{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T07:50:31Z","timestamp":1720684231928},"reference-count":10,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Einstein (S\u00e3o Paulo)"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>The advent of interventional radiology enabled remarkable advances in diagnosis and treatment of several situations in obstetrics and gynecology. In the field of obstetrics, these advances include temporary occlusion of the iliac arteries to the management of placenta accreta and\/or prior, arteriovenous fistulas after embolization of uterine curettage and management of ectopic uterine and extra-uterine pregnancies. The non-tubal ectopic pregnancy, either cervical, abdominal, ovarian or in a cesarean scar, often represents major therapeutic challenge, especially when exists a desire to maintain fertility. Despite the systemic methotrexate therapy and surgical resection of the ectopic gestational sac be the most used therapeutic options, the interventionist approach of non-tubal ectopic pregnancies, direct injection of methotrexate in the gestational sac and intra-arterial chemoembolization of uterine arteries constitute in the currently literature viable, safe, effective modalities with low morbidity, shorter hospital stay, and rapid clinical recovery. Because of little variety of materials used, and the increase in training of specialists in the area, the radiological intervention as a treatment option in ectopic pregnancies is financially viable and present considerable accessibility in the world and at most of Brazilian medical centers.<\/jats:p>","DOI":"10.1590\/s1679-45082015md3168","type":"journal-article","created":{"date-parts":[[2015,5,8]],"date-time":"2015-05-08T20:48:43Z","timestamp":1431118123000},"page":"167-169","source":"Crossref","is-referenced-by-count":8,"title":["Interventional radiology and endovascular surgery in the treatment of ectopic pregnancies"],"prefix":"10.1590","volume":"13","author":[{"given":"Vinicius Adami Vayego","family":"Fornazari","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denis","family":"Szejnfeld","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Elito J\u00fanior","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzan Menasce","family":"Goldman","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"issue":"4","key":"ref1","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1590\/s1679-45082010rw1372","article-title":"Endovascular surgery in gynecology","volume":"8","author":"Messina ML","year":"2010","journal-title":"Einstein (Sao Paulo)"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1590\/s1679-45082011md2315","article-title":"Interventional radiology to treat severe obstetric hemorrhages","volume":"9","author":"Lippi UG","year":"2011","journal-title":"Einstein (Sao Paulo)"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1148\/rg.326125524","article-title":"Beyond hemostasis: spectrum of gynecologic and obstetric indications for transcatheter embolization","volume":"32","author":"Katz MD","year":"2012","journal-title":"RadioGraphics"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"240","DOI":"10.11152\/mu.2013.2066.153.jej1eaj2","article-title":"Uterine artery embolization with methotrexate infusion as treatment for cesarean scar pregnancy. 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