Minimally Invasive Treatment of Cesarean Scar and Cervical Pregnancies Using a Cervical Ripening Double Balloon Catheter: Expanding the Clinical Series
2018; Wiley; Volume: 38; Issue: 3 Linguagem: Inglês
10.1002/jum.14736
ISSN1550-9613
AutoresAna Monteagudo, Giuseppe Calì, Andrei Rebarber, Marcos Cordoba, Nathan S. Fox, Eran Bornstein, P. Dar, Anthony Johnson, Mark Rebolos, Ilan E. Timor‐Tritsch,
Tópico(s)Maternal and Perinatal Health Interventions
ResumoThe efficacy of treating cesarean scar pregnancies and cervical pregnancies with the Cook® cervical ripening balloon catheter, in a multicenter office‐based setting is reported. Thirty‐eight women were treated. Insertion of the catheter was performed under real‐time ultrasound guidance. Patients received adjuvant systemic methotrexate, prophylactic oral antibiotics, and oral pain medication. Serum human chorionic gonadotropin and ultrasound scans were followed serially until resolution. Thirty‐seven patients were successfully treated, requiring no further procedures. We found that the Cook cervical ripening balloon technique is a simple, effective, outpatient, minimally invasive treatment with few complications noted in this expanded series.
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