Ovarian vein embolization

Last revised by Yahya Baba on 2 Jun 2023

Ovarian vein embolization is an interventional technique primarily used towards the treatment of pelvic varicosities.


The main indications are:

  • as part of the management of pelvic congestion syndrome 1-4

    • to treat pelvic varicosities diagnosed by imaging

    • to treat labial and/or perineal varicosities

  • allergic reaction to contrast media

  • coagulopathy

  • renal insufficiency

Preprocedural assessment
  • clinical history and examination of the pelvis and perineum by a gynecologist

  • pelvic ultrasound/CT/MRI

  • diagnostic laparoscopy in selected cases

  • patient counseling: etiology of the chronic pelvic pain and its treatment options

Patient preparation
  • informed consent

  • IV access

  • clear fluids per oral for 4-6 hours prior to procedure

  • sedation with Midazolam 2 mg and fentanyl 100 microgram IV

  • venous access can be either through a upper arm vein route (basilic vein) or a femoral venous route

  • introducing a 5-7 F vascular sheath in the selected vein

  • advancing a 5 F catheter into the left renal vein using:

  • renal venography is performed by a forceful injection while patient is performing Valsalva maneuver

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.