Endovascular treatment of pelvic congestion syndrome

S.G. Gavrilov, G.V. Krasavin

Pirogov Russian National Research Medical University, Moscow

The article is devoted to the current literature data study on the possibilities of various endovascular interventions in the treatment of pelvic congestion syndrome (PCS), pelvic vein incompetence. The review provides information on the epidemiology and socio-economic problem significance of timely and adequate PCS treatment, modern embolizing agents and stents. Also, indications and contraindications for endovascular interventions in patients with various pathologies of the pelvic veins are formulated. The results of gonadal vein embolization with various devices (spirals, occluders, sclerosing agents) in the treatment of patients with PCS were subjected to thorough analysis. The questions of the feasibility and effectiveness in performing left renal and common iliac veins endovascular stenting in patients with a combination of «nutcracker», May-Thurner syndromes and PCS are considered. The literatur e data indicate that in some cases, venous outflow correction along the left common iliac vein is an effective and safe way to treat PCS and relieve pelvic pain. The analysis results of modern literature indicate the important unresolved issues presence in the endovascular treatment methods application of PCS, the need for a differentiated approach to choosing a treatment method, and the use of hybrid surgical interventions.

Keywords: pelvic congestion syndrome, chronic pelvic pain, pelvic vein incompetence, endovascular stenting, endovascular embolization.

For citation: Gavrilov S.G., Krasavin G.V. Endovascular treatment of pelvic congestion syndrome. RMJ. 2019;8(II):103–107.