title: Coil protruding into the common femoral vein following pelvic venous embolization.
abstract: Pelvic venous embolization is performed for pelvic congestion syndrome and prior to lower limb varicose vein surgery in females with associated pelvic venous insufficiency. The procedure is analogous to varicocele embolization in males, although refluxing internal iliac vein tributaries may also be embolized. We report a case of inadvertent coil placement in the common femoral vein while embolizing the obturator vein, during pelvic vein embolization for recurrent lower limb varicose veins. There were no clinical consequences and the coil was left in situ. We advise caution when embolizing internal iliac vein tributaries where there is clinically significant communication with veins of the lower limb.
authors.affiliation: The Whiteley Clinic, 1 Stirling House, Stirling Road, Guildford, GU2 7RF, UK. petra@thewhiteleyclinic.co.uk
authors.forename: Petra
authors.initials: P
authors.lastname: Marsh
authors.forename: Judith M
authors.initials: JM
authors.lastname: Holdstock
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Bacon
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Lopez
authors.forename: Mark S
authors.initials: MS
authors.lastname: Whiteley
authors.forename: Barrie A
authors.initials: BA
authors.lastname: Price
mesh_terms: D000328:Adult; D017115:Catheter Ablation; D003287:Contrast Media; D004621:Embolization, Therapeutic / Q000009:adverse effects* / Q000295:instrumentation*; D005260:Female; D005268:Femoral Vein; D005471:Fluoroscopy; D006801:Humans; D018616:Ultrasonography, Doppler, Duplex; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D003287:Contrast Media