{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:19:05Z","timestamp":1785417545417,"version":"3.56.0"},"reference-count":12,"publisher":"Vilnius University Press","issue":"1","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Background: Cesarean Scar Ectopic Pregnancy (CSEP) is an uncommon but potentially fatal syndrome defined by the implantation of the gestational sac inside the scar tissue of a prior cesarean surgery. The incidence of cesarean deliveries is rising, currently accounting for up to 6% of all ectopic pregnancies. CSEP causes unique challenges in diagnosis and treatment because it can lead to serious problems like uterine rupture, placenta accreta spectrum, bleeding, and infertility.Case report: This report describes two patients with Type I CSEP who were treated by using a less invasive method that involved injecting methotrexate and potassium chloride (KCl) guided by ultrasound. Both patients showed improvement, quickly lost fetal heart activity, and had lower blood beta hCG levels without any issues during the procedure. Transvaginal ultrasonography was important in diagnosis and therapy planning. Interventional radiology approaches, especially image-guided targeted therapy, provide promising fertility-preserving options compared to the traditional surgery. The research backs this careful approach for patients who are stable, with Uterine Artery Embolization (UAE) being helpful in some cases.Conclusion: Our study highlights the importance of using a team of specialists and shows that interventional radiology is a key part of improving treatment for CSEP, making it safer for patients, lowering risks of complications, and protecting their ability to have children in the future.<\/jats:p>","DOI":"10.15388\/amed.2026.33.1.14","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:35:32Z","timestamp":1784698532000},"page":"169-176","source":"Crossref","is-referenced-by-count":0,"title":["Role of Interventional Radiology in Management of C-Section Scar Ectopics"],"prefix":"10.15388","volume":"33","author":[{"given":"Utsav","family":"Rajvanshi","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03zj0ps89","id-type":"ROR","asserted-by":"publisher"}],"name":"Vardhman Mahavir Medical College & Safdarjung Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puneet","family":"Garg","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03zj0ps89","id-type":"ROR","asserted-by":"publisher"}],"name":"Vardhman Mahavir Medical College & Safdarjung Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geetika","family":"Sindhwani","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03zj0ps89","id-type":"ROR","asserted-by":"publisher"}],"name":"Vardhman Mahavir Medical College & Safdarjung Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4899-2953","authenticated-orcid":false,"given":"Resham","family":"Singh","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03zj0ps89","id-type":"ROR","asserted-by":"publisher"}],"name":"Vardhman Mahavir Medical College & Safdarjung Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6097","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Malhotra N, Noor N, Bansal P, Sharma KA. Successful Management of Caesarean Scar Ectopic Pregnancies: A Report of Five Cases. J Reprod Infertil. 2021;22(3):220-224. doi:10.18502\/jri.v22i3.6723","DOI":"10.18502\/jri.v22i3.6723"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Hameed MSS, Wright A, Chern BSM. Cesarean Scar Pregnancy: Current Understanding and Treatment Including Role of Minimally Invasive Surgical Techniques. Gynecol Minim Invasive Ther. 2023;12(2):64-71. doi:10.4103\/gmit.gmit_116_22","DOI":"10.4103\/gmit.gmit_116_22"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Leite Jde F, Fraietta R, Elito J\u00fanior J. Local management with methotrexate of cesarean scar ectopic pregnancy with live embryo guided by transvaginal ultrasound: A case report. Rev Assoc Med Bras (1992). 2016;62(2):184-185. doi:10.1590\/1806-9282.62.02.184","DOI":"10.1590\/1806-9282.62.02.184"},{"key":"ref3","unstructured":"Larsen JV, Solomon MH. Pregnancy in a uterine scar sacculus--an unusual cause of postabortal haemorrhage. A case report. S Afr Med J. 1978;53(4):142-143."},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Vial Y, Petignat P, Hohlfeld P. Pregnancy in a cesarean scar. Ultrasound Obstet Gynecol. 2000;16(6):592-593. doi:10.1046\/j.1469-0705.2000.00300-2.x","DOI":"10.1046\/j.1469-0705.2000.00300-2.x"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Patel MA. Scar Ectopic Pregnancy. J Obstet Gynaecol India. 2015;65(6):372-375. doi:10.1007\/s13224-015-0817-3","DOI":"10.1007\/s13224-015-0817-3"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Comune R, Liguori C, Tamburrini S, Arienzo F, Gallo L, Dell'Aversana F, Pezzullo F, Tamburro F, Affinito P, Scaglione M. MRI Assessment of Cesarean Scar Pregnancies: A Case Series. J Clin Med. 2023;12(23):7241. doi:10.3390\/jcm12237241","DOI":"10.3390\/jcm12237241"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Jurkovic D, Hillaby K, Woelfer B, Lawrence A, Salim R, Elson CJ. First-trimester diagnosis and management of pregnancies implanted into the lower uterine segment Cesarean section scar. Ultrasound Obstet Gynecol. 2003;21(3):220-227. doi:10.1002\/uog.56","DOI":"10.1002\/uog.56"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Jayaram PM, Okunoye GO, Konje J. Caesarean scar ectopic pregnancy: diagnostic challenges and management options. The Obstetrician & Gynaecologist. 2017;19(1):13-20. doi:10.1111\/tog.12355","DOI":"10.1111\/tog.12355"},{"key":"ref9","unstructured":"Kaur R, Goel B, Sehgal A, Goyal P, Mehra R. Feticide with Intracardiac Potassium Chloride to Reduce Risk of Hemorrhage in Medical Termination of Pregnancy. J Gynecol Women Healthcare. 2018;1(1):1-4."},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Gundewar T, Pandurangi M, Reddy NS, Vembu R, Andrews C, Nagireddy S, Soni A, Kakkad V. Exclusive use of intrasac potassium chloride and methotrexate for treating cesarean scar pregnancy: effectiveness and subsequent fecundity. Hum Reprod Open. 2020;2020(2):hoaa025. doi:10.1093\/hropen\/hoaa025","DOI":"10.1093\/hropen\/hoaa025"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Guo J, Yu J, Zhang Q, Song X. Clinical Efficacy and Safety of Uterine Artery Embolization (UAE) versus Laparoscopic Cesarean Scar Pregnancy Debridement Surgery (LCSPDS) in Treatment of Cesarean Scar Pregnancy. Med Sci Monit. 2018;24:4659-4666. doi:10.12659\/MSM.907404","DOI":"10.12659\/MSM.907404"}],"container-title":["Acta medica Lituanica"],"original-title":[],"link":[{"URL":"https:\/\/zurnalai.vu.lt\/\/AML\/article\/download\/42295\/42908","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/zurnalai.vu.lt\/\/AML\/article\/download\/42295\/42933","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/zurnalai.vu.lt\/\/AML\/article\/download\/42295\/42908","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T10:29:22Z","timestamp":1784716162000},"score":1,"resource":{"primary":{"URL":"https:\/\/zurnalai.vu.lt\/\/AML\/article\/view\/42295"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,22]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,7,22]]}},"URL":"https:\/\/doi.org\/10.15388\/amed.2026.33.1.14","relation":{},"ISSN":["2029-4174","1392-0138"],"issn-type":[{"value":"2029-4174","type":"electronic"},{"value":"1392-0138","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,22]]}}}