Journal of Indonesia Vascular Access
Vol. 4 No. 1 (2024): (Available online : June 2024)

Amplatzer vascular plug for alternate treatment in pelvic congestive syndrome in Dr. Soetomo General Hospital: A case report

Raharjo, Fumansha Cipto (Unknown)
Danang Himawan Limanto (Unknown)



Article Info

Publish Date
25 Mar 2024

Abstract

Introduction: One of the common causes of chronic pelvic pain in reproductive-age women is pelvic congestion syndrome (PCS). This pain can be constant or intermittent for 3-6 months, occurring throughout the menstrual cycle, arising in the abdominal or pelvic area, and is not related to pregnancy. Complaints of chronic pelvic pain are as much as 10-20% of gynecological consultations, and only 40% of them are referred to specialists for evaluation. 10 – 60 % of PCS is caused by insufficient iliac vein, ovarica vein, or both. Incompetent ovarian vein ligation can head to a favorable result. An endovascular technique using an embolization coil, glue, foam, or amplatzer can be an alternative treatment for PCS.  Case Description : Women 50 years old whom a history of chronic pelvic pain, CT angiography showed Left ovarica vein dilatate and prominant. Durante operation, approach from a right femoral vein with a catheter to the left renal and ovarian veins. Amplatzer vascular plug was deployed at the left ovarian vein and evaluated. There wasn’t insufficient. The Patient was discharged the day after the operation. Conclusion : In conclusion, venous occlusion with vascular plug for PCS management is safe and effective with an embolization agent or surgery with a significant enhancement in pelvic symptoms for PCS.

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Journal Info

Abbrev

JINAVA

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Immunology & microbiology Medicine & Pharmacology

Description

Journal of Indonesia Vascular Access; peer-reviewed journal aiming to communicate high-quality research articles, reviews, and general articles in the field. INAVA publishes articles that encompass basic research/clinical studies related to the cardiovascular and thorax field. The Journal aims to ...