We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Venous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification.
- Authors
Dusak, Abdurrahim; Soydinc, Hatice E.; Onder, Hakan; Ekinci, Faysal; Görük, Neval Y.; Hamidi, Cihat; Bilici, Aslan
- Abstract
Objectives: Presently, hysterosalpingography (HSG) is used as a means to evaluate women with infertility and repetitive pregnancy loss. Venous intravasation is a complication and potential pitfall during HSG and analogous procedures including hysteroscopy. The aim of our study was to assess the venous intravasation and to obtain critical information for more secure and more accurate procedures. In particular, the primary goal of the present study was to compare HSG without and with intravasation to identify differences seen on HSG and to assess the predisposing factors of intravasation. The secondary goal was to describe clinical- and imaging-based novel classification of intravasation. Materials and Methods: This study included a patient cohort of 569 patients who underwent HSG between 2008 and 2011 at our center in the absence (control group) or presence (study group) of intravasation. Intravasation classified from level 0 (no intravasation) to level 3 (severe intravasation) was compared with preprocedural (demographic and clinical) and procedural (HSG) data. Data were analyzed using Statistical Package for Social Sciences (SPSS) statistical software. Results: Of the 569 patients undergoing HSG, 528 showed no intravasation and 41 (7.2%) patients showed intravasation when associated with preprocedural (leukocytes, menometrorrhagia, secondary infertility, ectopic pregnancy, abortus, polycystic ovaries, endometriosis, and interventions) and procedural (pain, scheduling, endometrial-uterine nature, and spillage) parameters. Moreover, intravasation was lower in women with smooth endometrium, triangular uterus, and homogeneous peritoneal spillage. No association was found between age, tubal patency, increased pressure, and intravasation. Conclusions: Using a novel classification method, www.clinicalimagingscience.org For entire Editorial Board visit : www.clinicalimagingscience.org/editorialboard.asp Editor-in-Chief: Vikram S. Dogra, MD Department of Imaging Sciences, University of Rochester Medical Center, Rochester, USA OPEN ACCESS HTML format ORIGINAL ARTICLE Access this article online Quick Response Code: Website: www.clinicalimagingscience.org DOI: 10.4103/2156-7514.124105 Address for correspondence: Dr. Abdurrahim Dusak, Department of Radiology, Dicle University, Faculty of Medicine, 21280 Diyarbakir, Turkey. E-mail: adusak@gmail.com Received : 30-09-2013 Accepted : 16-12-2013 Published : 31-12-2013 Copyright: © 2013 Dusak A. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. This article may be cited as: Dusak A, Soydinc HE, Onder H, Ekinci F, Görük NY, Hamidi C, Bilici A. Venous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification. J Clin Imaging Sci 2013;3:67. Available FREE in open access from: http://www.clinicalimagingscience.org/text.asp?2013/3/1/67/124105 intravasation can be observed in women during HSG and associates with preprocedural and procedural predisposing factors in subsumed conditions. This classification method will be useful for improving the efficiency and accuracy of HSG and related procedures by minimization of severe complications caused by intravasation.
- Subjects
UNITED States; HYSTEROSALPINGOGRAPHY; PREGNANCY; HEALTH facilities; INFERTILITY
- Publication
Journal of Clinical Imaging Science, 2013, Vol 3, Issue 1, p1
- ISSN
2156-7514
- Publication type
Article
- DOI
10.4103/2156-7514.124105