Bilateral Ovarian Vein Embolisation from a Unilateral Basilic Approach with n-2-Butyl Cyanoacrylate and Crossover Technique for Pelvic Congestion Syndrome
José Ignacio Leal Lorenzo 1 , Guillermo Gallardo Madueño 2 , Andrés Alcázar Peral 2 , Eugenia Pillado Rodríguez 3 , Regina Cárdenas Santos 4 , Alberto Alonso Burgos 3
Female pelvic congestion syndrome (PCS) remains animportant area of investigation given the numerous ques-tions that remain in patient selection, stratification, treat-ment options, and techniques.1
Endovascular embolisation of the ovarian veins has become the first choice treatment of PCS due to ovarian reflux,1but if both the right and left gonadal veins need treatment, a standard femoral approach will result in selective catheter-isation of both the right and left ovarian veins, with different catheter exchanges, vessel cannulations, and repeated contrast injections.
In this study, the effectiveness, safety, and clinical out-comes of bilateral embolisation using n-2-butyl-cyanoacry-late (N2BCA) as the embolic agent and a crossover technique from an unilateral basilic approach were evaluated.