Síndrome da Congestão Venosa Pélvica e resultados do tratamento endovascular: série de casos

Gilberto do Nascimento Galego; Pierre Galvagni Silveira; Cristiano Torres Bortoluzzi; Rafael Narciso Franklin; Thiago Mezadri Ronchi

doi:10.1590/1677-5449.0085

Case Report

Síndrome da Congestão Venosa Pélvica e resultados do tratamento endovascular: série de casos

Pelvic Congestion Syndrome case series: results of endovascular treatment

Gilberto do Nascimento Galego; Pierre Galvagni Silveira; Cristiano Torres Bortoluzzi; Rafael Narciso Franklin; Thiago Mezadri Ronchi

http://dx.doi.org/10.1590/1677-5449.0085 J Vasc Bras, vol.14, n3, p.262-266, 2015

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Resumo

ResumoA Síndrome da Congestão Venosa Pélvica (SCVP) é uma causa de dor pélvica crônica, que afeta principalmente mulheres multíparas em idade reprodutiva. Para o tratamento desta síndrome, a embolização de varizes pélvicas tem demonstrado excelentes resultados. Relatamos uma série inicial de pacientes submetidas a tratamento com embolização de varizes pélvicas e os respectivos resultados de acompanhamento pós-operatório. São apresentados dados clínicos, detalhes do procedimento e resultados do acompanhamento e de exames de imagem de seis pacientes. Dentre estas pacientes, o sucesso técnico foi de 100% e não houve relato de complicações trans ou pós-operatórias graves. Em todos os casos, pôde-se observar alívio dos sintomas e melhora nos resultados de exames de imagens no acompanhamento de curto prazo. Os resultados nesta pequena série de casos indicam que a embolização é um tratamento seguro e efetivo para a SCVP.

Palavras-chave

Síndrome da Congestão Venosa Pélvica, incompetência venosa pélvica, dor pélvica crônica, embolização, tratamento endovascular, série de casos

Abstract

AbstractPelvic Congestion Syndrome (PCS) is a cause of chronic pelvic pain that primarily affects multiparous women of reproductive age. Embolization of pelvic varicose veins offers excellent results for treatment of this syndrome. We describe an initial series of patients treated with embolization of pelvic varicose veins and their respective postoperative follow-up results. We provide clinical data, details of the procedures performed and results of follow-up and imaging exams for six patients. The technical success rate with these patients was 100% and there were no reports of serious intraoperative or postoperative complications. In all cases there was relief from symptoms and improvements in the results of imaging exams during short-term follow-up. The results of this small series of cases indicate that embolization is a safe and effective treatment for PCS.

Keywords

Pelvic Congestion Syndrome, pelvic venous incompetence, chronic pelvic pain, embolization, endovascular treatment, case series

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Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">

Síndrome da Congestão Venosa Pélvica e resultados do tratamento endovascular: série de casos

Pelvic Congestion Syndrome case series: results of endovascular treatment

Gilberto do Nascimento Galego; Pierre Galvagni Silveira; Cristiano Torres Bortoluzzi; Rafael Narciso Franklin; Thiago Mezadri Ronchi

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