Minimally Invasive Treatment of Cesarean Scar and Cervical Pregnancies Using a Cervical Ripening Double Balloon Catheter: Expanding the Clinical Series. (12th August 2018)

• Record Type: Journal Article
• Authors: Monteagudo, Ana; Calì, Giuseppe; Rebarber, Andrei; Cordoba, Marcos; Fox, Nathan S.; Bornstein, Eran; Dar, Peer; Johnson, Anthony; Rebolos, Mark; Timor‐Tritsch, Ilan E.
• Is Part Of: Journal of ultrasound in medicine. Volume 38:Number 3(2019)
• Page Start: 785
• Page End: 793
• Publication Date: 2018-08-12
• Subjects: cervical pregnancy -- cesarean scar pregnancy -- double balloon -- minimally invasive; Ultrasonics in medicine -- Periodicals; Ultrasonics; Ultrasonography; Ultrasonics in medicine; Electronic journals; Periodicals; Periodicals; 616.07543
• DOI: 10.1002/jum.14736
• Languages: English
• ISSNs: 0278-4297

Abstract

Abstract : The 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.