Ovarian Vein Embolization for Pelvic Congestion Syndrome

Lindsay Machan; Michael L. Martin

doi:10.1055/s-2000-9433

Seminars in Interventional Radiology, Table of Contents

Semin intervent Radiol 2000; Volume 17(Number 03): 277-284
DOI: 10.1055/s-2000-9433

Ovarian Vein Embolization for Pelvic Congestion Syndrome

Lindsay Machan, Michael L. Martin

University of British Columbia Hospital, Vancouver, British Columbia, Canada

Abstract

ABSTRACT

Pelvic congestion syndrome is a controversial entity consisting of varying degrees of pelvic heaviness or pain caused by retrograde flow in one or both ovarian veins. It has to date been unevenly accepted by clinicians and relatively poorly studied. Nevertheless, approximately 50% of patients with otherwise unexplained pelvic pain have ovarian vein reflux and 73.7 to 88.9% of women have symptomatic improvement after ovarian vein embolization.

KEYWORD

Embolization - ovarian vein - pelvic pain

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References

REFERENCES

1 Robinson J C. Chronic pelvic pain. Curr Opin Obstet Gynecol . 1993; 5 740-743
2 Kames L D, Rapkin A J, Naliboff B D, Afifi S, Ferrer-Brechner T. Effectiveness of an interdisciplinary pain management program for the treatment of chronic pelvic pain. Pain . 1990; 41 41-46
3 Carter J E. Surgical treatment for chronic pelvic pain. J Soc Laparoendosc Surg . 1998; 2(2) 129-139
4 Fry R P, Beard R W, Crisp A H, McGuigan S. Sociopsychological factors in women with chronic pelvic pain with and without pelvic venous congestion. J Psychosom Res . 1997; 42(1) 71-85
5 Hobbs J T. The pelvic congestion syndrome. Practitioner . 1976; 216 529-540
6 Juhasz B, Kurjak A, Lampe L G. Pelvic varices simulating bilateral adnexal masses: Differential diagnosis by transvaginal color Doppler. J Clin Ultrasound . 1992; 20 81-84
7 Desimpelaere J H, Seynaeve P C, Hagers Y M, Appel B J, Mortelmans L L. Pelvic congestion syndrome: Demonstration and diagnosis by helical CT. Abdom Imaging . 1999; 24(1) 100-102
8 Venbrux A C, Lambert D L. Embolization of the ovarian veins as a treatment for patients with chronic pelvic pain caused by pelvic venous incompetence. Curr Opin Obstet Gynecol . 1999; 11 395-399
9 Beard R W, Kennedy R G, Gangar K F. Bilateral oophorectomy and hysterectomy in the treatment of intractable pelvic pain associated with pelvic congestion. Br J Obstet Gynaecol . 1991; 98 988-992
10 Rundqvist F, Sandhold I E, Larsson G. Treatment of pelvic varicosities causing lower abdominal pain with extraperitoneal resection of the left ovarian vein. Ann Chir Gynaecol . 1984; 2 946-951
11 Belenky A,Bartal G, Itkin M, Atat E, Neuman-Levin M. Ovarian varicocele: Incidence, morbidity and possible treatment options. Cardiovasc Intervent Radiol . 1999; S118 (S118)
12 Grabham J A, Barrie W W. Laparoscopic approach to pelvic congestion syndrome. Br J Surg . 1997; 84 1264-1265
13 Edwards R D, Robertson I R, MacLean A B. Case report: Pelvic pain syndrome-successful treatment of a case by ovarian vein embolisation. Clin Radiol . 1993; 47 429-430
14 Cordts P R, Eclavea A, Buckley P J, DeMaioribus C A, Cockerill M L, Yeager T D. Pelvic congestion syndrome: Early clinical results after transcatheter ovarian vein embolization. J Vasc Surg . 1998; 28 862-868
15 Mowatt J, Machan L S, Hurwitz T, Fry P F, Doyle D L. Clinical outcome of women with chronic pelvic pain treated by ovarian vein embolization. In press.
16 Tarazov P G, Prozorovski, K V, Ryzhkov V K. Pelvic pain syndrome caused by ovarian varices. Treatment by transcatheter embolization. Acta Radiol . 1997; 38 1023-1025
17 Carpasso P, Simons C, Trotteur G, Dondelinger R F, Henroteaux D, Gaspard U. Treatment of symptomatic pelvic varices by ovarian vein embolization. Cardiovasc Intervent Radiol . 1997; 20 107-111