Embolization of ovarian vein for pelvic congestion syndrome with ethylene vinyl alcohol copolymer (Onyx®)

Marcelin, Clément; Izaaryene, Jean; Castelli, Melanie J.; Barral, Pierre-Antoine; Jacquier, Alexis; Vidal, Vincent; Bartoli, Jean Michel

doi:10.1016/j.diii.2017.05.011

Cited by 28 publications

(18 citation statements)

References 33 publications

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“…Non-adhesive embolic fluids are most commonly used in the arterial district, but, in some specific settings, they can also be used in the venous district. The scientific paper with the largest series of vein embolization with non-adhesive embolic fluid was published by Marcelin et al [ 66 ], who demonstrated that the use of Onyx to treat female pelvic varicoceles is an effective and safe approach. Marcelin stated that, in the venous district, these fluids have the great advantage over coils and sclerosing fluids of having good release control, the possibility to see how they distribute on fluoroscopy and both reduced risk of revascularization of the treated venous axis and of dangerous migration toward central venous system.…”

Section: Venous Embolizationmentioning

confidence: 99%

Non-Adhesive Liquid Embolic Agents in Extra-Cranial District: State of the Art and Review of the Literature

Piacentino

Fontana

Curti

et al. 2021

JCM

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This review focuses on the use of “new” generation of non-adhesive liquid embolic agents (NALEA). In literature, non-adhesive liquid embolic agents have mainly been used in the cerebral district; however, multiple papers describing the use of NALEA in the extracranial district have been published recently and the aim of this review is to explore and analyze this field of application. There are a few NALEA liquids such as Onyx, Squid, and Phil currently available in the market, and they are used in the following applications: mainly arteriovenous malformations, endoleaks, visceral aneurysm or pseudoaneurysm, presurgical and hypervascular lesions embolization, and a niche of percutaneous approaches. These types of embolizing fluids can be used alone or in combination with other embolizing agents (such as coils or particles) so as to enhance its embolizing effect or improve its possible defects. The primary purpose of this paper is to evaluate the use of NALEAs, predominantly used alone, in elective embolization procedures. We did not attempt a meta-analysis due to the data heterogeneity, high number of case reports, and the lack of a consistent follow-up time period.

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Section: Venous Embolizationmentioning

confidence: 99%

Non-Adhesive Liquid Embolic Agents in Extra-Cranial District: State of the Art and Review of the Literature

Piacentino

Fontana

Curti

et al. 2021

JCM

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“…In a study evaluating vascular plugs, despite the advantage of less exposure to radiation, no significant difference was found in clinical success and improvement in 1-year follow-up results. In patients who underwent embolization with ethylene vinyl alcohol copolymer material, a success rate of 76.4 % was observed and no complications were found [20].…”

Section: Endovascular Treatmentmentioning

confidence: 85%

Poorly Understood Pelvic Venous Disorders Require a Multidisciplinary Approach

Doğancı¹

2021

Phlebologie

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Pelvic venous diseases encompasses all chronic pathologies of pelvic veins caused by venous hypertension and retrograde flow in pelvic veins. It is commonly unexplained and often underdiagnosed cause of chronic pelvic pain in women of productive age. Pelvic venous pathologies are a part of multidisciplinary problem that should be considered in a holistic approach. Newly offered SVP classification may help correctly classifying patients and using the same nomenclature. Endovascular treatment options are highly effective with good long-term results. Patients with inconclusive gynecologists examinations should be referred to a specialist for the investigation of pelvic venous disorders.

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“…Embolic materials include coils, Gelfoam slurry, STS, and more recently ethylene vinyl alcohol copolymer or Onyx. 28,31 The combination of different techniques and utilization of various embolic materials across these studies begs the question of what is the optimal technique to employ based on patient characteristics and is an ongoing research question.…”

Section: Discussionmentioning

confidence: 99%

Choosing the Most Appropriate Treatment Option for Pelvic Venous Disease: Stenting versus Embolization

Tanaka

Kutsenko

Salazar

2021

Semin intervent Radiol

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Pelvic venous disease (PeVD) in women encompasses a wide variety of entities all resulting in pelvic pain and varices. Successful treatment with percutaneous interventions is dependent on identifying underlying factors contributing to the disease and addressing them with either embolization of incompetent veins or stenting for venous stenoses. There are a multitude of embolization methods with marked practice heterogeneity. Moreover, with the ongoing development of dedicated venous stents in the treatment of chronic venous disease, there are more opportunities to consider this modality for the treatment of PeVD, as many patients present with combined vein reflux and central venous stenosis. The necessity to address both and the order of interventions in these patients is still to be elucidated. Here, we describe when to choose stenting or embolization for PeVD, their limitations, and our practice and identify further areas of research in this field.

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Embolization of ovarian vein for pelvic congestion syndrome with ethylene vinyl alcohol copolymer (Onyx®)

Abstract: Pelvic embolization using ethylene vinyl alcohol copolymer (Onyx) has a favorable clinical success for pelvic congestion syndrome.

Cited by 28 publications

References 33 publications

Non-Adhesive Liquid Embolic Agents in Extra-Cranial District: State of the Art and Review of the Literature

Non-Adhesive Liquid Embolic Agents in Extra-Cranial District: State of the Art and Review of the Literature

Poorly Understood Pelvic Venous Disorders Require a Multidisciplinary Approach

Choosing the Most Appropriate Treatment Option for Pelvic Venous Disease: Stenting versus Embolization

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