title: Fallopian tube recanalisation using dedicated radiographic tubal assessment set in angiography suite.
abstract: BACKGROUND
  Fallopian tube recanalisation (FTR) for proximal fallopian tube obstruction (PFTO) is considered a good treatment option for tubal infertility. The aim of this study was to assess the safety and the technical and clinical success rates of FTR using a dedicated radiographic tubal assessment set (FluoroSet(®) ) in the angiography suite.
  
  
  METHODS
  This study is a retrospective analysis of data prospectively collected between February 2007 and June 2011 at King Abdullah University Hospital, Irbid, Jordan. During this period, 61 patients affected by PFTO underwent FTR using FluoroSet(®) at our institution. The mean age of patients was 34 years (range 20-45 years), and the mean duration of infertility was 4 years (range 2-14 years). The procedure was performed with conscious sedation under fluoroscopic guidance in the angiography suite. The obstructed tube was accessed with a 5-Fr multipurpose catheter, and the obstruction was crossed with a 0.35-Fr hydrophilic guide wire until the wire coiled freely into the peritoneal cavity. Patency of the tube was then confirmed by selective salpingiogram. Technical success rate was recorded, and patients were followed up for evidence of pregnancy over 12 months.
  
  
  RESULTS
  The procedure was technically successful in all patients. Minor bleeding and postprocedural pain occurred in most patients; however, there were no major complications encountered. Twenty-five patients (41%) became pregnant. Successful deliveries of full-term infants were reported in 21 patients (84%). Miscarriage was reported in four patients (16%). No ectopic pregnancies were detected, and all deliveries were full-term. The technical success rate was 100% and the clinical success rate was 41%.
  
  
  CONCLUSIONS
  Selective salpingography and FTR using FluoroSet(®) is a safe and effective method. FTR is recommended as the first intervention in patients with PFTO. In experienced hands with dedicated equipment and in an appropriate setting, the success rate is high, and this treatment should be offered to infertile women with PFTO before other, more complex techniques are attempted.
authors.affiliation: Department of Radiology, King Abdullah University Hospital, Irbid, Jordan.
authors.forename: Mh
authors.initials: M
authors.lastname: Al-Omari
authors.forename: A
authors.initials: A
authors.lastname: Al-Mnayyis
authors.forename: N
authors.initials: N
authors.lastname: Obeidat
authors.forename: Z
authors.initials: Z
authors.lastname: Amarin
authors.forename: F
authors.initials: F
authors.lastname: Zayed
authors.forename: L
authors.initials: L
authors.lastname: Rousan
authors.forename: H
authors.initials: H
authors.lastname: Al-Balas
authors.forename: K
authors.initials: K
authors.lastname: Alawneh
authors.forename: M
authors.initials: M
authors.lastname: El-Heis
authors.forename: Z
authors.initials: Z
authors.lastname: Omari
authors.forename: R
authors.initials: R
authors.lastname: Hanania
mesh_terms: D000328:Adult; D000792:Angiography / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005184:Fallopian Tube Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D005187:Fallopian Tubes; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000295:instrumentation* / Q000379:methods; D007247:Infertility, Female / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D011247:Pregnancy; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D025321:Surgery, Computer-Assisted / Q000295:instrumentation* / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult
keywords: FluoroSet®; fallopian tube; fluoroscopy; infertility; recanalisation