{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T17:09:25Z","timestamp":1767373765166},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,1,30]],"date-time":"2017-01-30T00:00:00Z","timestamp":1485734400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2017,4]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>The aim of this study was to compare the therapeutic efficacy of transcatheter arterial embolization (TAE) with gelatin sponge (GS) and polyvinyl alcohol (PVA) particles for cesarean scar pregnancy (CSP).<\/jats:p><\/jats:sec>Methods<\/jats:title>A total of 35 patients with CSP, who were classified into either the GS group (n<\/jats:italic> = 22) or the PVA group (n<\/jats:italic> = 13), underwent TAE and postoperative ultrasound\u2010guided curettage. Their hospital stay, first\u2010scheme success rate, intra\u2010curettage blood loss, serum \u03b2\u2010human chorionic gonadotropin (hCG) level, and other indicators were simultaneously recorded. During the follow\u2010up period, time for the serum \u03b2\u2010hCG level to return to normal, time for the return of menstrual cycle, and menstrual blood volume were recorded.<\/jats:p><\/jats:sec>Results<\/jats:title>Compared with the GS group, patients in the PVA group: (i) were older; (ii) had greater number of abortions or curettages, and had longer times since last cesarean (P<\/jats:italic> < 0.05); (iii) had similar hospital stay and first\u2010scheme success rate (P<\/jats:italic> > 0.05); (iv) had lower, but not significantly different, hemorrhage rate (7.7% vs 36.4%, P<\/jats:italic> = 0.066); (v) had a significantly higher serum \u03b2\u2010hCG level at discharge and a smaller drop in serum \u03b2\u2010hCG level from admission to discharge (P<\/jats:italic> < 0.05); (vi) had a similar time for the serum \u03b2\u2010hCG level to return to normal (P<\/jats:italic> > 0.05); (vii) had a shorter time for the return of menstrual cycle (P<\/jats:italic> = 0.012); and (viii) had a significantly higher incidence of abnormal menstrual blood volume reduction (50.0% vs 8.3%, P<\/jats:italic> = 0.034).<\/jats:p><\/jats:sec>Conclusion<\/jats:title>TAE with either GS or PVA particles for CSP treatment had relatively good efficacy. During the selection of the ideal embolic agent, the patient's age, hemorrhage risk, and requirement for protecting ovarian function and reserving fertility should be comprehensively considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.13256","type":"journal-article","created":{"date-parts":[[2017,1,30]],"date-time":"2017-01-30T07:20:02Z","timestamp":1485760802000},"page":"682-688","source":"Crossref","is-referenced-by-count":6,"title":["Efficacy comparison of transcatheter arterial embolization with gelatin sponge and polyvinyl alcohol particles for the management of cesarean scar pregnancy and follow\u2010up study"],"prefix":"10.1111","volume":"43","author":[{"given":"Yan","family":"Ma","sequence":"first","affiliation":[{"name":"Departments of Gynecology The Third Affiliated Hospital of Soochow University Changzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology The First Affiliated Hospital of Soochow University Suzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaonan","family":"Shao","sequence":"additional","affiliation":[{"name":"Department of Nuclear Medicine The Third Affiliated Hospital of Soochow University Changzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,1,30]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"142","article-title":"Pregnancy in a uterine scar sacculus\u2014An unusual cause of postabortal haemorrhage. 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