Abstract
BACKGROUND AND AIMS: To evaluate outcomes and adverse events of uterine artery embolization (UAE) using the GELFOAM technique for cervical and cesarean scar ectopic pregnancies at a single tertiary center. METHODS: We conducted a descriptive cross-sectional case series over 1 year. Maternal age, β-hCG levels, mass size, obstetric history, complications, and treatment success were abstracted from records. Descriptive statistics are presented as mean ± SD for approximately normally distributed variables and median (IQR) for skewed variables. RESULTS: Among 41 patients, uterine preservation was achieved in 40 (97.6%), with no procedure-specific complications and one non-specific postoperative hematoma (2.4%). The single failure occurred in a delayed presentation and required further surgical intervention. For uterine preservation (40/41), the 95% confidence interval for the success proportion is 87.4%-99.6% (Wilson). CONCLUSION: UAE with GELFOAM appears to be an effective, fertility-preserving option for cervical and cesarean-scar ectopic pregnancy in selected patients. Larger studies with longer follow-up are warranted.