Fallopian tube recanalisation using dedicated radiographic tubal assessment set in angiography suite

Al-Omari, MH; Al-Mnayyis, Asma’a; Obeidat, Nail; Amarin, Zouhair; Zayed, Faheem; Rousan, Liqa A; Al‐Balas, Hassan; Alawneh, Khaled; El-heis, M; Omari, Z; Hanania, R

doi:10.1111/1754-9485.12169

Cited by 7 publications

(15 citation statements)

References 17 publications

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“…After the introduction of FTR as a treatment for proximal FTO [ 8 ], several studies have confirmed the safety and efficacy of this procedure [ 8 , 9 , 10 ]. However, there is substantial variation in the reported technical success rates and pregnancy rates following FTR.…”

Section: Discussionmentioning

confidence: 99%

“…However, there is substantial variation in the reported technical success rates and pregnancy rates following FTR. Reported variations in technical success rates may be attributed to operator experience, tools, and equipment used [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

“…In their study of 153 women with tubal infertility, Tanaka and Tajima [ 11 ] reported a pregnancy rate of 28.9%. Al-Omari et al [ 9 ] reported a pregnancy rate of 41% within the first year following FTR, while Seyam, Hassan et al [ 12 ] found a cumulative pregnancy rate of about 26% following any of two different FTR procedures. Higher pregnancy rates (51%) were reported by Mallarini and Saba [ 13 ], whereas lower rates (12.8%) were reported by Lang and Dunaway [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…This is a continuation of an ongoing work on FTR. Our first report for the same patient population has been already published [ 9 ]. The previous report was focused on patient preparation, techniques, equipment, tools, compilations, and outcome of FTR.…”

Section: Methodsmentioning

confidence: 99%

“…Finally, tubal patency and peritoneal spillage of contrast agent were confirmed on selective salpingogram. A detailed description of the procedure, including the device used, initial hysterosalpingography, selective salpingography, and FTR, is available elsewhere [ 9 ].…”

Section: Methodsmentioning

confidence: 99%

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Factors Affecting Pregnancy Rate Following Fallopian Tube Recanalization in Women with Proximal Fallopian Tube Obstruction

Al-Omari

Obeidat

El-heis

et al. 2018

JCM

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Fallopian tube obstruction is a major cause of female infertility. We aimed to evaluate the factors potentially affecting pregnancy rate following fallopian tube recanalization (FTR) in infertile women with proximal fallopian tube obstruction. Data was retrospectively collected for 61 women (25, primary infertility; 36, secondary infertility) who underwent FTR at our institution. Bivariable and multivariable analyses of clinical pregnancy rates in relation to the following factors were performed: primary vs. secondary infertility, duration of infertility, age at the time of FTR, unilateral vs. bilateral obstruction, and previous pelvic interventions. All women who underwent fluoroscopically guided transcervical FTR of one or both proximally obstructed tubes were successfully recanalized (technical success rate, 100%). Within a year after FTR, 41% of women had conceived. None of the studied variables was significantly associated with pregnancy rate on bivariable analysis. Nevertheless, on multivariable analysis, the type and duration of infertility were significantly associated with pregnancy among women aged <35 years at the time of FTR. Our findings regarding pregnancy rates following FTR reflect the diversity of the patient population and suggest the presence of multiple contributing factors. Younger women with secondary infertility for <5 years are highly likely to achieve conception following FTR.

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