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Gavrilov S.G.

Pirogov Russian National Research Medical University

Sazhin A.V.

Pirogov Russian National Research Medical University

Krasavin G.V.

Pirogov Russian National Research Medical University

Moskalenko E.P.

Pirogov Russian National Research Medical University

Mishakina N.Yu.

Pirogov Russian National Research Medical University

Comparative Analysis of Efficacy and Safety of Endovascular and Endoscopic Interventions on the Gonadal Veins in the Treatment of Pelvic Congestion Syndrome

Authors:

Gavrilov S.G., Sazhin A.V., Krasavin G.V., Moskalenko E.P., Mishakina N.Yu.

More about the authors

Journal: Journal of Venous Disorders. 2020;14(3): 175‑183

DOI: 10.17116/flebo202014031175

Read: 1729 times

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Table of contents

COMPARATIVE ANALYSIS OF EFFICACY AND SAFETY OF ENDOVASCULAR AND ENDOSCOPIC INTERVENTIONS ON THE GONADAL VEINS IN THE TREATMENT OF PELVIC CONGESTION SYNDROME
COMPARATIVE ANALYSIS OF EFFICACY AND SAFETY OF ENDOVASCULAR AND ENDOSCOPIC INTERVENTIONS ON THE GONADAL VEINS IN THE TREATMENT OF PELVIC CONGESTION SYNDROME

To cite this article:

Gavrilov SG, Sazhin AV, Krasavin GV, Moskalenko EP, Mishakina NYu. Comparative Analysis of Efficacy and Safety of Endovascular and Endoscopic Interventions on the Gonadal Veins in the Treatment of Pelvic Congestion Syndrome. Journal of Venous Disorders. 2020;14(3):175‑183. (In Russ.)
https://doi.org/10.17116/flebo202014031175

Подписка 2026 Флебология (Journal of Venous Disorders)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To compare an efficacy and safety of endovascular and endoscopic interventions on the gonadal vein in the treatment of pelvic congestion syndrome (PCS).

MATERIAL AND METHODS

Treatment outcomes were analyzed in 97 patients with PCS. All patients were divided into 2 groups. The first group included 67 patients who underwent endovascular embolization of gonadal veins (EEGV), the second group — 28 women who underwent endoscopic resection of gonadal veins (ERGV). A comparative analysis of efficacy of EEGV and ERGV in the treatment of PCS was based on assessment of the effect of these interventions on pelvic pain, safety of operations, their effect on pelvic venous reflux, diameter of the pelvic veins and restoration of daily activity.

RESULTS

We found high efficacy and safety of EEGV and ERGV in the treatment of PCS. Relief or a significant decrease in venous pelvic pain was noted in 95.5-100% of patients. Body mass index was less than 19 kg/m2 in 4.5% of patients with protrusion of the coils after EEGV and persistent pain. Pain syndrome was probably caused by the contact of coils with femoral-genital nerve. Postoperative pain was experienced by 12% of patients after EEGV and 100% of patients after ERGV. Pain severity was evaluated as 2.2±0.7 and 3.7±0.5 points, respectively (p=0.036). No wound complications and bleeding were associated with EEGV and ERGV. Thrombosis of the parametric veins was 4 times more common after EEGV compared to ERGV. The relative risk (RR) of this complication after gonadal embolization was 1.4 (95% CI 1.146-1.732).

CONCLUSION

Endovascular and endoscopic procedures on the gonadal veins are effective and safe methods in the treatment of PCS. Endovascular embolization of the gonadal veins has obvious advantages such as minimal trauma and the use of local anesthesia. ERGV is characterized by similar or even better outcomes.

Keywords:

pelvic congestion syndrome
venous pelvic pain
endovascular embolization of gonadal veins
endoscopic resection of gonadal veins

Authors:

Gavrilov S.G.

Pirogov Russian National Research Medical University

Sazhin A.V.

