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CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2022; 06(01): 025-032
DOI: 10.1055/s-0042-1744214
Original Article

Direct Fluoroscopic-Guided Sclerotherapy for Vulvoperineal Varices: An Experience in 70 Patients

Karim A. Abd El Tawab
1   Department of Radiology, IR Unit, Ain Shams University Hospitals, Cairo, Egypt
,
Mohamed A. A. Hagag 
2   Department of Vascular Surgery, Ain Shams University Hospitals, Cairo, Egypt
,
Rana T. M. Khafagy
1   Department of Radiology, IR Unit, Ain Shams University Hospitals, Cairo, Egypt
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Abstract

Purpose The aim of this study was to assess the safety and effectiveness of percutaneous vulvoperineal varices sclerotherapy using 2% polidocanol foam under fluoroscopic guidance.

Subjects and Methods This is a retrospective review of prospectively collected data of 70 patients treated between June 2020 and November 2021, with a mean age of 31 years (range: 24–42 years). All patients were not pregnant with residual vulvoperineal varices after embolization of their refluxing tributaries of the ovarian vein and/or internal iliac veins presenting with vulvoperineal heaviness/pain with or without lower limb varicosities. Technical and clinical successes together with procedural complications were assessed.

Results The technical success rate was 100%. No minor or major complications have been reported. Follow-up was at 1 week, 2 weeks, 6 months, and 12 months post sclerotherapy. Clinical success was observed in all patients with improvement in their symptoms.

Conclusion Direct fluoroscopic-guided sclerotherapy for vulvoperineal varices offers a safe and effective treatment option with the ability of visualization and embolization of the pelvic leak points to avoid recurrence.

Keywords

vulvoperineal varices - pelvic leak points - sclerotherapy


Publication History

Article published online:
20 April 2022

© 2022. The Pan Arab Interventional Radiology Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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