Bilateral Ovarian Vein Embolisation from a Unilateral Basilic Approach with n-2-Butyl Cyanoacrylate and Crossover Technique for Pelvic Congestion Syndrome

Author(s):  
José Ignacio Leal Lorenzo ◽  
Guillermo Gallardo Madueño ◽  
Andrés Alcázar Peral ◽  
Eugenia Pillado Rodríguez ◽  
Regina Cárdenas Santos ◽  
...  
VASA ◽  
2016 ◽  
Vol 45 (4) ◽  
pp. 275-282 ◽  
Author(s):  
Christina Jeanneret ◽  
Konstantin Beier ◽  
Alexander von Weymarn ◽  
Jürg Traber

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.


2015 ◽  
Vol 22 (6) ◽  
pp. S154
Author(s):  
G Xiaoming ◽  
TM Walsh ◽  
A Hernandez ◽  
P Osial ◽  
D Xu

2007 ◽  
Vol 30 (4) ◽  
pp. 655-661 ◽  
Author(s):  
Se Hwan Kwon ◽  
Joo Hyeong Oh ◽  
Kyung Ran Ko ◽  
Ho Chul Park ◽  
Joo Yup Huh

2010 ◽  
Vol 26 (1) ◽  
pp. 29-31 ◽  
Author(s):  
P Paraskevas

Pelvic varicose veins secondary to ovarian vein reflux are common and can present with clinical pelvic congestion syndrome (PCS). After assessment with duplex ultrasound and venography, treatment often involves surgical ovarian vein ligation and more recently embolization of the ovarian vein(s) followed by ultrasound-guided foam sclerotherapy (UGFS) of the pelvic tributaries. This paper presents one out of many PCS patients treated with UGFS of the pelvic tributaries alone, with clinically symptomatic improvement.


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