Iliac vein stenosis is an underdiagnosed cause of pelvic venous insufficiency

Journal of Vascular Surgery. Venous and Lymphatic Disorders
Ratnam K N SantoshiPeter J Pappas

Abstract

Reflux in the ovarian veins, with or without an obstructive venous outflow component, is reported to be the primary cause of pelvic venous insufficiency (PVI). The degree to which venous outflow obstruction plays a role in PVI is currently ill-defined. We retrospectively reviewed the charts of 227 women with PVI who presented to the Center for Vascular Medicine from January 2012 to September 2015. Assessments and interventions consisted of an evaluation for other causes of chronic pelvic pain by a gynecologist; preintervention and postintervention visual analog scale (VAS) pain score; complete venous duplex ultrasound examination; and Clinical, Etiology, Anatomy, and Pathophysiology classification. All patients underwent diagnostic venography of their pelvic and left ovarian veins as well as intravascular ultrasound of their iliac veins. Patients were treated in one of six ways: ovarian vein embolization (OVE) alone (chemical ± coils), OVE with staged iliac vein stenting, OVE with simultaneous iliac vein stenting, iliac vein stenting alone, OVE with venoplasty, and venoplasty alone. Of the 227 women treated, the average age and number of pregnancies was 46.4 ± 10.4 years and 3.36 ± 1.99, respectively. Treatment distribution was...Continue Reading

Citations

Jul 28, 2019·International Angiology : a Journal of the International Union of Angiology·Pier-Luigi AntignaniMarald Wikkeling
Nov 26, 2019·Jornal Vascular Brasileiro·Mateus Picada CorrêaJulio Cesar Bajerski
Mar 23, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Gaurav LakhanpalPeter J Pappas
Jun 11, 2021·Seminars in Interventional Radiology·Mari E TanakaGloria Salazar
Jun 11, 2021·Seminars in Interventional Radiology·Sean MarattoRonald S Winokur
Jul 18, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Ishan SatwahPeter Pappas
Aug 7, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Sharon A SutantoAlun H Davies
Aug 18, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Linda M Harris
Dec 23, 2021·Annals of Medicine·Kamil BałabuszekRadosław Pietura

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