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Herbert E. Dunaway - One of the best experts on this subject based on the ideXlab platform.
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Efficacy of Salpingography and Transcervical Recanalization in Diagnosis, Categorization, and Treatment of Fallopian Tube Obstruction
CardioVascular and Interventional Radiology, 2000Co-Authors: Erich K. Lang, Herbert E. DunawayAbstract:Purpose: The efficacy of selective salpingography (SS) and transcervical recanalization (TCR) in diagnosis, categorization, and determination of optimal treatment modality for Fallopian Tube Obstruction was investigated. Methods: SS and, in some patients, TCR was performed in 430 patients with a diagnosis of Obstruction of one or both Fallopian Tubes, as determined by hysterosalpingograms (HSG). All patients (age 21–46 years) had an infertility problem for at least 18 months. Results: In 196 patients, 325 Tubes were patent on SS. TCR recanalized 243 Tubes in 176 patients. Disease of the distal Tube was demonstrated in 66 patients. There were 39 live babies in a group of 176 patients with successful TCR. Best live birth rate was in 7 of 12 (58%) patients with underlying endometriosis, followed by postsurgical strictures in inflammatory disease, 6 of 31 (19%), and salpingitis isthmica nodosa in 25 of 168 (15%). There were no pregnancies in patients with cobblestone pattern of the distal Tubes. Conclusions: SS and TCR were capable of correcting Obstruction of the proximal Tubes in 243 of 465 Tubes in 176 of 234 patients (75%). With patency of the proximal Tube restored, the distal Tube could be assessed for changes indicative of damage to the ciliated epithelium which was likely to reduce the ability to become pregnant. This allowed for the triage of patients into groups benefiting from the relatively inexpensive and low complication TCR or patients in need of in vitro fertilization or similar assisted reproductive technologies.
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Efficacy of Salpingography and Transcervical Recanalization in Diagnosis, Categorization, and Treatment of Fallopian Tube Obstruction
CardioVascular and Interventional Radiology, 2000Co-Authors: Erich K. Lang, Herbert E. DunawayAbstract:Purpose: The efficacy of selective salpingography (SS) and transcervical recanalization (TCR) in diagnosis, categorization, and determination of optimal treatment modality for Fallopian Tube Obstruction was investigated.
Erich K. Lang - One of the best experts on this subject based on the ideXlab platform.
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Efficacy of Salpingography and Transcervical Recanalization in Diagnosis, Categorization, and Treatment of Fallopian Tube Obstruction
CardioVascular and Interventional Radiology, 2000Co-Authors: Erich K. Lang, Herbert E. DunawayAbstract:Purpose: The efficacy of selective salpingography (SS) and transcervical recanalization (TCR) in diagnosis, categorization, and determination of optimal treatment modality for Fallopian Tube Obstruction was investigated. Methods: SS and, in some patients, TCR was performed in 430 patients with a diagnosis of Obstruction of one or both Fallopian Tubes, as determined by hysterosalpingograms (HSG). All patients (age 21–46 years) had an infertility problem for at least 18 months. Results: In 196 patients, 325 Tubes were patent on SS. TCR recanalized 243 Tubes in 176 patients. Disease of the distal Tube was demonstrated in 66 patients. There were 39 live babies in a group of 176 patients with successful TCR. Best live birth rate was in 7 of 12 (58%) patients with underlying endometriosis, followed by postsurgical strictures in inflammatory disease, 6 of 31 (19%), and salpingitis isthmica nodosa in 25 of 168 (15%). There were no pregnancies in patients with cobblestone pattern of the distal Tubes. Conclusions: SS and TCR were capable of correcting Obstruction of the proximal Tubes in 243 of 465 Tubes in 176 of 234 patients (75%). With patency of the proximal Tube restored, the distal Tube could be assessed for changes indicative of damage to the ciliated epithelium which was likely to reduce the ability to become pregnant. This allowed for the triage of patients into groups benefiting from the relatively inexpensive and low complication TCR or patients in need of in vitro fertilization or similar assisted reproductive technologies.
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Efficacy of Salpingography and Transcervical Recanalization in Diagnosis, Categorization, and Treatment of Fallopian Tube Obstruction
CardioVascular and Interventional Radiology, 2000Co-Authors: Erich K. Lang, Herbert E. DunawayAbstract:Purpose: The efficacy of selective salpingography (SS) and transcervical recanalization (TCR) in diagnosis, categorization, and determination of optimal treatment modality for Fallopian Tube Obstruction was investigated.
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Selective osteal salpingography and transvaginal catheter dilatation in the diagnosis and treatment of Fallopian Tube Obstruction.
