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
PURPOSE: Ovarian 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 METHODS: We 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.
RESULTS: Initial 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.
CONCLUSIONS: Transcatheter 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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Cited by (23)
- Pelvic Venous Disorders (PeVD) 2022
- Management of Patients when Superficial Venous Disease Arises from Pelvic Escape Points 2021
- Diagnosis and treatment of pelvic congestion syndrome: Single-centre experiences 2017
- Pelvic vein incompetence: clinical perspectives 2017
- Efficacy of Endovascular Therapy for Chronic Pelvic Pain in Patients with Suspected Pelvic Congestion Syndrome 2017
- Ovarian remnant syndrome: a retrospective evaluation of surgical management 2016
- Eficacia y seguridad de la embolización en pacientes con diagnóstico de varices pélvicas 2016
- Pelvic Neuralgias by Neuro-Vascular Entrapment: Anatomical Findings in a Series of 97 Consecutive Patients Treated by Laparoscopic Nerve Decompression 2015
- A Case of Pelvic Congestion Syndrome With Chronic Lower Abdominal Pain and Vaginal Spotting in a Woman of Childbearing Age 2013
- Pelvic congestion syndrome 2013
- Beyond hemostasis: spectrum of gynecologic and obstetric indications for transcatheter embolization 2012
- Pelvic varicocele and pelvic congestion syndrome in woman 2012
- Várices pélvicas y síndrome de congestión pélvica en la mujer Pelvic varicocele and pelvic congestion syndrome in woman 2012
- Surgical options for pelvic pain 2010
- Surgical interventions for the management of chronic pelvic pain in women 2010
- Surgical options for pelvic pain 2010
- Ovarian vein incompetence: a potential cause of chronic pelvic pain in women 2008
- Chronic pelvic pain: a challenge 2007
- Pelvic pain: overlooked and underdiagnosed gynecologic conditions 2005
- Síndrome de congestión pélvica: Evaluación del dolor después del tratamiento laparoscópico con Ligasure®. 2005
- The pelvic congestion syndrome: role of the "nutcracker phenomenon" and results of endovascular treatment 2004
- Initial experience with ovarian vein embolization for the treatment of chronic pelvic pain syndrome 2003
- Pelvic congestion syndrome--findings on multi-detector row computerized tomography: a case report 2003
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