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Percutaneous retrograde varicocele embolisation using tungsten embolisation coils: a five year audit
S R Keoghane1, L Jones, M P Wright
1Department of Radiology, Bristol Royal Infirmary, UK.
Objective:
To assess the efficacy of percutaneous retrograde varicocele embolisation using Spirale tungsten coils over a period of five years.
Patients And Methods:
Fifty consecutive patients underwent local anaesthetic day case varicocele embolisation via a right femoral approach. Venous anatomy was identified and classified. Morbidity and recurrence were recorded at three month clinical follow up.
Results:
The procedurewas technically successful in 94% of the patients. The varicocele recurred in 16%, the majority of whom had complex venous anatomy. 8% of the patients complained of discomfort at follow up.
Conclusions:
Although the coils used in this study have been withdrawn, a high technical success rate is described with failure being predominantly due to complex venous anatomy.