American Journal of Roentgenology, 1990Co-Authors: Erich K. Lang, H E Dunaway, W E RonigerAbstract:Selective salpingography and transvaginal catheter dilatation were performed in 157 women with infertility to diagnose, localize, and classify obstructive diseases of the Fallopian Tubes and to correct Obstruction of the proximal (uterine-end) Tube. In 61 (39%) of the patients, the selective salpingograms showed patent Tubes despite the fact that two previous hysterosalpingograms showed Obstruction of the proximal (uterine-end) Tube. Transvaginal catheter dilatation successfully recanalized the proximal portion of the Tubes in 79 (82%) of 96 patients with obstructed Tubes. In 18 of 25 with successful transvaginal catheter dilatation and 6-month follow-up salpingography, the Tubes remained patent. Coexisting disease of the distal (ovarian-end) Tubes was diagnosed in 29 (18%) of the patients. Pregnancy was achieved in 11 of the 157 patients (six in whom Obstructions were corrected by transvaginal catheter dilatation and five in whom selective salpingograms showed patent Tubes). There were no complications d...
Giovanni Gandini - One of the best experts on this subject based on the ideXlab platform.
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Selective salpingography and tubaric catheterization in the diagnosis and treatment of Fallopian Tube Obstruction
European Radiology, 1992Co-Authors: Eugenio Zanon, Giorgio Mallarini, Antonella Ferraiolo, Dorico Righi, Laura Lequio, Alessandra Giuliano, Paola Belforte, Giovanni GandiniAbstract:Fallopian Tube catheterization with selective salpingography is a new technique for the diagnosis of tubal factors of sterility and also for the treatment of proximal tubal Obstruction (PTO). In this study, 156 women, 20–42 years of age, with a mean duration of infertility of 5.7 years, who presented at conventional hysterosalpingography (HSG) a unilateral or bilateral PTO, were studied. Catheterization and selective salpingography was successful in 93% of the cases. Failures (6.1%) were ascribed to obliterative organic diseases, where it was impossible to overcome the stenosis with the catheter or the guidewire. Fourteen spontaneous pregnancies were obtained (7 full term deliveries, 4 miscarriages, 3 tubal pregnancies) and 11 patients became pregnant after gamete intra-Fallopian transfer (GIFT). At follow-up, after 12 monts, four out of ten patients had patent Tubes, while six presented a new unilateral or bilateral PTO. No major complications occurred; nevertheless, it is acknowledged that ectopic pregnancy is a possible outcome, due to the mechanical re-establishment of patency in a non-functioning Tube.
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Tubal catheterization with selective salpingography in the diagnosis and therapy of Fallopian Tube Obstruction
La Radiologia medica, 1992Co-Authors: Mallarini G, Zanon E, Ferraiolo A, Righi D, Giuliano A, Paolo Fonio, Giovanni GandiniAbstract:Fallopian Tube catheterization with selective ostial [correction of osteal] salpingography is a new technique for the diagnosis of tubal factors of infertility and also for the treatment of proximal tubal occlusion (PTO). In this study, 246 women were considered, 20-42 years old, with primary or secondary infertility, who presented a unilateral or bilateral PTO at hysterosalpingography (HSG). Catheterization and selective salpingography have been successful in 93.9% of the cases. Failures (5.6%) have been ascribed to obstructive organic diseases, where it was impossible to overcome the stenosis with the catheter or the guide-wire. Twenty-six spontaneous pregnancies were obtained (15 full-term deliveries) and 17 patients became pregnant after GIFT (13 full-term deliveries). At follow-up, after 12 months 4 of 10 patients had normal Tubes, while 6 patients presented a new unilateral or bilateral PTO. No major complications occurred; nevertheless, ectopic pregnancy is a possible event, because of the mechanically re-established patency in a nonfunctioning Tube.
Maha Gharaibeh - One of the best experts on this subject based on the ideXlab platform.
