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The Clinical Problem of Pelvic Venous Disorders
Abu Baker Sheikh1, Marat Fudim2, Ishan Garg1
1Department of Internal Medicine, University of New Mexico Health Sciences Center, 1021 Medical Arts Avenue NE, Albuquerque, NM 87102, USA.
Interventional Cardiology Clinics
|June 16, 2022
Summary
Pelvic venous disorders involve reflux and obstruction in pelvic veins, causing varied symptoms. Endovascular treatment is a primary, minimally invasive option for management.
Area of Science:
- Vascular Medicine
- Interventional Radiology
Background:
- Pelvic venous disorders (PVD) are complex conditions stemming from pelvic vein reflux or obstruction.
- Symptoms vary based on venous hypertension transmission, impacting distal or caudal reservoirs.
Purpose of the Study:
- To review the pathophysiology, clinical presentations, and diagnostic and therapeutic strategies for PVD.
Main Methods:
- Literature review of PVD pathophysiology, clinical features, and management options.
- Emphasis on the role of imaging in diagnosis and differential diagnosis.
- Focus on endovascular treatment approaches.
Main Results:
- PVD presents a spectrum of clinical manifestations.
- Imaging is crucial for diagnosis and excluding other pelvic pathologies.
- Endovascular treatment is highly effective and minimally invasive.
Conclusions:
- Understanding PVD pathophysiology is key to diagnosis.
- Comprehensive diagnostic workup including imaging is essential.
- Endovascular interventions represent the mainstay of PVD management due to efficacy and low invasiveness.
Keywords:
Cardiovenous syndromeMay-Thurner syndromeNutcracker syndromePelvic congestion syndromePelvic venous disordersPercutaneous embolizationPercutaneous stentingMore Related Videos
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