[Pelvic congestion syndrome: outcome after embolization with coils].
OBJECTIVE
To study the clinical manifestations and findings at venography in patients with pelvic congestion syndrome and to evaluate the outcome after percutaneous embolization using coils.


METHODS
We studied 34 women referred to the vascular radiology unit from the vascular surgery department for clinical suspicion of pelvic congestion syndrome. All patients underwent venography to assess the competence of the ovarian veins and to detect other varicose pelvic veins. When pelvic varicose veins were detected, they were embolized with coils. Clinical outcomes were recorded after reviewing the clinical history and administering a questionnaire over the phone.


RESULTS
In 22 of the 34 patients, signs of pelvic venous insufficiency were found. The symptoms were mainly pelvic and perineal heaviness (20/22) and pelvic pain (18/22). The technical success of venography and embolization was 100%, with three minor complications that did not require hospitalization. Pelvic heaviness improved in 14 patients (in 13 it was completely eliminated). Pain disappeared in 11 patients and was partially alleviated in another 2.


CONCLUSIONS
In patients with pelvic congestion syndrome, the embolization of insufficient pelvic veins achieves clinical improvement with short hospital stays and few complications.
Sección de Radiología Vascular e Intervencionista, Hospital Universitario de la Ribera. Alzira, Valencia, España. Electronic address: miguel.angel.edo@gmail.com.
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Edo Prades
Sección de Radiología Vascular e Intervencionista, Hospital Universitario de la Ribera. Alzira, Valencia, España.
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Ferrer Puchol
Sección de Radiología Vascular e Intervencionista, Hospital Universitario de la Ribera. Alzira, Valencia, España.
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Esteban Hernández
Sección de Radiología Vascular e Intervencionista, Hospital Universitario de la Ribera. Alzira, Valencia, España.
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Ferrero Asensi
D000328:Adult; D004621:Embolization, Therapeutic / Q000295:instrumentation*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010388:Pelvis; D011859:Radiography; D012189:Retrospective Studies; D013577:Syndrome; D016896:Treatment Outcome; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy*