Bilateral ovarian vein coil embolization with crossover technique in pelvic venous disease: One year follow-up results Pelvik venöz hastalıkta çapraz geçişli teknik ile iki taraflı over ven koil embolizasyonu: Bir yıllık takip sonuçları

Ketenciler S., Yeşiltaş M. A., Koyuncu A. O., Gursu Ö., Sanisoğlu İ.

Turkish Journal of Thoracic and Cardiovascular Surgery, cilt.33, sa.2, ss.176-184, 2025 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 2
  • Basım Tarihi: 2025
  • Doi Numarası: 10.5606/tgkdc.dergisi.2025.27100
  • Dergi Adı: Turkish Journal of Thoracic and Cardiovascular Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.176-184
  • Anahtar Kelimeler: Coil embolization, crossover technique, endovascular treatment, endovasküler tedavi, Koil embolizasyonu, pelvic congestion syndrome, pelvic venous disease, pelvic venous disorder, pelvik konjesyon sendromu, pelvik venöz bozukluk, pelvik venöz hastalık, çapraz geçişli teknik
  • İstanbul Üniversitesi Adresli: Evet

Özet

Background: In this study, we aimed to evaluate one-year clinical follow-up of patients who underwent bilateral ovarian vein embolization using crossover maneuvers between the ovarian veins via unilateral puncture. Methods: Between January 2017 and September 2022, a total of 34 women (mean age: 39.6±4.9 years; range, 26 to 52 years) who had pelvic venous disease and underwent bilateral embolization of ovarian veins with unilateral puncture and collateral crossover were retrospectively analyzed. The patients were followed at one, six, and 12 months postoperatively. Symptoms were evaluated using physical examination findings and Visual Analog Scale scores and the need for reintervention was assessed. Results: Of a total of 34 patients, 21 (61.8%) reported dysmenorrhea and 18 (53%) reported both dyspareunia and lower limb varices. There were no major complications during the procedure. The mean preoperative Visual Analog Scale score was 8.1±0.8, which decreased to 2.1±0.6 at 12 months. Reintervention was necessary for only one patient during one-year follow-up. Conclusion: Although bilateral ovarian vein embolization with crossover to the contralateral side poses greater technical challenges than unilateral ovarian vein closure, it remains a viable technique with favorable outcomes and lower complication rates.