Universität zu Köln

Rabe, E. and Pannier, F. (2015). Embolization is not essential in the treatment of leg varices due to pelvic venous insufficiency. Phlebology, 30. S. 86 - 89. THOUSAND OAKS: SAGE PUBLICATIONS INC. ISSN 1758-1125

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Abstract

Aim To consider if it is essential to perform embolization in the treatment of leg varices due to pelvic venous insufficiency. Methods Review of the current literature concerning treatment options of leg varicose veins of pelvic origin. Results Pelvic venous insufficiency, vulvar and pudendal varicose veins as well as pelvic congestive syndrome are under diagnosed entities. Embolization of ovarian and pelvic veins is well established in patients with pelvic congestive syndrome. In varicose veins of pelvic origin but without pelvic congestive syndrome, comparative studies comparing the outcome of embolization or treatment of varicose veins by sclerotherapy or phlebectomy alone are missing. Foam sclerotherapy or phlebectomy shows good results in patients with varicose veins of pelvic origin. Conclusions Embolization is not essential in the treatment of leg varices of pelvic origin without pelvic congestive syndrome. Foam sclerotherapy or phlebectomy shows good results in patients with vulvar or pudendal varicose veins. Randomized comparative studies using embolization of incompetent pelvic veins or sclerotherapy of varicose veins with pelvic origin should be performed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Rabe, E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Pannier, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-411086
DOI:	10.1177/0268355515569412
Journal or Publication Title:	Phlebology
Volume:	30
Page Range:	S. 86 - 89
Date:	2015
Publisher:	SAGE PUBLICATIONS INC
Place of Publication:	THOUSAND OAKS
ISSN:	1758-1125
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language CONGESTION SYNDROME; VEIN EMBOLIZATION; PHLEBECTOMY; REFLUX Multiple languages Surgery; Peripheral Vascular Disease Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41108