Antegrade embolization of varicocele with cyanoacrylate glue: a case report.

Autor: Le Tat T; Service de radiologie interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France. letat.thomas@yahoo.fr.; Service de radiologie diagnostique et interventionnelle, Hôpital d'Instruction des Armées Percy, 2 Rue Lieutenant Raoul Batany, 92140, Clamart, France. letat.thomas@yahoo.fr., Jost R; Service de radiologie interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France., Hanotin C; Service de radiologie interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France., Lucas A; Service de radiologie interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France., Laouisset L; Service de radiologie interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France., Hakime A; Service de radiologie interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France.; Service de radiologie interventionnelle, American Hospital of Paris, 55 Boulevard du Château, 92200, Neuilly-sur-Seine, France., Kuoch V; Service de radiologie interventionnelle, Centre Hospitalier Sud Francilien, 40 Avenue Serge Dassault, 91100, Corbeil-Essonnes, France.
Jazyk: angličtina
Zdroj: CVIR endovascular [CVIR Endovasc] 2024 Jun 27; Vol. 7 (1), pp. 52. Date of Electronic Publication: 2024 Jun 27.
DOI: 10.1186/s42155-024-00446-6
Abstrakt: Background: Varicocele embolization is an effective, minimally invasive treatment option, with a symptom improvement rate of around 90%. However, anatomical variations and post-embolization recurrences pose challenges to its efficacy. This article discusses the antegrade embolization technique as a viable alternative for cases in which retrograde embolization fails, offering a broader spectrum of treatment options for varicocele.
Case Presentation: This case report details the treatment of a 27-year-old male with a left varicocele, diagnosed during infertility assessment, using an alternative embolization technique. Despite initial failed attempts at retrograde catheterization via the femoral vein, a direct inguinal puncture of the left testicular vein was successfully performed under ultrasound guidance. A mixture of Glubran® and Lipiodol® was used for embolization, achieving varicocele embolization without complications. The patient was discharged 2 hours post-procedure, with follow-up confirming the procedure's effectiveness and safety.
Conclusion: This article introduces a less invasive, ultrasound-guided technique for varicocele embolization, presenting a viable alternative to surgery when conventional retrograde methods fail.
(© 2024. The Author(s).)
Databáze: MEDLINE
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