Ovarian Vein Embolization for the Treatment of Pelvic Congestion Syndrome: Long-Term Technical and Clinical Results
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This study reports long-term technical and clinical outcomes for ovarian vein embolization as a treatment for pelvic congestion syndrome.
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Abstract
PurposeOvarian vein embolization has been used recently to treat pelvic congestion syndrome. The purpose of this study is to evaluate the clinical efficacy and safety of ovarian vein embolization in the treatment of symptomatic pelvic varices.Materials and methodsWe performed ovarian vein embolization in 41 patients (mean age, 37.8 years; range, 30-58 years): 32 patients underwent unilateral embolization and nine patients underwent bilateral embolization. All had lower abdominal pain and pelvic varicosities were found on retrograde ovarian vein venography. Embolization was performed with a mixture of enbucrilate and lipiodized oil in all but one patient, in whom enbucrilate and minicoils were used. Initial technical success rate and clinical follow-up (1-61 months; mean, 19.9 months), conducted with use of mailed questionnaires, are reported.ResultsInitial technical success rate was 98%. Immediate complications were noted in two patients (4%) in the form of migration of some fragments of glue (used as embolic agent), which was treated conservatively. Clinical follow-up reveals variable symptomatic relief in 9.7% of cases and a total relief of symptoms in 58.5% of cases. Results in patients who had insufficient ovarian veins bilaterally were no better than those in patients for whom only the left ovarian vein was found insufficient.ConclusionsTranscatheter embolization of the ovarian veins is a safe and feasible technique leading to complete relief of symptoms in more than half of cases. No statistically significant difference in clinical outcome could be noted between patients presenting with bilateral insufficient ovarian veins, who underwent bilateral embolization, and patients presenting with an insufficient left ovarian vein, who underwent left unilateral embolization.
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- Efficacy of Endovascular Therapy for Chronic Pelvic Pain in Patients with Suspected Pelvic Congestion Syndrome 2017
- Eficacia y seguridad de la embolización en pacientes con diagnóstico de varices pélvicas 2016
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- Ovarian remnant syndrome: a retrospective evaluation of surgical management 2016
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- A Case of Pelvic Congestion Syndrome With Chronic Lower Abdominal Pain and Vaginal Spotting in a Woman of Childbearing Age 2013
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- Beyond Hemostasis: Spectrum of Gynecologic and Obstetric Indications for Transcatheter Embolization 2012
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- Gonadal Vein Embolization: Treatment of Varicocele and Pelvic Congestion Syndrome 2008
- Chronic Pelvic Pain due to Pelvic Congestion Syndrome: The Role of Diagnostic and Interventional Radiology 2007
- Transcatheter Ovarian Vein Embolization Using Coils for the Treatment of Pelvic Congestion Syndrome 2007
- Chronic pelvic pain: A challenge 2007
- Successful treatment of pelvic congestion syndrome by transcatheter embolization 2006
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