{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T20:52:00Z","timestamp":1779396720697,"version":"3.53.1"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall Med"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To describe the feasibility of our preliminary outpatient fallopian tube catheterization procedure under 3D vaginal ultrasound (US) guidance followed by highly selective hysterosalpingo-foam sonography (HyFoSy) in infertile women diagnosed with proximal tubal obstruction.<\/jats:p><jats:p>A prospective trial was conducted from October 2022 to December 2023. 3D vaginal US was used to establish the precise location of the tip of the selective salpingography catheter at the tubal ostium. A roadrunner was used to cannulate the occluded portion of the fallopian tube. After tubal cannulation, ExEm foam was injected under direct US guidance to confirm tubal recanalization and its passage through the fallopian tubes.<\/jats:p><jats:p>During the study period, a total of 14 women with proximal tubal occlusion underwent this procedure. Tubal patency was achieved in 92.8% of cases. No immediate and remote complications were observed. To date, 3 (21.4%) of the patients conceived after tubal catheterization and 1 had a live birth.<\/jats:p><jats:p>Outpatient fallopian tube catheterization under 3D vaginal US guidance, followed by selective HyFoSy, can be successfully implemented for the diagnosis and treatment of patients with proximal tubal occlusion. The 3D modality allows volume capture of the required acquisition and subsequent post-imaging analysis, thus permitting further examination and study. Additional experience is needed to determine the feasibility of this innovative procedure and to identify the patient subgroups that would benefit the most from this approach.<\/jats:p>","DOI":"10.1055\/a-2384-4254","type":"journal-article","created":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T23:36:47Z","timestamp":1723505807000},"page":"285-290","source":"Crossref","is-referenced-by-count":2,"title":["Fallopian tube catheterization under 3D vaginal ultrasound guidance followed by highly selective hysterosalpingo-foam sonography: an outpatient procedure"],"prefix":"10.1055","volume":"46","clinical-trial-number":[{"clinical-trial-number":"nct05537805","registry":"10.18810\/clinical-trials-gov"}],"author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7014-5892","authenticated-orcid":false,"given":"Yaakov","family":"Melcer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, The Yitzhak Shamir Medical Center (formerly Assaf Harofeh Medical Center), Zerifin, Israel"},{"name":"OB\/GYN, Shamir Medical Center, Tzrifin, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Pekar-Zlotin","sequence":"additional","affiliation":[{"name":"OB\/GYN, Shamir Medical Center, Tzrifin, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"YOUNGSTER","sequence":"additional","affiliation":[{"name":"OB\/GYN, Shamir Medical Center, Tzrifin, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itai","family":"Gat","sequence":"additional","affiliation":[{"name":"Pinchas Borenstein Talpiot Medical Leadership Program, Shamir Medical Center, Tzrifin, Israel"},{"name":"Department of Obstetrics and Gynecology, Shamir Medical Center, Tzrifin, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Maymon","sequence":"additional","affiliation":[{"name":"OB\/GYN, Shamir Medical Center, Tzrifin, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"110","DOI":"10.3390\/jcm7050110","article-title":"Factors affecting pregnancy rate following fallopian tube recanalization in women with proximal fallopian tube obstruction","volume":"7","author":"MH Al-Omari","year":"2018","journal-title":"J Clin Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"531","DOI":"10.2217\/whe.10.34","article-title":"Fallopian tube recanalization: lessons learnt and future challenges","volume":"6","author":"GN Allahbadia","year":"2010","journal-title":"Women\u2019s Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1097\/00001703-200406000-00004","article-title":"Evidence-based diagnosis and management of tubal factor infertility","volume":"16","author":"PH Kodaman","year":"2004","journal-title":"Curr Opin Obstet 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