Coil occlusion combined with sclerotherapy versus N-butyl-2 cyanoacrylate (NBCA) embolization in patients with pelvic venous disorders (PeVD): A single center retrospective study.

IF 2.8 2区医学 Q2 PERIPHERAL VASCULAR DISEASE

Journal of vascular surgery. Venous and lymphatic disorders Pub Date : 2025-03-28 DOI:10.1016/j.jvsv.2025.102241

Hossam Zaghloul, Mahmoud Nasser, Hisham Abd El-Mawgoud, Baker Ghoneim, Mohammed Ali

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引用次数: 0

Abstract

Background: Pelvic Venous Disorder (PeVD) is increasingly diagnosed with different modalities of treatment.

Patients and methods: This is a retrospective study in which we compared using metallic coil combined with sclerosant foam N-Butyl-2 Cyanoacrylate (NBCA) in females with PeVD in terms of clinical and technical success as well as safety. Adult patients with symptoms suggestive of primary PEVD and confirmed with Doppler US and /Or venography were eligible for the study. Secondary PeVD and lost Follow up were excluded.

Results: this study included 167 patients who were treated with coil and sclerotherapy (n = 87; Group I) or NBCA (n = 80; Group II) embolization. Immediate postoperative veins' closure was achieved in all patients in the two groups. At the 6-month follow-up, there was a statistically significantly higher occlusion rate in Group I (100% compared to 93.8% in Group II, p = 0.018) with five new cases of recanalization. The 6-month VAS score was lower in Group I (median of 1 and mean of 1.14 ± 0.904) than Group II (median of 2 and mean of 1.7 ± 1.32), with a statistically significant difference (p = 0.005).

Conclusion: The study emphasizes the potential advantages of the sclerosant foam and metallic coil combination in achieving favorable outcomes for patients with PeVD.

查看原文本刊更多论文

盆腔静脉疾病（PeVD）患者的线圈闭塞联合硬化疗法与 N-butyl-2 cyanoacrylate（NBCA）栓塞疗法：单中心回顾性研究。

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来源期刊

Journal of vascular surgery. Venous and lymphatic disorders SURGERYPERIPHERAL VASCULAR DISEASE&n-PERIPHERAL VASCULAR DISEASE

CiteScore

6.30

自引率

18.80%

发文量

328

审稿时长

71 days

期刊介绍： Journal of Vascular Surgery: Venous and Lymphatic Disorders is one of a series of specialist journals launched by the Journal of Vascular Surgery. It aims to be the premier international Journal of medical, endovascular and surgical management of venous and lymphatic disorders. It publishes high quality clinical, research, case reports, techniques, and practice manuscripts related to all aspects of venous and lymphatic disorders, including malformations and wound care, with an emphasis on the practicing clinician. The journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals who treat patients presenting with vascular and lymphatic disorders. As the official publication of The Society for Vascular Surgery and the American Venous Forum, the Journal will publish, after peer review, selected papers presented at the annual meeting of these organizations and affiliated vascular societies, as well as original articles from members and non-members.