REGULAR CONTENT
Final ID
658
Type
Educational Exhibit-Poster Only
Authors
M Knuttinen1, T Gardner2, S Naidu1, E Huettl1, L Rotellini-Coltvet1, R Oklu1
Institutions
1Mayo Clinic Arizona, Phoenix, AZ, 2Bryan Health Heart Institute, Lincoln, NE
Purpose
1) to outline the pathophysiology of pelvic congestion syndrome (PCS) ; 2) to highlight the important pelvic venous anatomy seen in reflux disease; 3) to demonstrate similarities and differences in endovascular treatment approaches, i.e. gonadal vein embolization and/or iliac venous stenting in this disease entity; 4) which way to go- evidence based analysis.
Materials & Methods
Pelvic venous congestion is a common, overlooked condition that can be severely painful for many middle-aged women. The term PCS specifically refers to the condition characterized by chronic, dull pelvic pain, pressure and heaviness that persists for longer than six months with no other cause. The underlying pathophysiology behind this condition is attributable to dilated tortuous and congested veins that occur within the pelvis, as a result of ovarian or internal iliac vein reflux. The majority of these patients undergo gonadal vein embolization, however iliac venous stenting may also be an equally successful treatment option in select patients.
Results
A pictorial review of patients with nonthrombotic pelvic venous outflow obstruction will be illustrated. Specific attention will be made to highlight the important anatomical findings of PCS seen on cross-sectional imaging and/or pelvic venography. Treatment approaches and indications for gonadal vein embolization and iliac venous stenting will be outlined and demonstrated. Key technical points to consider with each method will be illustrated though case examples. Risks and complications to each method will also be shown.
Conclusions
In patients with pelvic venous incompetence, it is important to understand the venous anatomy when proceeding with endovascular treatment. Gonadal vein embolization and/or iliac vein stenting can both result in symptom improvement in these patients. It is of the utmost importance to understand the similarities and differences in each of these endovascular methods, and to determine the best strategy for each patient encountered.
Final ID
658
Type
Educational Exhibit-Poster Only
Authors
M Knuttinen1, T Gardner2, S Naidu1, E Huettl1, L Rotellini-Coltvet1, R Oklu1
Institutions
1Mayo Clinic Arizona, Phoenix, AZ, 2Bryan Health Heart Institute, Lincoln, NE
Purpose
1) to outline the pathophysiology of pelvic congestion syndrome (PCS) ; 2) to highlight the important pelvic venous anatomy seen in reflux disease; 3) to demonstrate similarities and differences in endovascular treatment approaches, i.e. gonadal vein embolization and/or iliac venous stenting in this disease entity; 4) which way to go- evidence based analysis.
Materials & Methods
Pelvic venous congestion is a common, overlooked condition that can be severely painful for many middle-aged women. The term PCS specifically refers to the condition characterized by chronic, dull pelvic pain, pressure and heaviness that persists for longer than six months with no other cause. The underlying pathophysiology behind this condition is attributable to dilated tortuous and congested veins that occur within the pelvis, as a result of ovarian or internal iliac vein reflux. The majority of these patients undergo gonadal vein embolization, however iliac venous stenting may also be an equally successful treatment option in select patients.
Results
A pictorial review of patients with nonthrombotic pelvic venous outflow obstruction will be illustrated. Specific attention will be made to highlight the important anatomical findings of PCS seen on cross-sectional imaging and/or pelvic venography. Treatment approaches and indications for gonadal vein embolization and iliac venous stenting will be outlined and demonstrated. Key technical points to consider with each method will be illustrated though case examples. Risks and complications to each method will also be shown.
Conclusions
In patients with pelvic venous incompetence, it is important to understand the venous anatomy when proceeding with endovascular treatment. Gonadal vein embolization and/or iliac vein stenting can both result in symptom improvement in these patients. It is of the utmost importance to understand the similarities and differences in each of these endovascular methods, and to determine the best strategy for each patient encountered.