Evidence map›Paper›PMID 41970370›Full record

ArticleFrontiers in medicine2026

Evaluating ovarian blood supply anatomy and variability via digital subtraction angiography in patients with cesarean scar pregnancy undergoing uterine artery embolization.

Guo Zheng, Huiling Gao, Zhao Jin, Yue Wen, Hongzhen Xu, Shuyuan Dong, Shuang Li

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Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Guo Zheng *Department of Interventional Radiology, Heibei Maternity Hospital, Shijiazhuang, China.
Huiling Gao *Department of Interventional Radiology, Heibei Maternity Hospital, Shijiazhuang, China.
Zhao JinDepartment of Interventional Radiology, Heibei Maternity Hospital, Shijiazhuang, China.
Yue WenDepartment of Interventional Radiology, Heibei Maternity Hospital, Shijiazhuang, China.
Hongzhen XuDepartment of Interventional Radiology, Heibei Maternity Hospital, Shijiazhuang, China.
Shuyuan DongDepartment of Interventional Radiology, Heibei Maternity Hospital, Shijiazhuang, China.
Shuang LiDepartment of Interventional Radiology, Heibei Maternity Hospital, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Preservation of ovarian perfusion is a critical consideration during uterine artery embolization (UAE), as inadvertent disruption can reduce ovarian reserve. Given the complex and variable anatomy of ovarian blood supply, this study aimed to characterize its anatomical origins and variations using digital subtraction angiography (DSA) in patients undergoing UAE for cesarean scar pregnancy (CSP). Methods: This retrospective study included patients with type II or III CSP who underwent first-time UAE at Heibei Maternity Hospital, China, between August 2020 and October 2024. Pre-embolization DSA, including abdominal aortography and selective uterine arteriography, was analyzed to assess visualization of left and right ovarian arteries, uterine artery ovarian branches, and ovarian parenchymal staining. Statistical comparisons between bilateral vessels were performed using chi-square tests. Results: Among 243 patients, the left ovarian artery was visualized in 42.8% and the right in 44.86%. Bilateral ovarian arteries were visualized in 18.52%, and neither artery was visualized in 20.58%. Uterine artery ovarian branches were visualized in 39.51% ( Conclusion: Ovarian blood supply demonstrates substantial interindividual variation, with uterine artery ovarian branches contributing significantly to perfusion. No significant bilateral differences were identified, indicating that variability arises at the individual rather than side-specific level. Comprehensive bilateral vascular assessment with DSA remains essential to guide embolization strategies that minimize the risk of ovarian dysfunction.

Indexed as

blood supplydigital subtraction angiographyovarian arteryuterine arteryuterine artery embolization

Identifiers

PMID41970370
PMCPMC13062180

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