Treatment Outcomes of Endovascular Embolization for Pelvic Congestion Syndrome

2018 ◽  
Vol 51 ◽  
pp. 282-283
Author(s):  
William Wilson ◽  
Lyssa Ochoa ◽  
Jenny J. Lee ◽  
Mathew Cheung ◽  
Peter H. Lin
Keyword(s):  
Treatment Outcomes ◽  
Endovascular Embolization ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

scholarly journals Predicting pelvic congestion syndrome: Concomitant pelvic pain diagnoses do not affect venography or embolization outcomes

2021 ◽  
Vol 11 ◽  
pp. 61
Author(s):  
Jared Macher ◽  
Akshaar Brahmbhatt ◽  
Anisha Shetty ◽  
Komal Chughtai ◽  
Timothy Baran ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Pelvic Pain ◽  
Final Analysis ◽  
Clinical History ◽  
Complete Response ◽  
Technical Failure ◽  
Similar Treatment ◽  
Pelvic Congestion Syndrome ◽  
Presenting Symptoms ◽  
Pelvic Congestion

Objectives: Pelvic congestion syndrome (PCS) is a challenging diagnosis to make secondary to nonspecific presenting symptoms and imaging findings. This retrospective review aims to discern predictive factors which can guide the decision to perform catheter-based venography and prognosticate outcomes. Material and Methods: A retrospective analysis of patients who underwent catheter venography for PCS between January 2014 and December 2019 was performed. Multiple factors, including patient demographics, clinical history, pre-procedural imaging, venographic findings, and treatment outcomes 180 days post-procedure, were included in the analysis. Venographic findings were used to separate patients into two groups (positive or negative), with these factors compared across groups. Regression analysis controlled for the confounding effects of age and body mass index (BMI). Treated subjects were separated based on outcome (partial, no response, complete response, or technical failure), and comparisons were performed. Results: Eighty patients were included in the initial analysis. Two patients were excluded due to prior embolization or portal hypertension. Seventy-eight patients were included in the final analysis. Sixty-two patients had positive findings, and 16 had no venographic findings to suggest PCS. A history of prior pregnancy was a significant predictor of positive venographic results (odds ratio = 5.99, P = 0.007). BMI was significantly lower in those with positive venographic results (P = 0.047). Presence of concomitant diagnoses did not affect venographic findings or treatment outcomes. No factors predicted treatment outcomes. Five of the treated patients had subsequent successful pregnancies. Conclusion: A lower BMI supports the decision to perform venography for suspected PCS. In addition, patients who carried concomitant potentially confounding diagnoses for chronic pelvic pain were found to have similar rates of venographic findings suggesting PCS, as well as similar treatment outcomes.

Pelvic congestion syndrome and left renal compression syndrome - clinical features and therapeutic approaches

VASA ◽  
2016 ◽  
Vol 45 (4) ◽  
pp. 275-282 ◽  
Author(s):  
Christina Jeanneret ◽  
Konstantin Beier ◽  
Alexander von Weymarn ◽  
Jürg Traber
Keyword(s):  
Varicose Veins ◽  
Left Renal Vein ◽  
Standing Position ◽  
Ovarian Vein ◽  
Pelvic Congestion Syndrome ◽  
Compression Syndrome ◽  
Abstract Knowledge ◽  
Increased Risk ◽  
Definition Of ◽  
Pelvic Congestion

Abstract. Knowledge of the anatomy of the pelvic, gonadal and renal veins is important to understand pelvic congestion syndrome (PCS) and left renal vein compression syndrome (LRCS), which is also known as the nutcracker syndrome. LRCS is related to PCS and to the presence of vulvar, vaginal and pudendal varicose veins. The diagnosis of the two syndromes is difficult, and usually achieved with CT- or phlebography. The gold standard is the intravenous pressure measurement using conventional phlebography. The definition of PCS is described as pelvic pain, aggravated in the standing position and lasting for more than 6 months. Pain in the left flank and microhaematuria is seen in patients with LRCS. Women with multiple pregnancies are at increased risk of developing varicose vein recurrences with pelvic drainage and ovarian vein reflux after crossectomy and stripping of the great saphenous vein. The therapeutic options are: conservative treatment (medroxyprogesteron) or interventional (coiling of the ovarian vein) or operative treatment (clipping of the ovarian vein). Controlled prospective trials are needed to find the best treatment.

Chronic lower abdominal pain is commonly associated with pelvic congestion syndrome

2016 ◽  
Vol 76 (10) ◽  
Author(s):  
A Jurga-Karwacka ◽  
GM Karwacki ◽  
FD Schwab ◽  
A Schötzau ◽  
C Zech ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Lower Abdominal Pain ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

Pelvic congestion syndrome as a predisposing factor of "two-level" varicose veins development

2019 ◽  
Vol 19 (3) ◽  
Author(s):  
Larysa Chernukha ◽  
Alla Guch ◽  
Vadym Kondratyuk ◽  
Olenka Vlasenko ◽  
Alla Bobrova
Keyword(s):  
Varicose Veins ◽  
Predisposing Factor ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion

scholarly journals Treatment Outcomes of Patients with Glomus Tympanicum Tumors Presenting with Pulsatile Tinnitus

2021 ◽  
Vol 10 (11) ◽  
pp. 2348
Author(s):  
Seung-Jae Lee ◽  
Sang-Yeon Lee ◽  
Gwang-Seok An ◽  
Kyogu Lee ◽  
Byung-Yoon Choi ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Low Frequency ◽  
Temporal Analysis ◽  
Endovascular Embolization ◽  
Preoperative Embolization ◽  
Surgical Removal ◽  
Pulsatile Tinnitus ◽  
Post Intervention ◽  
Hearing Thresholds ◽  
Glomus Tympanicum

We reviewed the clinical characteristics and treatment outcomes of patients with glomus tympanicum tumors (GTTs) presenting with pulsatile tinnitus (PT). We explored whether transcanal sound recording-spectro-temporal analysis (TSR-STA) usefully evaluated changes in PT. The medical records of 13 patients who underwent surgical removal of GTTs were reviewed retrospectively. Two patients underwent preoperative endovascular embolization. Changes in PT, pre- and postoperative audiometry data, TSR-STA results, and clinical outcomes were evaluated. PT was the chief complaint in eight patients (61.5%) and resolved immediately after surgical intervention in all. Two patients exhibited ipsilateral, pseudo-low-frequency hearing loss (PLFHL); surgical GTT removal elicited postoperative improvements in the ipsilesional low-frequency hearing thresholds. Five patients underwent TSR-STA using previously described methods. TSR-STA revealed definite rise-and-fall patterns; surgical tumor removal abated this pattern in one patient, but, for the other four, the patterns did not change greatly post-intervention. Thus, GTT-related PT can be treated successfully (via surgical GTT removal) without complications. In selected cases, preoperative embolization reduces intraoperative hemorrhage. In PT patients with PLFHL, a detailed otoendoscopic examination of the middle ear is required to rule out a GTT. TSR-STA may usefully (and objectively) assess postoperative improvements in GTT-related PT.

Broad ligament pregnancy with pelvic congestion syndrome: A case report

2021 ◽  
Author(s):  
Ruyue Ma ◽  
Junhua Guan ◽  
Jina Chen ◽  
Ke Sun ◽  
Liwen Zhang ◽  
...  
Keyword(s):  
Case Report ◽  
Broad Ligament ◽  
Pelvic Congestion Syndrome ◽  
Pelvic Congestion
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