Treatment outcomes of pelvic varicose veins endovascular embolization

Introduction: pelvic congestion syndrome presents pain that lasts at least 6 months, pelvic varices and pelvic venous insufficiency. The differential diagnosis includes different pathologies. There are different therapeutic options, being endovascular therapy with embolization the most used, the same one that has been significantly more effective than surgical therapy. Objective: to analyze the effectiveness of endovascular embolization of pelvic varices. Materials and methods: single-center, descriptive and ambispective observational study. Following the STROBE recommendations for writing it. All patients who underwent embolization of pelvic varices who met the inclusion criteria were included. An analysis of the qualitative variables was showed like absolute frequencies and percentages; and quantitative data using the mean. The therapeutic success perceived by the patients, the complications, the need for reoperation, and reoperation-free survival are described. Results: 46 patients with a mean age of 32.54 years were included, 22 cases (47.82 %) who had an adequate weight. In 29 cases (63.04 %) reported a clear symptomatic improvement after the embolization procedure, they were not complications associated with the procedure. However, of this group of patients, 11 had a subsequent intervention associated with varicose veins of the lower limbs. The survival time free of new embolizations was 54.37 months with a SE of 2.64 months. Conclusions: embolization is the most widely used treatment for pelvic varicose veins. In this review, symptomatic improvement was found in 63.04 % of the cases, being below the results reported in the bibliography where they report a therapeutic success of 75 % of the cases. Endovascular embolization of pelvic varices is an eective and safe technique for their treatment.