Pirogov Russian National Research Medical University

Krasavin G.V.

Pirogov Russian National Research Medical University

Moskalenko E.P.

Pirogov Russian National Research Medical University

Mishakina N.Yu.

Pirogov Russian National Research Medical University

Received:

23.12.2019

Accepted:

20.03.2020

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References:

  1. Savelyev BS, Kirienko AI, Revyakin VYu, Gavrilov SG, Kapranov SA, Shipovsky VN. Vybor metoda lecheniya varikoznoj bolezni ven malogo taza. Grudnaya i serdechno-sosudistaya khirurgiya. 2005;6:24-30. (In Russ.)
  2. Gavrilov SG. Varikoznaya bolezn’ ven malogo taza: kogda i kak lechit’? Flebologiya. 2007;1(1):48-53. (In Russ.)
  3. Scultetus AH, Villavicencio JL, Gillespie DL, Kao TC, Rich NM. The pelvic venous syndromes: analysis of our experience with 57 patients. J Vasc Surg. 2002;36(5):881-888.  https://doi.org/10.1067/mva.2002.129114
  4. Shipovsky VN, Kapranov SA, Gavrilov SG. Endovascular embolization of ovarian veins in varicose disease of the small-pelvic veins. Angiol sosud khir. 2008;14(4):69-74. (In Russ.)
  5. Dos Santos SJ, Holdstock JM, Harrison CC, Whiteley MS. Long-term results of transjugular coil embolisation for pelvic vein reflux — Results of the abolition of venous reflux at 6-8 years. Phlebology. 2016;31(7):456-462.  https://doi.org/10.1177/0268355515591306
  6. Guirola JA, Sánchez-Ballestin M, Sierre S, Lahuerta C, Mayoral V, De Gregorio MA. A Randomized trial of endovascular embolization treatment in pelvic congestion syndrome: fibered platinum coils versus vascular plugs with 1-year clinical outcomes. J Vasc Interv Radiol. 2018;29(1):45-53.  https://doi.org/10.1016/j.jvir.2017.09.011
  7. Whiteley MS, Lewis-Shiell C, Bishop SI, Davis EL, Fernandez-Hart TJ, Diwakar P, Beckett D. Pelvic vein embolisation of gonadal and internal iliac veins can be performed safely and with good technical results in an ambulatory vein clinic, under local anaesthetic alone — Results from two years’ experience. Phlebology. 2018;33(8):575-557.  https://doi.org/10.1177/0268355517734952
  8. Richardson GD, Driver B. Ovarian vein ablation: Coils or surgery? Phlebology. 2006;21(1):16-23.  https://doi.org/10.1258/026835506775971135
  9. Traber J, Bekou V, von Weymann A, Bauer EP. Pelvines Stauungssyndrom und periphere Varikose. Diagnostik und Therapieoptionen. Phlebologie. 2012;41(4):196-201.  https://doi.org/10.1055/s-0037-1621816
  10. Traber J, Jeanneret-Gris C. Pelvines Stauungssyndrom der Frau — ein Überblick. Gefäßmedizin Scan. 2018;5(1):49-62.  https://doi.org/10.1055/a-0541-2905
  11. Sazhin AV, Gavrilov SG, Temirbolatov MD. Endoscopic Technologies for the Diagnostics and Treatment of Pelvic Congestion Syndrome. Flebologiya. Journal of Venous Disorders. 2017;11(3):146-153. (In Russ.) https://doi.org/10.17116/flebo2017113146-153
  12. Gavrilov SG, Lebedev IS, Son DA, Turishcheva OO. Von Korff questionnaire in assessment of social disadaptation and therapeutic results in women with pelvic varicose veins. Angiol sosud khir. 2017;23(1):97-102. (In Russ.)
