Venous intravasation during evaluation of tubal patency by ultrasound contrast imaging

Ludwin, Artur; Ludwin, I.; Martins, Wellington P.

doi:10.1002/uog.17405

Cited by 21 publications

(19 citation statements)

References 4 publications

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“…1,[6][7][8] Yet there is a recent report describing intravasation during sonographic tubal patency testing that indicates that the risk of intravasation during ultrasound assessment of tubal patency should be considered, and one should be aware of this potential cause of false-negative results. 9,10 The diagnostic image quality of 4D-HyCoSy has rarely been reported. In this study, we retrospectively analyzed the diagnostic image quality during TV 4D-HyCoSy of 445 infertile patients and determined the significant factors.…”

Section: Discussionmentioning

confidence: 99%

“…Most infertility centers have an ultrasound unit capable of completing the HyCoSy procedure within their own practice setting, without the need of contractual obligations to local radiography centers . Yet there is a recent report describing intravasation during sonographic tubal patency testing that indicates that the risk of intravasation during ultrasound assessment of tubal patency should be considered, and one should be aware of this potential cause of false‐negative results . The diagnostic image quality of 4D‐HyCoSy has rarely been reported.…”

Section: Discussionmentioning

confidence: 99%

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Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

Xiong

et al. 2018

J of Ultrasound Medicine

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Objectives We aim to retrospectively analyze the diagnostic image quality of transvaginal 4‐dimensional hysterosalpingo‐contrast sonography from infertile patients and determine the significant influencing factors. Methods A total of 445 patients visiting infertility clinics were included in the study, of which 167 were primary infertile and 278 were secondary infertile. The factors were recorded, including age; examination time; infertility type; history of pelvic inflammatory disease, pelvic surgery, intrauterine surgery, and ectopic pregnancy; endometrial thickness; uterine position; ovarian position; 2‐dimensional image quality; intravasation quantity, position, and time; balloon volume; and the dosage of contrast agent or the sterile saline solution. All the factors were compared among different diagnostic image quality groups. The method of rank logistic regression analysis was adopted to analyze the risk factors affecting the diagnostic image quality. Results Among the 445 infertile patients, 124 (27.9%) patients had intravasation occur during transvaginal 4‐dimensional hysterosalpingo‐contrast sonography. The diagnostic image quality between the 2 sonographers was consistent (Cronbach's alpha, 0.993). Different intravasation quantities, positions, and times; increased of balloon volume; and history of pelvic surgery were substantial risk factors for the diagnostic image quality. The diagnostic image quality diminished with the increase of intravasation. In the patient with cornual intravasation, the diagnostic image quality was substantially worse than that with non–cornual intravasation. Moreover, early onset of intravasation seriously affected the diagnostic image quality. Conclusions In conclusion, intravasation affected the diagnostic image quality, especially early cornual massive intravasation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

Xiong

et al. 2018

J of Ultrasound Medicine

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“…For patients with severe venous intravasation, repeated examinations were needed because of the failure to diagnose the tubal patency. Moreover, venous intravasation was easily mistaken for the developed fallopian tube, which may lead to false-negative results (Ludwin et al 2018). In addition, complications may be accompanied by intravasation during HSG, which may involve bleeding and infection (Lindequist et al 1991).…”

Section: Introductionmentioning

confidence: 99%

The Influencing Factors of Venous Intravasation During Transvaginal Four-dimensional Hysterosalpingo-contrast Sonography With SonoVue

Shi

et al. 2019

Ultrasound in Medicine & Biology

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Transvaginal 4-D hysterosalpingo-contrast sonography with SonoVue (TV 4-D HyCoSy) is the preferred imaging method for evaluating tubal patency. However, venous intravasation in 4-D HyCoSy may affect the diagnosis of tubal patency. The objective of this study was to analyze influencing factors of venous intravasation during TV 4-D HyCoSy. This study included 643 infertile patients who underwent TV 4-D HyCoSy. We analyzed the relationship between the incidence of venous intravasation and patients' basic clinical data, endometrial thickness, inspection timing (clean day of menstruation) and tubal patency. A total of 169 (26.28%) patients exhibited intravasation during TV 4-D HyCoSy. The following are risk factors for venous intravation: secondary infertility, type C + C, type B + C and type B + B in bilateral fallopian tubal patency grouping; endometrial thickness 5.45 mm; and taking TV 4-D HyCoSy after menstruation 6 d. Infertility duration, intrauterine lesions, a history of pelvic inflammatory disease and a history of pelvic surgery were uncorrelated with venous intravasation. To reduce the incidence of venous intravasation, TV 4-D HyCoSy should be performed 7À10 d after menstruation or when endometrial thickness is thicker than 5.45 mm.

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“…However, the sonographic contrast agent, the size of which is half of a red blood cell, is prone to diffusing into blood vessels or lymphatic vessels, which is called intravasation . A recent case report showed that venous intravasation can occur during HyCoSy, causing false‐negative results due to contrast media in the venous plexus …”

Section: Introductionmentioning

confidence: 99%

“…6,7 A recent case report showed that venous intravasation can occur during HyCoSy, causing false-negative results due to contrast media in the venous plexus. 8 Although contrast media venous intravasation is unlikely to induce embolism, which can be seen in lipiodol-based HSG, it may increase the risk of the side effects such as pain and infection. 9 It is reported that the incidence of venous intravasation during HSG is 11.27%.…”

Section: Introductionmentioning

confidence: 99%

Influence Factors on Contrast Agent Venous Intravasation During Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography

Wang

Zhou

et al. 2018

J of Ultrasound Medicine

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Venous intravasation during evaluation of tubal patency by ultrasound contrast imaging

Cited by 21 publications

References 4 publications

Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

Intravasation Affects the Diagnostic Image Quality of Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography With SonoVue

The Influencing Factors of Venous Intravasation During Transvaginal Four-dimensional Hysterosalpingo-contrast Sonography With SonoVue

Influence Factors on Contrast Agent Venous Intravasation During Transvaginal 4‐Dimensional Hysterosalpingo‐Contrast Sonography

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