasmic sperm injection (ICSI) pregnancies following moderate or severe ovarian hyperstimulation syndrome (OHSS). This retrospective study included 189 patients hospitalized for OHSS following ICSI treatment in a tertiary in vitro fertilization unit between 2006 and 2014. Pigtail catheters were applied in 63 patients; the other 126 patients did not need that treatment. The obstetric reports of 173 patients could be accessed and were examined to investigate the pregnancy outcomes of those with and without catheters. No complications such as infection or vascular or intra-abdominal organ trauma were observed related to the pigtail application. There were no differences in abortus, preterm labor, gestational diabetes mellitus, and preeclampsia ratio between the pigtail and control groups (p>0.05). The rate of readmission to hospital for OHSS was lower in the pigtail group than in the control group although not statistically significant (p=0.08). Pigtail application is a safe and effective method for draining ascites in patients with OHSS after ICSI treatment. The use of pigtail catheters had no adverse effects on the perinatal outcomes of patients hospitalized with OHSS who became pregnant after ICSI treatment. In addition, the percutaneous drainage of ascites via a pigtail catheter helped prevent the readmission of patients with moderate or severe OHSS.