Venous Insufficiency Clinical Trial
Official title:
The Effectiveness of Trans-catheter Foam Sclerotherapy of Pelvic and Atypical Lower Limb Varicosities
pelvic congestion is the most recognized consequence of pelvi-perineal venous insufficiency .
chronic pelvic pain prevalence is about 26.6 %in egypt. this research is going to evaluate
the effectiveness of foam sclerotherapy and to conclude diagnostic and therapeutic algorithm
for this problem.
this study includes clinical and imaging and interventional aspects. detailed history and
comprehensive examination of the patient. duplex ultrasonography to detect pelvic varices and
presence of reflux. renal and left iliac venogram is usually the first step in the evaluation
of compressive syndrome. then cannulate the gonadal and internal iliac veins selectively.
contrast medium injected , the incompetent gonadal veins are generally dilated and the
contrast pools in the pelvis after injection. embolization by injecting afoam sclerosant as
distally as possible to occlude the pelvic venous plexus using occlusion balloon proximal.
follow up assessment by VAS score and duplex imaging.
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