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Pron, G., Bennett, J., Common, A., Sniderman, K., Asch, M., Bell. S., Kozak, R., Vanderburgh, L., Garvin, G., Simons, M., Tran, C., Kachura, J. and Ontario UFE Collaborative Group. (2003) Technical results and effects of operator experience on uterine artery embolization for fibroids: The Ontario Uterine Fibroid Embolization Trial. Journal of Vascular and Interventional Radiology, 14, 545-554.

has been cited by the following article:

• TITLE: Conservative management of cervical pregnancy: The utility of methotrexate treatment and uterine artery embolization

  AUTHORS: Hisashi Masuyama, Seiji Inoue, Etsuko Nobumoto, Kei Hayata, Tomonori Segawa, Yuji Hiramatsu

  KEYWORDS: Cervical Pregnancy; Methotrexate; Uterine Artery Embolization; Dilatation and Curettage; Human Chorionic Gonadotropin

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.3 No.10, December 13, 2013

  ABSTRACT: The aim of this retrospective case series report is to evaluate systemic methotrexate therapy in conjunction with uterine artery embolization (UAE) in the conservative management of cervical pregnancy. We examined clinical presentations, treatments, and therapeutic outcomes in fifteen patients with a cervical pregnancy who wished for preservation of fertility, treated at Okayama University Hospital between 1998 and 2012. Twelve patients received systemic methotrexate including five treated with UAE. One was treated with UAE alone. Two patients received neither UAE nor methotrexate because of a low human chorionic gonadotropin (hCG) level and poor blood flow around the gestational sac (GS). An increased GS size and the elevated hCG level during methotrexate therapy might be risk factors for emergent UAE. Two of six patients treated with UAE had subsequent confirmed viable pregnancies. In patients with a cervical pregnancy, methotrexate therapy in combination with UAE can be considered as an option before performing a hysterectomy with suitable counseling about the risk of loss of fertility. Careful observation of the GS size and hCG level during methotrexate therapy might be important for management.