Transcatheter ovarian vein embolisation without renal vein stenting for pelvic venous congestion and nutcracker anatomy

Perkov, Dražen; Kirhmajer, Majda Vrkić; Novosel, Luka; Ramač, Jelena Popić

doi:10.1024/0301-1526/a000547

Cited by 6 publications

(5 citation statements)

References 18 publications

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“…41 When PCS is the dominant clinical presentation, endovascular treatment should be employed, with or without embolization. 42 However, there is no definition in the literature of the best method for treatment of NCS when it is associated with PCS. The decision on the best treatment should be based on local anatomy and also patient age.…”

Section: Nutcracker Syndromementioning

confidence: 99%

Síndrome da congestão pélvica e embolização de varizes pélvicas

et al. 2019

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Resumo A síndrome da congestão pélvica (SCP) é definida como dor pélvica crônica há mais de 6 meses associada a varizes perineais ou vulvares, resultantes do refluxo ou obstrução das veias gonadais, glúteas ou periuterinas. A SCP é responsável por 16-31% dos casos de dor pélvica crônica, sendo diagnosticada sobretudo na terceira e quarta décadas de vida. Nos últimos anos, houve um interesse maior nessa patologia por parte dos cirurgiões vasculares devido à sua associação com insuficiência venosa de membros inferiores. Apesar de prevalente, a SCP ainda é pouco diagnosticada tanto nos consultórios ginecológicos quanto nos de angiologistas. Portanto, neste artigo revisaremos a etiologia e o diagnóstico desta patologia e os resultados dos diversos tipos de tratamentos disponíveis.

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Section: Nutcracker Syndromementioning

confidence: 99%

Síndrome da congestão pélvica e embolização de varizes pélvicas

et al. 2019

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“…Surgical procedures such as renal autotransplant and/or renal vein transposition are the primary treatment options available for nutcracker syndrome [12 , 13] . Percutaneous embolization of refluxing veins has shown improvement in other venous compression syndromes, such as gonadal vein embolization for the treatment of pelvic venous congestion syndrome [6 , [14] , [15] , [16] . Since the underlying mechanism of EVP congestion and headaches associated with NCP is similar, embolization of the L2LV can be of potential benefit when there is direct reflux into the EVP from an L2LV communicating with the LRV.…”

Section: Discussionmentioning

confidence: 99%

Daily persistent headache with nutcracker physiology and spinal epidural venous congestion: Treatment with lumbar vein embolization

Devcic

Rozen²,

Arora³

et al. 2022

Radiology Case Reports

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“…To our knowledge, current study is the first one where the distances between the termination points of ovarian veins from the points of termination of respective renal veins were measured. The range of distance-values might help gynecologists and radiologists while performing ovarian vein embolization procedures by catheterizing respective femoral vein and while approaching ovarian vein under radiologic guidance to prevent failure of catheterization of the target vein or its inadvertent puncture [21,22]. These values might help the utilization of ovarian veins for vascular reconstruction during renal transplantation surgeries too.…”

Section: Discussionmentioning

confidence: 99%

A cadaveric study of ovarian veins: variations, measurements and clinical significance

Ghosh

Chaudhury

2019

Anat Cell Biol

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The literature showing information regarding ovarian venous variation, its diameter and termination distance from respective renal venous origin are limited. This information is important in various surgical and clinical procedures including venous embolization, vascular reconstruction during renal transplantation and localizing the source of origin of a pelvic mass. We examined 94 sides of 47 formalin fixed female cadavers and noted the course and termination of ovarian veins. We measured the diameter of ovarian veins at their termination point and the termination distance in respect to the termination point of renal veins at inferior vena cava (IVC) on respective sides. We found two cases of variations related to right ovarian vein -one, right ovarian vein joined the right renal vein; two, right ovarian vein duplicated and joined with IVC at two different points. We found one case of variation related to left ovarian vein-a partially duplicated left ovarian vein. All the variations were unilateral. The mean diameters of right and left ovarian veins were 3.66±1.18 and 4.20±0.96 mm, respectively. The distance of termination of ovarian veins ranged from 19-40 mm and 13-41 mm, respectively from termination points of right and left renal veins at IVC on respective sides. Our study presents a set of data regarding variation of ovarian veins, diameters and termination distances which could be useful for gynecologists, surgeons and radiologists.

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Transcatheter ovarian vein embolisation without renal vein stenting for pelvic venous congestion and nutcracker anatomy

Cited by 6 publications

References 18 publications

Síndrome da congestão pélvica e embolização de varizes pélvicas

Síndrome da congestão pélvica e embolização de varizes pélvicas

Daily persistent headache with nutcracker physiology and spinal epidural venous congestion: Treatment with lumbar vein embolization

A cadaveric study of ovarian veins: variations, measurements and clinical significance

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