Uterine artery embolization in cesarean scar pregnancy： safe and effective intervention

• Published in: Chinese medical journal Vol. 127; no. 12; pp. 2322 - 2326
• Main Authors: Cao, Shasha, Zhu, Lihong, Jin, Long, Gao, Jian, Chen, Chen
• Format: Journal Article
• Language: English
• Published: China Department of Radiology,Peking University People's Hospital,Beijing 100044,China%Department of Radiation Oncology,Peking University Third Hospital,Beijing 100191,China%Department of Radiology,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China 2014
• Subjects: Adult; Cesarean Section; Cicatrix; Female; Humans; Retrospective Studies; Uterine Artery Embolization - methods; 保守治疗; 剖宫产; 动脉; 妊娠; 子宫; 安全; 栓塞; 瘢痕; suction curettage; cesarean scar pregnancy; uterine artery embolization
• ISSN: 0366-6999; 2542-5641
• DOI: 10.3760/cma.j.issn.0366-6999.20140196

Background Cesarean scar pregnancy （CSP） is a very rare but life-threatening entity and there is no optimal management strategy.Here we report a successfully conservative treatment of CSP.Methods We retrospectively analyzed the clinical data of 54 women with CSP,who underwent uterine artery embolization between January 2007 and September 2012 at the Peking University People＇s Hospital.We evaluated the clinical outcomes,the technique and the complications of uterine artery embolization.Results Of the 54 patients,2 patients with hemorrhage after induced abortion received bilateral uterine artery embolization treatment alone,and 52 patients underwent suction curettage after bilateral uterine artery embolization.All 54 women were successfully cured,without any severe complications,and uterine function was restored.During the follow-up,one patient had accidental normal interuterine pregnancy and received induced abortion during the first trimester.Conclution Uterine artery embolization combined with suction curettage is an effective and safe conservative treatment for cesarean scar pregnancy.