Immediate and remote results of endovascular embolization of ovarian veins

Akhmetzyanov R.V.^1,2, Bredikhin R.A.^1,2, Ignatyev I.M.^1,2

1) Department of Vascular Surgery, Interregional Clinical and Diagnostic Centre,
2) Department of Cardiovascular and Endovascular Surgery, Kazan State Medical University, Kazan, Russia

Presented in the article is a prospective study of endovascular embolization of ovarian veins in female patients suffering from primary pelvic varicose veins, with the assessment of the immediate and remote results, as well as a 1-year follow up.

Objective. The aim of our investigation was a comprehensive clinical and instrumental assessment of efficacy of endovascular embolization in women with pelvic varicose veins.

Patients and methods. Our single-centre study included a total of 29 female patients presenting with pelvic varicose veins and undergoing embolization of ovarian veins using microcoils, in 5 cases the procedure was supplemented with injecting a foam sclerosant.

Results. The technical success of endovascular occlusion of ovarian veins amounted to 100%. Two women immediately after the operation were subjected to a redo intervention: in one case – resection of the ovarian vein and in the second case – repositioning of the microcoils. In the remote period, one patient due to recurrent relapses underwent repeat embolization followed by retroperitoneal resection of the ovarian vein.

The findings of the clinical methods of examination demonstrated a decrease in the intensity of manifestations of pelvic varicose veins according to the pelvic venous clinical severity score and visual analogue scale, as well as improvement of the women’s quality of life.

Conclusions. Endovascular occlusion of ovarian veins is a highly effective, minimally invasive, and safe method of treatment of female patients with incompetent ovarian veins. Endovascular treatment may be regarded as a method of choice in management of the primary form of pelvic varicose veins.

KEY WORDS: endovascular embolization, endovascular occlusion, pelvic varicose veins, ovarian veins, pelvic congestion syndrome.

P. 60

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