Anatomic variants of the spermatic vein: importance for percutaneous sclerotherapy of idiopathic varicocele
| Autor: | N Hof, W Bautz, B Kersting-Sommerhoff, Lenz M |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous medicine.medical_treatment Perforation (oil well) Varicocele Veins Sclerotherapy medicine Humans Radiology Nuclear Medicine and imaging Treatment Failure Vein Infertility Male Spermatic Vein Spermatic Cord business.industry medicine.disease Sclerosing Solutions Surgery Radiography medicine.anatomical_structure Case-Control Studies Complication business Left Spermatic Vein |
| Zdroj: | Radiology. 198:425-431 |
| ISSN: | 1527-1315 0033-8419 |
| DOI: | 10.1148/radiology.198.2.8596844 |
| Popis: | To evaluate percutaneous sclerotherapy of idiopathic varicocele in left internal spermatic vein variants.The left spermatic vein was embolized with a liquid sclerosing agent in 386 patients (mean age, 29.5 years) with idiopathic varicocele. Success and complication rates were assessed and correlated with spermatic vein variant. Doppler ultrasound was performed 3 and 6 months after therapy in 263 patients.The success rate was 93.8% (n = 362). Perforation of the vein was the most common complication (n = 24). The recurrence rate was 3.8% (10 of 263 patients). Success and complication rates were associated with spermatic vein variant. Type IVb (intact valve of the main trunk, insufficient collateral vessels; n = 73) was of special importance: 67% (16 of 24) of all perforations occurred and 54% (13 of 24) of all unsuccessful interventional procedures were performed in patients with this variant.Sclerotherapy is a safe and effective alternative treatment of idiopathic varicocele. It can be performed on an outpatient basis. Success depends on the anatomic variant. |
| Databáze: | OpenAIRE |
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