Ovarian vein embolization
Updates to Article Attributes
Body
was changed:
Ovarian vein embolisation is an interventional technique primarily use towards the treatment of varicosities
Indications
The main indications are:
- as part of management of pelvic congestion syndrome 1-4
- to treat pelvic varicosities diagnosed by imaging
- to treat labial and/or perineal varicosities
Contraindications
- allergic reaction to contrast media
- coagulopathy
- renal insufficiency
Preprocedural assessment
- clinical history and examination of pelvis and perineum by a gynaecologist
- pelvic ultrasound/CT/MRI
- diagnostic laparoscopy in selected cases
- patient counselling: aetiology of the chronic pelvic pain and its treatment options
Patient preparation
- informed consent
- IV access
- clear fluids per oral for 4-6 hours prior to procedure
- sedation with Midazolam 2 mg and fentanyl 100 microgram IV
Procedure
- venous access can be either through a internal jugular route or a femoral venous route
- after introducing a 5-7 F vascular sheath in the selected vein, an appropriate 5 F catheter is advanced into the left renal vein (multipurpose catheter through IJV access; Cobra catheter through femoral vein access)
- renal venography is performed by a forceful injection while patient is performing Valsalva manoeuvre
-<li>renal venography is performed by a forceful injection while patient is performing Valsalva manoeuvre</li>- +<li>renal venography is performed by a forceful injection while patient is performing <a title="Valsalva manoeuvre" href="/articles/valsalva-manoeuvre">Valsalva manoeuvre</a>
- +</li>
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