Recanalization of Proximal Fallopian Tube Obstruction in the Treatment of Infertility.
fallopian tube occlusion
interventional radiology
recanalization
tubal infertility
women's health
Journal
Seminars in interventional radiology
ISSN: 0739-9529
Titre abrégé: Semin Intervent Radiol
Pays: United States
ID NLM: 8510974
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
pmc-release:
10
08
2024
medline:
14
8
2023
pubmed:
14
8
2023
entrez:
14
8
2023
Statut:
epublish
Résumé
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.
Identifiants
pubmed: 37575349
doi: 10.1055/s-0043-1771042
pii: sir001492
pmc: PMC10415059
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
379-383Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of Interest The authors have no financial conflicts of interest to disclose.
Références
Obstet Gynecol. 2018 Jun;131(6):e172-e189
pubmed: 29794678
Clin Biochem. 2018 Dec;62:2-10
pubmed: 29555319
CVIR Endovasc. 2023 Mar 13;6(1):13
pubmed: 36912985
Fertil Steril. 2018 Sep;110(4):754-760
pubmed: 30196973
Insights Imaging. 2012 Oct;3(5):475-83
pubmed: 22802083
J Minim Invasive Gynecol. 2005 Mar-Apr;12(2):150-2
pubmed: 15904619
J Obstet Gynaecol Can. 2018 Oct;40(10):e723-e733
pubmed: 30390951
Cureus. 2022 Nov 1;14(11):e30990
pubmed: 36475176
J Int Med Res. 2020 Dec;48(12):300060520979218
pubmed: 33322979
Fertil Steril. 2011 Jun;95(7):2171-9
pubmed: 21457959
J Vasc Interv Radiol. 2003 Jan;14(1):69-74
pubmed: 12525588
Ther Adv Reprod Health. 2020 Oct 08;14:2633494120954248
pubmed: 33103116
Best Pract Res Clin Obstet Gynaecol. 2003 Apr;17(2):187-209
pubmed: 12758095
Womens Health (Lond). 2010 Jul;6(4):531-48, quiz 548-9
pubmed: 20597618
Radiology. 1987 May;163(2):511-4
pubmed: 3562835
Semin Intervent Radiol. 2008 Dec;25(4):425-31
pubmed: 21326584
Fertil Steril. 2013 Apr;99(5):1324-1331.e1
pubmed: 23290741
J Pathog. 2016;2016:4698314
pubmed: 27047692
Hum Reprod. 1992 Nov;7(10):1425-8
pubmed: 1291570
AJR Am J Roentgenol. 2000 Nov;175(5):1273-8
pubmed: 11044021
Tech Vasc Interv Radiol. 2021 Mar;24(1):100736
pubmed: 34147190
Clin Imaging. 2021 Aug;76:70-73
pubmed: 33578132
Obstet Gynecol Clin North Am. 2012 Dec;39(4):551-66
pubmed: 23182560
JAMA. 2021 Jul 06;326(1):65-76
pubmed: 34228062
Curr Probl Diagn Radiol. 2009 Sep-Oct;38(5):199-205
pubmed: 19632497
Radiographics. 2021 Oct;41(6):1876-18961
pubmed: 34597232
Radiographics. 1995 May;15(3):501-14; discussion 515-6
pubmed: 7624559
J Clin Med. 2018 May 10;7(5):
pubmed: 29748467
Radiology. 1991 Jul;180(1):121-2
pubmed: 2052677
Radiographics. 2000 Nov-Dec;20(6):1759-68
pubmed: 11112827