Venous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification

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dc.contributor.authorDusak, Abdurrahim
dc.contributor.authorSoydinc, Hatice E.
dc.contributor.authorOnder, Hakan
dc.contributor.authorEkinci, Faysal
dc.contributor.authorGoruk, Neval Y.
dc.contributor.authorHamidi, Cihat
dc.contributor.authorBilici, Aslan
dc.date.accessioned2024-04-24T17:24:14Z
dc.date.available2024-04-24T17:24:14Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives: Presently, hysterosalpingography (HSG) is used as a means to evaluate women with infertility and repetitive pregnancy loss. Venous intravasation is a complication and potential pitfall during HSG and analogous procedures including hysteroscopy. The aim of our study was to assess the venous intravasation and to obtain critical information for more secure and more accurate procedures. In particular, the primary goal of the present study was to compare HSG without and with intravasation to identify differences seen on HSG and to assess the predisposing factors of intravasation. The secondary goal was to describe clinical- and imaging-based novel classification of intravasation. Materials and Methods: This study included a patient cohort of 569 patients who underwent HSG between 2008 and 2011 at our center in the absence (control group) or presence (study group) of intravasation. Intravasation classified from level 0 (no intravasation) to level 3 (severe intravasation) was compared with preprocedural (demographic and clinical) and procedural (HSG) data. Data were analyzed using Statistical Package for Social Sciences (SPSS) statistical software. Results: Of the 569 patients undergoing HSG, 528 showed no intravasation and 41 (7.2%) patients showed intravasation when associated with preprocedural (leukocytes, menometrorrhagia, secondary infertility, ectopic pregnancy, abortus, polycystic ovaries, endometriosis, and interventions) and procedural (pain, scheduling, endometrial-uterine nature, and spillage) parameters. Moreover, intravasation was lower in women with smooth endometrium, triangular uterus, and homogeneous peritoneal spillage. No association was found between age, tubal patency, increased pressure, and intravasation. Conclusions: Using a novel classification method, intravasation can be observed in women during HSG and associates with preprocedural and procedural predisposing factors in subsumed conditions. This classification method will be useful for improving the efficiency and accuracy of HSG and related procedures by minimization of severe complications caused by intravasation.en_US
dc.identifier.doi10.4103/2156-7514.124105
dc.identifier.issn2156-7514
dc.identifier.issn2156-5597
dc.identifier.pmid24605262
dc.identifier.scopus2-s2.0-84893362633
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.4103/2156-7514.124105
dc.identifier.urihttps://hdl.handle.net/11468/19547
dc.identifier.volume3en_US
dc.identifier.wosWOS:000219203900011
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherMedknow Publications & Media Pvt Ltden_US
dc.relation.ispartofJournal of Clinical Imaging Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectComplicationsen_US
dc.subjectHysterosalpingographyen_US
dc.subjectNovel Classificationen_US
dc.subjectPotential Pitfalls Venous Intravasationen_US
dc.titleVenous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classificationen_US
dc.titleVenous Intravasation as a Complication and Potential Pitfall During Hysterosalpingography: Re-Emerging Study with a Novel Classification
dc.typeArticleen_US

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