Abstract
Pelvic venous embolization is performed for pelvic congestion syndrome and prior to lower limb varicose vein surgery in females with associated pelvic venous insufficiency. The procedure is analogous to varicocele embolization in males, although refluxing internal iliac vein tributaries may also be embolized. We report a case of inadvertent coil placement in the common femoral vein while embolizing the obturator vein, during pelvic vein embolization for recurrent lower limb varicose veins. There were no clinical consequences and the coil was left in situ. We advise caution when embolizing internal iliac vein tributaries where there is clinically significant communication with veins of the lower limb.
References
Edwards RD, Robertson IR, MacLean AB, et al. (1993) Case report: pelvic pain syndrome–successful treatment of a case by ovarian vein embolization. Clin Radiol 47(6):429–431
Kim HS, Malhotra AD, Rowe PC, et al. (2006) Embolotherapy for pelvic congestion syndrome: long-term results. J Vasc Interv Radiol 17(2; Pt 1):289–297
Maleux G, Stockx L, Wilms G, et al. (2000) Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results. J Vasc Interv Radiol 11(7):859–864
Capasso P, Simons C, Trotteur G, et al. (1997) Treatment of symptomatic pelvic varices by ovarian vein embolization. CardioVasc Interv Radiol 20(2):107–111
Leal Monedero J, Zubicoa Ezpeleta S, Castro Castro J, et al. (2006) Embolization treatment of recurrent varices of pelvic origin. Phlebology 21(1):3–11
Perrin MR, Labropoulos N, Leon LR Jr (2006) Presentation of the patient with recurrent varices after surgery (REVAS). J Vasc Surg 43(2):327–334, discussion 334
Venbrux AC, Chang AH, Kim HS, et al. (2002) Pelvic congestion syndrome (pelvic venous incompetence): impact of ovarian and internal iliac vein embolotherapy on menstrual cycle and chronic pelvic pain. J Vasc Interv Radiol 13(2; Pt 1):171–178
Ratnam LA, Hussain FF, Holdstock JM, et al. (2006) Transjugular pelvic vein embolisation in the pre-operative management of patients with pelvic vein reflux undergoing leg vein surgery. Annual Meeting of the Cardiovascular and Interventional Radiology Society of Europe (CIRSE). Rome, Italy
Huggon IC, Qureshi SA, Reidy J, et al. (1994) Percutaneous transcatheter retrieval of misplaced therapeutic embolisation devices. Br Heart J 72(5):470–475
Caggiati A, Bergan JJ, Gloviczki P, et al. (2002) Nomenclature of the veins of the lower limbs: an international interdisciplinary consensus statement. J Vasc Surg 36(2):416–422
Browse NL, Burnand KG, Irvine AT, et al. (1999) Anatomy of the lower limb veins. In: Diseases of the veins. 2nd ed. Arnold, London, pp 30–43
Gray H (2004) Gray’s anatomy: the anatomical basis of clinical practice. 39th ed. Churchill Livingstone, London
Tornetta P 3rd, Hochwald N, Levine R (1996) Corona mortis. Incidence and location. Clin Orthopaed Relat Res 329:97–101
Berberoglu M, Uz A, Ozmen MM, et al. (2001) Corona mortis: an anatomic study in seven cadavers and an endoscopic study in 28 patients. Surg Endosc 15(1):72–75
Mavor GE, Galloway JM 1967) Collaterals of the deep venous circulation of the lower limb. Surg Gynecol Obstetr 125(3):561–571
Charles CM, Finley TL, Baird RD, et al. (1930) On the termination of the circumflex veins of the thigh. Anat Record 46(2):125–132
Baird RD (1933) On the terminations of the circumflex veins of the thigh and their relations to the origins of the circumflex arteries. Anat Record 57(4):325–337
Acknowledgments
The authors thank Professor D. Lawrence-Watt (Brighton & Sussex Medical School) for reviewing the anatomical discussion.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Marsh, P., Holdstock, J.M., Bacon, J.L. et al. Coil Protruding into the Common Femoral Vein Following Pelvic Venous Embolization . Cardiovasc Intervent Radiol 31, 435–438 (2008). https://doi.org/10.1007/s00270-007-9249-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00270-007-9249-5