Ovarian Vein Embolization for the Treatment of Pelvic Congestion Syndrome: Long-Term Technical and Clinical Results

Guidelines for the use of NBCA in vascular embolization devised by the Committee of Practice Guidelines of the Japanese Society of Interventional Radiology (CGJSIR), 2012 edition

“…In addition, NBCA has been indicated for arterial redistribution and hepatic arterial catheter fixation during hepatic arterial infusion chemotherapy [68,159,180,181]. In the venous system, retrospective studies examining the use of NBCA for percutaneous transhepatic portal venous embolization have also been reported [19,45,48,49,77], and there have been several studies about the use of NBCA for pelvic congestion syndrome and varicoceles [27,65,109,157].…”

“…In the thoracoabdominal field, embolic devices are often deployed in the distal portion of the target lesion to prevent the distal migration of NBCA [19,34,72,108,109,149,163], and NBCA is sometimes used in combination with other embolic materials in cases in which the target lesion was insufficiently embolized [72,77,81,87,134,162,180,182]. NBCA has also been occasionally used to fix the tips of indwelling catheters in place during hepatic arterial infusion chemotherapy [173,181].…”

Results of Different Types of Operations in Patients with Pelvic Congestion Syndrome

“…Кроме того, ряд авторов [7,8] сообщают о таких осложнениях эмбо лизации гонадных вен, как протрузия спиралей в за брюшинное пространство, развитие забрюшинной гематомы и миграция металлических окклюторов в легочное артериальное русло. До конца не ясным остается причина сохранения либо усиления ХТБ у пациенток после эндоваскулярного вмешательства при отсутствии патологического рефлюкса крови ниже уровня окклюзии гонадных вен.…”

Surgical Options for the Treatment of Chronic Pelvic Pain

“…Due to the limited clinical evidence regarding its efficacy, pelvic vein ligation is currently a controversial treatment of the pelvic congestion syndrome. Most recently, ovarian vessel embolization has been reported, with a significant reduction in symptomatology, but the possibility of migrating embolizing material and the small sample sizes are its main drawbacks [12]. A study that conducted a 12-month follow-up revealed that radical surgical management, such as total hysterectomy and bilateral salpingo-oophorectomy, is successful in treating the pelvic congestion syndrome [13].…”