Intracardiac KCl Injection in Cesarean Scar Pregnancy: A Review Article

Authors

  • Ashish Gupta Sir Ganga Ram Hospital, New Delhi, India
  • Manish Thapa Nepal Army Institute of Health Sciences, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/njr.v13i2.59964

Keywords:

Cicatrix, Leiomyoma, Methotrexate, Potassium Chloride, Pregnancy

Abstract

Embryo implantation in a previous caesarean scar (CS) resulting in a caesarean scar pregnancy (CSP) is another rare but potentially catastrophic complication of a previous caesarean birth. CSP can be detected between days 33 and 94 of pregnancy. Methotrexate and potassium chloride (KCl) are the most common feticidal agents used. intracardiac KCl causes feticide and reduces the uteroplacental blood flow, thereby decreasing the rate of hemorrhage due to placenta previa, caesarian scar pregnancy and in cases of fibroids; it is easy to evacuate the macerated fetus. Intracardiac KCl causes feticide and reduces the uteroplacental blood flow, thereby decreasing the rate of hemorrhage and abortion time before termination of pregnancy (TOP) leading to an easy evacuation of the macerated fetus. In conclusion, feticide with intracardiac KCl is a safe procedure.

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Author Biographies

Ashish Gupta, Sir Ganga Ram Hospital, New Delhi, India

Consultant, Department of Intervention Radiology

Manish Thapa, Nepal Army Institute of Health Sciences, Kathmandu, Nepal

Consultant, Department of Intervention Radiology

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Published

2023-11-24

How to Cite

Gupta, A., & Thapa, M. (2023). Intracardiac KCl Injection in Cesarean Scar Pregnancy: A Review Article. Nepalese Journal of Radiology, 13(2), 3–8. https://doi.org/10.3126/njr.v13i2.59964

Issue

Section

Review Article