Journal Article Epublish
PubMed: 40575055 DOI: 10.5606/tgkdc.dergisi.2025.27100
Bilateral ovarian vein coil embolization with crossover technique in pelvic venous disease: One year follow-up results.
Turk Gogus Kalp Damar Cerrahisi Derg 33(2):176-184
Authors: Serkan Ketenciler, Mehmet Ali Yeşiltaş, Ahmet Ozan Koyuncu, Özgür Gursu, İlhan Sanisoğlu
Affiliations
- Deparment of Cardiovascular Surgery, İstanbul Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, Türkiye.
- Deparment of Cardiovascular Surgery, İstanbul University-Cerrahpaşa Institute of Cardiology, İstanbul, Türkiye.
- Private Clinic, İstanbul, Türkiye.
Abstract
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.
MeSH
Ovary, Punctures, Veins