To compare the safety and efficacy of two embolic agents for the treatment of pelvic congestion syndrome
Prospective, single blinded, randomized
Chronic pelvic pain for more than 6 months
Increased venous caliber (>6 mm) in US
One of the following criteria:
o Venous ectasia
o Venous reflux
o Presence of communicating veins across the midline
Results Intra-procedure
At 1-year follow-up, there were no significant differences in clinical success or in subjective improvement selfassessment (by VAS).
Two coils migrated in the NC group and were retrieved without complications
• AVP embolization is as safe and effective as NC embolization
• AVP significantly reduces procedure and fluoroscopy time and radiation dose
• Costs, regarding only to embolization devices, is higher with AVP
• Device migration and incomplete embolization is more frequent with NC, but larger studies would be necessary
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