Evaluation of the efficacy of endovascular treatment of pelvic congestion syndrome.
Details
Serval ID
serval:BIB_F2CE48FEAA6C
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Evaluation of the efficacy of endovascular treatment of pelvic congestion syndrome.
Journal
Diagnostic and interventional imaging
ISSN
2211-5684 (Electronic)
ISSN-L
2211-5684
Publication state
Published
Issued date
03/2014
Peer-reviewed
Oui
Volume
95
Number
3
Pages
301-306
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
To assess the efficacy of venous embolization treatment for the pelvic congestion syndrome (PCS).
Retrospective study of 33 female patients undergoing pelvic venous embolization between January 2008 and May 2012 in Bordeaux. The inclusion criteria were clinical symptoms of PCS documented by transabdominal Doppler ultrasound and/or pelvic magnetic resonance imaging. Patients with pelvic varicose veins feeding saphenous varicose veins were excluded. The efficacy of treatment was assessed on a Visual Analog Scale (VAS).
Thirty-three patients were included and the mean follow up period was 26months (3-59months). The VAS was 7.37 (standard deviation: 0.99) before embolization and 1.36 (standard deviation: 1.73) after embolization (P<0.0001). Twenty patients reported that their symptoms had completely disappeared, 11 had partially disappeared and two had gained no improvement. A significant fall was found in the number of patients with dyspareunia (P<0.0001). A single technical embolization failure was reported.
Our series demonstrates the efficacy of embolization treatment with a significant fall in the VAS in patients with PCS.
Retrospective study of 33 female patients undergoing pelvic venous embolization between January 2008 and May 2012 in Bordeaux. The inclusion criteria were clinical symptoms of PCS documented by transabdominal Doppler ultrasound and/or pelvic magnetic resonance imaging. Patients with pelvic varicose veins feeding saphenous varicose veins were excluded. The efficacy of treatment was assessed on a Visual Analog Scale (VAS).
Thirty-three patients were included and the mean follow up period was 26months (3-59months). The VAS was 7.37 (standard deviation: 0.99) before embolization and 1.36 (standard deviation: 1.73) after embolization (P<0.0001). Twenty patients reported that their symptoms had completely disappeared, 11 had partially disappeared and two had gained no improvement. A significant fall was found in the number of patients with dyspareunia (P<0.0001). A single technical embolization failure was reported.
Our series demonstrates the efficacy of embolization treatment with a significant fall in the VAS in patients with PCS.
Keywords
Adult, Aged, Chronic Disease, Embolization, Therapeutic, Female, Follow-Up Studies, France, Genital Diseases, Female/diagnosis, Genital Diseases, Female/therapy, Genitalia, Female/blood supply, Humans, Hyperemia/diagnosis, Hyperemia/therapy, Magnetic Resonance Angiography, Middle Aged, Pelvic Pain/therapy, Phlebography, Retrospective Studies, Syndrome, Ultrasonography, Varicose Veins/diagnosis, Varicose Veins/therapy, Venous Insufficiency/diagnosis, Venous Insufficiency/therapy, Young Adult, Chronic pelvic pain, Embolization, Embolotherapy, Vein pelvic congestion syndrome
Pubmed
Web of science
Open Access
Yes
Create date
25/10/2017 14:23
Last modification date
20/08/2019 17:20
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