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Factors Affecting Pregnancy Rate Following Fallopian Tube Recanalization in Women with Proximal Fallopian Tube Obstruction
Journal of Clinical Medicine, 2018Co-Authors: Mamoon H Al-omari, Nael Obeidat, Mwafiq Elheis, Ruba Khasawneh, Maha GharaibehAbstract:Fallopian Tube Obstruction is a major cause of female infertility. We aimed to evaluate the factors potentially affecting pregnancy rate following Fallopian Tube recanalization (FTR) in infertile women with proximal Fallopian Tube Obstruction. Data was retrospectively collected for 61 women (25, primary infertility; 36, secondary infertility) who underwent FTR at our institution. Bivariable and multivariable analyses of clinical pregnancy rates in relation to the following factors were performed: primary vs. secondary infertility, duration of infertility, age at the time of FTR, unilateral vs. bilateral Obstruction, and previous pelvic interventions. All women who underwent fluoroscopically guided transcervical FTR of one or both proximally obstructed Tubes were successfully recanalized (technical success rate, 100%). Within a year after FTR, 41% of women had conceived. None of the studied variables was significantly associated with pregnancy rate on bivariable analysis. Nevertheless, on multivariable analysis, the type and duration of infertility were significantly associated with pregnancy among women aged
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factors affecting pregnancy rate following Fallopian Tube recanalization in women with proximal Fallopian Tube Obstruction
Journal of Clinical Medicine, 2018Co-Authors: Mamoon H Alomari, Nael Obeidat, Mwafiq Elheis, Ruba Khasawneh, Maha GharaibehAbstract:Fallopian Tube Obstruction is a major cause of female infertility. We aimed to evaluate the factors potentially affecting pregnancy rate following Fallopian Tube recanalization (FTR) in infertile women with proximal Fallopian Tube Obstruction. Data was retrospectively collected for 61 women (25, primary infertility; 36, secondary infertility) who underwent FTR at our institution. Bivariable and multivariable analyses of clinical pregnancy rates in relation to the following factors were performed: primary vs. secondary infertility, duration of infertility, age at the time of FTR, unilateral vs. bilateral Obstruction, and previous pelvic interventions. All women who underwent fluoroscopically guided transcervical FTR of one or both proximally obstructed Tubes were successfully recanalized (technical success rate, 100%). Within a year after FTR, 41% of women had conceived. None of the studied variables was significantly associated with pregnancy rate on bivariable analysis. Nevertheless, on multivariable analysis, the type and duration of infertility were significantly associated with pregnancy among women aged <35 years at the time of FTR. Our findings regarding pregnancy rates following FTR reflect the diversity of the patient population and suggest the presence of multiple contributing factors. Younger women with secondary infertility for <5 years are highly likely to achieve conception following FTR.
Bin Zhao - One of the best experts on this subject based on the ideXlab platform.
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Clinical study in treating Fallopian Tube Obstruction with catheter recanalization and blood stasis removing herbal drugs
Chinese Journal of Integrated Traditional and Western Medicine, 1996Co-Authors: Fang Lian, Bin ZhaoAbstract:The 100 patients with Fallopian Tube Obstruction were firstly treated by catheter recanalization, and then randomly divided into two groups: Chinese medicine group (CMG) was treated with Tongjingbao and Angelicae Complex Injection, and Western medicine group (WMG) as the control was treated with gentamycin, dexamethasone and Chotrypsin. The course of the treatment was three months and hemorheology change was analysed before and after the treatment. After the above treatment, hystero salpingography was again performed on all patients except those with subsequent pregnancy. The results showed that the effective rate of catheter recanalization was 94%, and the pregnancy rate was 30% in CMG and 16% in WMG (P
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clinical study in treating Fallopian Tube Obstruction with catheter recanalization and blood stasis removing herbal drugs
Chinese journal of integrated traditional and Western medicine, 1996Co-Authors: Fang Lian, Bin ZhaoAbstract:The 100 patients with Fallopian Tube Obstruction were firstly treated by catheter recanalization, and then randomly divided into two groups: Chinese medicine group (CMG) was treated with Tongjingbao and Angelicae Complex Injection, and Western medicine group (WMG) as the control was treated with gentamycin, dexamethasone and Chotrypsin. The course of the treatment was three months and hemorheology change was analysed before and after the treatment. After the above treatment, hystero salpingography was again performed on all patients except those with subsequent pregnancy. The results showed that the effective rate of catheter recanalization was 94%, and the pregnancy rate was 30% in CMG and 16% in WMG (P<0.05). The reocclusion rate of Fallopian Tube was 9.3% in CMG and 29.9% in WMG (P <0.05). The difference of hemorheology change was significant between the two groups (P< 0. 01) and between before and after treatment in CMG (P< 0. 01). This study showed that catheter recanalization was effective in mechanically recanalizing the occluded Fallopian Tube and that the Chinese medicine used in the treatment effective in lowing the concentration of blood and thus inhibiting the reocclusion and re-adhesion of the Fallopian Tube.
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Clinical study of the treatment of Fallopian Tube Obstruction with catheter recanalization and blood stasis removing drugs
Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine, 1994Co-Authors: Fang Lian, Bin ZhaoAbstract:50 patients with Fallopian Tube Obstruction were initially treated by catheter recanalization, and then randomly divided into two groups. Chinese medicine group (CMG) treated with Tongjingbao and Angelicae Complex Injection and Western medicine (Gentamycin, Dexamethasone, Chymotrypsin) group (WMG) as a control. The course of treatment was three months. Before and after treatment, the hemorheology change was analysed. After treatment, all patients except subsequent pregnancy were repeatedly performing hysterosalpingography. The results showed effective rate of recanalization was 94%; corrected pregnancy rate was 100% in CMG and 50% in WMG; the reocclusion rate of Fallopian Tube was 9% in CMG and 25% in WMG (P < 0.05). The difference of hemorheology change between two groups was significant (P < 0.01) and it was also different before and after treatment in CMG (P < 0.01). This study showed that catheter recanalization was effective in recanalizing the mechanical occluded Fallopian Tube. The Chinese medicine would inhibit the reocclusion and re-adhesion of Tube.