Document Detail


Transcatheter ovarian vein embolization using coils for the treatment of pelvic congestion syndrome.
MedLine Citation:
PMID:  17468903     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To evaluate the therapeutic effectiveness of ovarian vein embolization using coils for pelvic congestion syndrome (PCS), a common cause of chronic pelvic pain in multiparous women. METHODS: Between November 1998 and June 2005, 67 patients were diagnosed with PCS and underwent ovarian vein coil embolization. Through medical records and telephone interviews, the pre-embolization pain level and post-embolization pain control were assessed. In addition, in those cases where pain persisted after embolization or where patients were dissatisfied with the procedure, additional treatments and subsequent changes in pain scores were also analyzed. Evaluation after coil embolization was performed within 3-6 months (n = 3), 6 months to 1 year (n = 7), 1-2 years (n = 13), 2-3 years (n = 7), 3-4 years (n = 7), 4-5 years (n = 13), or 5-6 years (n = 17). RESULTS: Among a total of 67 patients, 82% (55/67) experienced pain reduction after coil embolization, were satisfied with the procedure, and did not pursue any further treatment. Twelve patients (18%, 12/67) responded that their pain level had not changed, or had become more severe. Among them, 9 patients were treated surgically and the remaining 3 patients remained under continuous drug therapy. CONCLUSION: Ovarian vein embolization using coils is a safe and effective therapeutic method for treatment of PCS. It is thought that surgical treatment should be considered in cases where embolization proves ineffective.
Authors:
Se Hwan Kwon; Joo Hyeong Oh; Kyung Ran Ko; Ho Chul Park; Joo Yup Huh
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Publication Detail:
Type:  Journal Article     Date:  2007-04-28
Journal Detail:
Title:  Cardiovascular and interventional radiology     Volume:  30     ISSN:  0174-1551     ISO Abbreviation:  Cardiovasc Intervent Radiol     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-11-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003538     Medline TA:  Cardiovasc Intervent Radiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  655-61     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, Kyung Hee University Hospital, Dongdaemun-gu, Seoul, 130-702, Republic of Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Algorithms
Chronic Disease
Embolization, Therapeutic / methods*
Female
Humans
Hyperemia / radiography,  therapy*
Middle Aged
Ovary / blood supply*
Pain Measurement
Parity
Pelvic Pain / etiology,  therapy*
Pelvis / blood supply*
Phlebography
Pregnancy
Syndrome
Treatment Outcome
Veins
Venous Insufficiency / radiography,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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