Leg varices originating from the pelvis: diagnosis and treatment
Autor: | Milka Greiner, G.L. Gilling-Smith |
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Rok vydání: | 2007 |
Předmět: |
Adult
Reoperation medicine.medical_specialty medicine.medical_treatment Venous circulation 030204 cardiovascular system & hematology Iliac Vein Pelvis Varicose Veins 03 medical and health sciences 0302 clinical medicine Recurrence Varicose veins medicine Effective treatment Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Embolization Aged Leg business.industry Ovary Reflux General Medicine Recurrent reflux Phlebography Middle Aged Embolization Therapeutic Surgery body regions medicine.anatomical_structure Treatment Outcome Venous Insufficiency Regional Blood Flow Female Radiology medicine.symptom Cardiology and Cardiovascular Medicine Varices business |
Zdroj: | Vascular. 15(2) |
ISSN: | 1708-5381 |
Popis: | This article reports the investigation and treatment of 24 women presenting with recurrent lower limb varicosities secondary to reflux within the pelvic venous circulation. Diagnosis based on selective retrograde pelvic phlebography enabled precise identification and classification of sites of incompetence. A total of 74 veins were treated by embolization with platinum coils and glue prior to repeat surgery to the lower limb veins. At 4-year follow-up, signs of stasis had disappeared in all patients. Repeat phlebography revealed no evidence of recurrent reflux at the sites of treatment. One patient developed recurrent varices due to incomplete embolization of incompetent pelvic veins. Endovascular occlusion of incompetent pelvic veins is an effective treatment for varicose veins secondary to pelvic venous incompetence. |
Databáze: | OpenAIRE |
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