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Secondary examination with repeat HSG or selective osteal salpingography confirmed 26 proximal and 3 distal tubal occlusions while 17 tubes were patent. Selective osteal salpingography was performed successfully in 32 of 33 (97%) tubes. Sixteen of 26 (61.5%) proximalfy occluded tubes were successfully recanalized by coaxial catheter and guidewire technique while two of three distally occluded tubes were reopened by forceful flushing of contrast medium. So far, one ectopic and five intrauterine pregnancies were achieved in ten patients with observation time more than four months. Three patients have had normal deliveries. The favorable results, lack of complications and low costs seem to justify the recommendation to use selective salpingography and fallopian tube recanalization as the first intervention in patients with obstruction of the proximal fallopian tube.<\/jats:p>","DOI":"10.3109\/00016349309021135","type":"journal-article","created":{"date-parts":[[2007,11,22]],"date-time":"2007-11-22T00:46:10Z","timestamp":1195692370000},"page":"458-464","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Selective salpingography and fluoroscopic transcervical salpingoplasty for diagnosis and treatment of proximal fallopian tube occlusions"],"prefix":"10.1111","volume":"72","author":[{"given":"Olle","family":"Martensson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Nilsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leif","family":"Ekelund","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Johansson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00f6ran","family":"Wickman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,1,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/S0015-0282(16)47349-8","article-title":"Surgical management of tubal obstruction at the uterotubal junction","volume":"40","author":"Music J.","year":"1983","journal-title":"Fertil Steril"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)60128-0"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)59413-8"},{"key":"e_1_2_1_5_1","first-page":"129","volume-title":"Hysterosalpingography. 2nd ed","author":"Siegler A.","year":"1974"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1990.03450160049027"},{"key":"e_1_2_1_7_1","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1016\/S0015-0282(16)38403-5","article-title":"Infertility surgery of the oviduct","volume":"40","author":"Grant A.","year":"1971","journal-title":"Fertil Steril"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)48992-2"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.163.2.3562835"},{"key":"e_1_2_1_10_1","first-page":"621","article-title":"Fluoroscopic transcervical fallopian tube catheterization for diagnosis and treatment of female infertility caused by tubal obstruction","volume":"8","author":"Thurmond AS","year":"1988","journal-title":"Radio Graphics"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(88)80087-5"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004424-198803000-00010"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.174.2.2296648"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.174.2.2296670"},{"key":"e_1_2_1_15_1","volume":"34","author":"ICRP publication","year":"1982","journal-title":"Protection of the Patient in Diagnostic Radiology"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.154.4.2107667"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.139.3.525"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.157.1.1675547"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)49888-2"},{"key":"e_1_2_1_20_1","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1016\/S0015-0282(16)59401-1","article-title":"Anything you can do I can do better \u2010or differently","volume":"48","author":"Cherney AH","year":"1987","journal-title":"Fertil Steril"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.156.1.1898568"},{"key":"e_1_2_1_22_1","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/S0015-0282(16)59425-4","article-title":"Hysteroscopic cannulation and lavage in the treatment of proximal tubal occlusions","volume":"48","author":"Sulak PJ","year":"1987","journal-title":"Fertil Steril"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)53272-5"},{"key":"e_1_2_1_24_1","unstructured":"PlatiaM. 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