How is the Embolization treatment performed?
Pelvic vein Embolization is a minimally invasive procedure, painless, with prompt recovery, and is an outpatient treatment. That is to say, the patient comes in in the morning and leaves in the afternoon on her own like she was not submitted to any treatment.
Pelvic vein embolization on pelvic venous congestion syndrome treatment usually includes a phlebography (selective angiography) of the ovarian vein, under local anesthesia, through a groin or neck vein, using a 1 to 2 mm very small plastic tube (catheter).
The catheter is placed on the inferior vena cava, then on the left renal vein, and finally, super selectively, on the ovarian vein, under angiographic control.
It is confirmed the existence of pelvic varicose veins on the dependency of ovarian veins by the reflux of the contrast material injected through the catheter, which emphasizes with Valsalva maneuver (push with the abdomen to increase the intra-abdominal pressure).
After confirming the pelvic varicose veins diagnosis, the catheter moves forward to the left ovarian veins distal, and the pelvic vein embolization is performed.