  13. Stoyko YuM, Kirienko AI, Zatevakhin II, Pokrovsky AV, Karpenko AA, Zolotukhin IA, Sapelkin SV, Ilyukhin EA, Gavrilov SG, Porembskaya OYa, Borsuk DA, Seliverstov EI, Alukhanyan OA, Andriyashkin AV, Andriyashkin VV, Barinov VE, Belentsov SM, Bogdanets LI, Bredikhin RA, Bukina OV, Burleva EP, Vakhitov MSh, Vinogradov LA, Volkov AYu, Golovanova OV, Guzhkov ON, Ivanov EV, Katelnitskaya OV, Katorkin SE, Kletskin AE, Koshevoy AP, Krylov AYu, Kudykin MN, Kuzovlev SP, Laberko LA, Larin SI, Lishov DE, Lobastov KV, Mazayshvili KV, Markin SM, Parikov MA, Pelevin AV, Potapov MP, Pryadko SI, Rapovka VG, Sabelnikov VV, Slavin DA, Sokolov AL, Soldatsky EYu, Sonkin IN, Starodubtsev VN, Subbotin YuG, Suchkov IA, Sushkov SA, Tolstikhin VYu, Fokin AA, Khitaryan AG, Khodkevich MB, Khorev NG, Tsukanov YuT, Chabbarov RG, Chernookov AN, Chechetka DYu, Shevela AI, Shimanko AI, Shonov OA, Yashkin MN, Bogachev VYu, Bubnova NA, Dibirov MD, Zhukov BN, Kalinin RE, Katelnitsky II, Plechev VV, Shaydakov EV, Shulutko AM. Russian Clinical Guidelines for the Diagnostics and Treatment of Chronic Venous Diseases. Flebologiya. Journal of Venous Disorders. 2018;12(3):146-240. (In Russ.) https://doi.org/10.17116/flebo20187031146
  14. Rundqvist E, Sandholm LE, Larsson G. Treatment of pelvic varicosities causing lower abdominal pain with extraperitoneal resection of the left ovarian vein. Ann Chir Gynaecol. 1984;73(6):339-341. 
  15. Galkin EV, Grakova LS, Naumova EB. Rentgenoendovaskulyarnaya khirurgiya gipofunktsii yaichnikov pri varikoznom rasshirenii ovarial’nykh ven. Vestnik rentgenologii. 1991;5:51-59. (In Russ.)
  16. Laborda A, Medrano J, de Blas I, Urtiaga I, Carnevale FC, de Gregorio MA. Endovascular treatment of pelvic congestion syndrome: visual analog scale (VAS) long-term follow-up clinical evaluation in 202 patients. Cardiovasc Intervent Radiol. 2013;36(4):1006-1014. https://doi.org/10.1007/s00270-013-0586-2
  17. Nasser F, Cavalcante RN, Affonso BB, Messina ML, Carnevale FC, de Gregorio MA. Safety, efficacy, and prognostic factors in endovascular treatment of pelvic congestion syndrome. Int J Gynaecol Obstet. 2014;125(1):65-68.  https://doi.org/10.1016/j.ijgo.2013.10.008
  18. Hamoodi I, Hawthorn R, Moss JG. Can ovarian vein embolization cause more harm than good? J Obstet Gynaecol Res. 2015;41(12):1995-1997. https://doi.org/10.1111/jog.12805
  19. Kirienko AI, Gavrilov SG, Yanina AM, Turishcheva OO. Results of Different Types of Operations in Patients with Pelvic Congestion Syndrome. Flebologiya. Journal of Venous Disorders. 2016;10(1):44-49. (In Russ.) https://doi.org/10.17116/flebo201610144-49
  20. Gargiulo T, Mais V, Brokaj L, Cossu E, Melis GB. Bilateral laparoscopic transperitoneal ligation of ovarian veins for treatment of pelvic congestion syndrome. J Am Assoc Gynecol Laparosc. 2003;10(4):501-504.  https://doi.org/10.1016/s1074-3804(05)60156-9
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