Varicocele Retrograde Embolization with Boiling Contrast Medium and Gelatin Sponges in Adolescent Subjects: A Clinically Effective Therapeutic Alternative

Hawkins, C. Matthew; Racadio, John M.; McKinney, David; Racadio, Judy M.; Vũ, Đoàn

doi:10.1016/j.jvir.2011.10.021

Cited by 14 publications

(11 citation statements)

References 25 publications

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“…Varicocele embolization is a minimally invasive approach that is associated with decreased postoperative pain and decreased risk of hydrocele compared with the standard surgical approaches. Often before embolization, Doppler ultrasonography is performed to confirm the presence of varicoceles (49,50). Percutaneous embolization is typically performed under intravenous sedation and local anesthesia, at which time venous access is either obtained via the right common femoral vein for left-sided varicoceles or the internal jugular vein for right-sided or bilateral varicoceles.…”

Section: Percutaneous Varicocele Embolizationmentioning

confidence: 99%

Treatment of varicoceles: techniques and outcomes

Johnson

Sandlow

2017

Fertility and Sterility

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Varicoceles, a dilation of veins within the pampiniform plexus, are present in ∼15% of the general male population. This paper reviews the indications for treatment of varicoceles, post-intervention outcomes following treatment, and the various techniques for treatment of varicoceles. The aim of this review is to describe and compare complications associated with each approach to varicocele treatment.

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Section: Percutaneous Varicocele Embolizationmentioning

confidence: 99%

Treatment of varicoceles: techniques and outcomes

Johnson

Sandlow

2017

Fertility and Sterility

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“…A right common femoral vein approach is often used, especially when treating an isolated left varicocele. [58][59][60][61][62] However, some operators may prefer a right internal jugular vein approach 60 ; a transbrachial approach may offer similar advantages. 63,64 Following venous access, a 7F sheath is placed.…”

Section: Endovenous Treatmentmentioning

confidence: 99%

“…Authors have reported using sclerosing agents, 63,65 coils, 58 liquid embolics, 60,66 detachable balloons, 58 and hot contrast. 61 Earlier literature described the use of an "air-block" technique in which a small amount of air was injected prior to injecting the sclerosant. However, this has been shown to often be ineffective and is no longer used.…”

Section: Gradementioning

confidence: 99%

Varicocele: A Review

Baigorri

Dixon

2016

Semin intervent Radiol

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“…Indeed, percutaneous embolization has the advantage of being an outpatient procedure with a faster return to normal activities, a considerably lower cost and a lower recurrence rate than is the case for surgery (6). The use of many different embolic agents, such as gelatin sponge, stainless steel coils, Amplatzer vascular plugs, detachable balloons, cyanoacrylate glues or sclerosing agents has been reported (7)(8)(9)(10)(11)(12)(13)(14)(15). However, to our knowledge, there are no data in the literature regarding the comparison of the different embolic materials currently available on the market for the treatment of varicocele in terms of efficacy, tolerance, radiation and recurrence rates.…”

Section: Introductionmentioning

confidence: 99%

Comparison of three different embolic materials for varicocele embolization: retrospective study of tolerance, radiation and recurrence rate

Loffroy¹,

Mourey²,

Genson³

et al. 2016

Journal of Vascular and Interventional Radiology

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Background: To evaluate pain, radiation and recurrence rates in patients undergoing varicocele embolization with three different embolic materials.Methods: Retrospective study of 182 consecutive patients who underwent transcatheter retrograde varicocele embolization from July 2011 to May 2015 with glue (Glubran ® 2) (group 1, n=63), mechanical agents (coils and/or plugs) (group 2, n=53) or a sclerosing agent (polidocanol) (group 3, n=66). Patients were asked by telephone interview to evaluate pain during embolization and at 1, 7 and 30 days using a quantitative pain scale ranging from 0 to 10. Duration of scopy, kinetic energy released per unit mass (kerma) and dose area product (DAP) were assessed as radiation parameters during embolization procedures.Recurrence rates after treatment were also evaluated. Statistical analyses were performed using parametric and non-parametric tests.Results: Patients in the three study groups were comparable for age, clinical indication and embolization side. No difference was noted for significant pain (pain score ≥3) during embolization and at 1, 7 and 30 days after treatment. Discomfort (pain score <3) was more frequent in group 1 than in groups 2 and 3 at 7 days after the procedure (P=0.049). No difference in discomfort was noted during embolization or at 1 and 30 days. Duration of scopy was shorter (P<0.0001) and kerma was lower (P=0.0087) in group 1 than in groups 2 and 3. DAP was lower in group 1 than in group 2 (P=0.04) but no difference was noted between groups 1 and 3, and groups 2 and 3. The recurrence rate at a mean follow-up of 24.4 months (range, 2-53 months)was significantly lower in group 1 than in the two other groups (P=0.032).Conclusions: The use of Glubran ® 2 acrylic glue for varicocele embolization is safe and leads to less radiation and lower recurrence rates than is the case for other embolic materials without any more significant pain.

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Varicocele Retrograde Embolization with Boiling Contrast Medium and Gelatin Sponges in Adolescent Subjects: A Clinically Effective Therapeutic Alternative

Cited by 14 publications

References 25 publications

Treatment of varicoceles: techniques and outcomes

Treatment of varicoceles: techniques and outcomes

Varicocele: A Review

Comparison of three different embolic materials for varicocele embolization: retrospective study of tolerance, radiation and recurrence rate

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