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CardioVascular and Interventional Radiology

, Volume 36, Issue 1, pp 128–132 | Cite as

Embolization of Incompetent Pelvic Veins for the Treatment of Recurrent Varicose Veins in Lower Limbs and Pelvic Congestion Syndrome

  • Luis Meneses
  • Mario Fava
  • Pía Diaz
  • Marcelo Andía
  • Cristian Tejos
  • Pablo Irarrazabal
  • Sergio UribeEmail author
Clinical Investigation

Abstract

Purpose

We present our experience with embolization of incompetent pelvic veins (IPV) in women with recurrence of varicose veins (VV) in lower limbs, as well as symptoms of pelvic congestion syndrome (PCS), after first surgery. In addition, we evaluated the effects of embolization in decreasing the symptoms of VV before surgery as well as its effects on PCS symptoms.

Materials and Methods

We included 10 women who had consulted a vascular surgeon because of recurrent VV in lower limbs after surgery. All of these patients were included in the study because they also had symptoms of PCS, probably due to IPV. In patients who had confirmed IPV, we performed embolization before a second surgery. VV and PCS were assessed before and at 3 months after embolization (before the second surgery) using a venous clinical severity score (VCSS) and a visual analog pain scale (VAS), respectively. Patients were controlled between 3 and 6 months after embolization. Paired Student t test analysis was used for comparing data before and after embolization.

Results

Fifteen vein segments in 10 women were suitable for embolization. There was a significant (p < 0.001) decrease of VCSS after embolization, and recurrence of VV was not detected within a period of 6 months. There was also significant (p < 0.01) relief of chronic pelvic pain related to PCS evaluated using VAS at 3 months after embolization.

Conclusion

Embolization decreases the risk of VV recurrence after surgery and also improves PCS symptoms in women with VV in lower limbs and IPV.

Keywords

Embolization Varicose veins Venography 

Notes

Conflict of interest

The authors do not declare any conflict of interest.

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Copyright information

© Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2012

Authors and Affiliations

  • Luis Meneses
    • 1
    • 2
  • Mario Fava
    • 1
    • 2
  • Pía Diaz
    • 1
  • Marcelo Andía
    • 1
    • 2
  • Cristian Tejos
    • 2
    • 3
  • Pablo Irarrazabal
    • 2
    • 3
  • Sergio Uribe
    • 1
    • 2
    Email author
  1. 1.Radiology Department & Biomedical Imaging CenterPontificia Universidad Católica de ChileSantiagoChile
  2. 2.Biomedical Imaging CenterPontificia Universidad Católica de ChileSantiagoChile
  3. 3.Department of Electrical EngineeringPontificia Universidad Católica de ChileSantiagoChile

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