Factors affecting the technical outcome of catheter-directed sclerotherapy for ovarian endometriomas
Other
OA: closed
CC0
⤵ 2 in-corpus citations
AI-generated summary
This study found that smaller endometrioma diameter (<3 cm), T2 dark signal intensity, and transvaginal access were associated with technical failure in catheter-directed sclerotherapy.
One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works
Abstract
PURPOSE: To identify factors related to technical outcomes of catheter-directed sclerotherapy (CDS) and suggest selection criteria for CDS in patients with ovarian endometrioma.
METHOD: This retrospective study included patients with endometriomas treated with CDS between November 2015 and June 2023. The characteristics of the endometriomas, including diameter, morphology (unilocular or multilocular), and T2 signal intensity were evaluated using pre-procedure magnetic resonance imaging. Moreover, the size of the catheter (7- or 8.5-French) and route of access (transabdominal vs. transvaginal) was also analyzed. Multivariate logistic regression analyses were used to identify factors associated with the technical outcomes of CDS.
RESULTS: Technical success was defined as successful completion of the following: 1) insertion of a 7- or 8.5-French catheter into the endometrioma, 2) full aspiration of the internal content, and 3) completion of sclerotherapy without ethanol leakage. Of the 323 women (mean age = 32.2 ± 6.0 years) with 401 endometriomas included in our study, technical success was achieved in 377 endometriomas (94.0 %). No major complications were observed. In the multivariate analysis, a diameter < 3 cm (odds ratio, 25.641; p < 0.001), T2 dark signal intensity (odds ratio, 7.462; p = 0.001), and transvaginal access (odds ratio, 4.016; p = 0.004) were associated with technical failure.
CONCLUSIONS: Small endometrioma size (<3cm), T2 dark signal intensity, and transvaginal access were identified as significant risk factors for technical failure during catheter-directed sclerotherapy.
My notes (saved in your browser only)
Condition tags
MeSH descriptors
Citation neighborhood (2-hop)
Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]
References (24)
- Catheter-directed Sclerotherapy for Ovarian Endometrioma: Short-term Outcomes via openalex
- Comparison of the therapeutic efficacy and ovarian reserve between catheter-directed sclerotherapy and surgical excision for ovarian endometrioma via openalex
- Correlation between ovarian chocolate cyst and serum carbohydrate antigen 125 level and the effect of ultrasound-guided interventional sclerotherapy on serum carbohydrate antigen 125 level via openalex
- Diffusion-weighted magnetic resonance imaging in the differentiation of endometriomas from hemorrhagic cysts in the ovary via openalex
- Effectiveness of ultrasound-guided aspiration and sclerotherapy with 95% ethanol for treatment of recurrent ovarian endometriomas via openalex
- Efficacy of ethanol sclerotherapy for ovarian endometriomas via openalex
- Endometrioma ≤3 cm in diameter per se does not affect ovarian reserve in intracytoplasmic sperm injection cycles via openalex
- Endometriosis: radiologic-pathologic correlation via openalex
- Large ovarian endometriomas via openalex
- Pathogenesis and pathophysiology of endometriosis via openalex
- Randomized clinical trial of two laparoscopic treatments of endometriomas: cystectomy versus drainage and coagulation via openalex
- Second surgery for recurrent endometriomas is more harmful to healthy ovarian tissue and ovarian reserve than first surgery via openalex
- The Main Theories on the Pathogenesis of Endometriosis via openalex
- Therapeutic Efficacy of Catheter-directed Ethanol Sclerotherapy and Its Impact on Ovarian Reserve in Patients with Ovarian Endometrioma at Risk of Decreased Ovarian Reserve: A Preliminary Study via openalex
- The shading sign via openalex
- [Ultrasonically guided puncture of endometrial cysts--aspiration of contents and infusion of ethanol] via openalex
- W6634937569 via openalex
- W1980447854 via openalex
- W2063086232 via openalex
- W2109819743 via openalex
- W2129766185 via openalex
- W2163315477 via openalex
- W3212557630 via openalex
- W6629636846 via openalex
Cited by (2)
Source provenance
- europepmc
- last seen: 2026-10-04T09:26:46.659050+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-10-08T21:45:59.572399+00:00
- unpaywall
- last seen: 2026-10-08T06:33:43.470499+00:00
License: CC0
· commercial use OK