4:24 PM; Abstract No. 142 - Results in endovascular treatment of pelvic congestion syndrome

• Published in: Journal of vascular and interventional radiology Vol. 25; no. 3; p. S69
• Main Authors: Nasser, F., Cavalcante, R.N., De Fina, B., Travassos, F.B., Galastri, F.L., Affonso, B.B., Amorim, J.E.
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01.03.2014
• ISSN: 1051-0443; 1535-7732
• DOI: 10.1016/j.jvir.2013.12.172

Evaluate the effectiveness of the treatment of pelvic congestion syndrome using embolization with metal coils and identify prognostic factors associated with clinical success. Embolization with metallic coils was performed by endovascular access in one hundred and thirteen women with pelvic varicose veins, with symptoms of dysmenorrhea, dyspareunia, urinary urgency and sensation of discomfort in lower limbs. Assessment of the pain score was performed using a visual analogue scale before and after the procedure. Clinical follow-up was performed in 1,3,6 and 12 months. During 12 months of follow up, technical success rate was 100%, with 47% of patients referring pain reduction, 53% of patients without pelvic pain, and 37% of patients had complete relief of pain and associated symptoms. The pain score using visual analogue scale was 7.34 pre-procedure and 0.47 post-procedure. Prognostic factors influencing the diminution of clinical success rate of endovascular treatment were urinary urgency, lower limb symptoms and vulvar varicose and lower limbs. Overall complication rate was low, 4.42% (5/113). Transcatheter embolization is a safe and effective treatment for pelvic congestion syndrome. Lower limb symptoms, urinary urgency and varicosities are associated with incomplete clinical success.