Evaluation of the Outcomes and Complications of Uterine Artery Embolization Using the GELFOAM Technique in Patients With Ectopic Pregnancy Located in the Cervix and Ectopic Pregnancies Resulting From Previous Cesarean Section.

BACKGROUND AND AIMS: To evaluate outcomes and adverse events of uterine artery embolization (UAE) using the GELFOAM technique for cervical and cesarean scar ectopic pregnancies at a single tertiary center.

METHODS

We conducted a descriptive cross-sectional case series over 1 year. Maternal age, β-hCG levels, mass size, obstetric history, complications, and treatment success were abstracted from records. Descriptive statistics are presented as mean ± SD for approximately normally distributed variables and median (IQR) for skewed variables.

RESULTS

Among 41 patients, uterine preservation was achieved in 40 (97.6%), with no procedure-specific complications and one non-specific postoperative hematoma (2.4%). The single failure occurred in a delayed presentation and required further surgical intervention. For uterine preservation (40/41), the 95% confidence interval for the success proportion is 87.4%-99.6% (Wilson).

CONCLUSION

UAE with GELFOAM appears to be an effective, fertility-preserving option for cervical and cesarean-scar ectopic pregnancy in selected patients. Larger studies with longer follow-up are warranted.