Fibered Platinum Coils vs Vascular Plugs in Pelvic Varices Embolization for the Treatment of Pelvic Congestion Syndrome
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pelvic Congestion Syndrome
- Sponsor
- Group of Research in Minimally Invasive Techniques
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Change in Pain Scale
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
This prospective randomized study compares the safety and efficacy of two different embolizing agents for the treatment of pelvic congestion syndrome: fibered platinum coils and vascular plugs.
Detailed Description
This prospective randomized study compares the safety and efficacy of two embolizing agents for the treatment of pelvic congestion syndrome: fibered platinum coils (Nester coils; Cook Medical) and vascular plugs (Amplatzer vascular plugs II; St. Jude Medical).
Investigators
Eligibility Criteria
Inclusion Criteria
- •Signed informed consent
- •Presence of chronic abdominal or pelvic pain for more than 6 months
- •\>6 mm pelvic venous caliber measured by transvaginal US
- •Presence of venous reflux OR presence of communicating veins assessed by transvaginal Doppler US
Exclusion Criteria
- •Diagnosed gynecological or pelvic pathology: endometriosis, pelvic inflammatory disease, postoperative adhesions, adenomyosis or leiomyoma
- •Glomerular filtration rate \<60 ml/min
- •History of contrast reaction
- •Patients not able to be followed up for at least one year
Outcomes
Primary Outcomes
Change in Pain Scale
Time Frame: 12 months
Reduction of 4 points or more between subjective pain assessed by VAS prior to procedure (-4, -5,- 6, -7,-8,-9). VAS= visual analogue scale: it is a subjective pain scale, scored from 1 to 10 (1 no pain; 10 worst pain possible)
Secondary Outcomes
- Cost of Treatment(Intraoperative)
- Procedure Radiation Dose (DAP)(Intraoperative)
- Total Intervention Duration(Intraoperative)
- Need for Re-embolization(12 months)
- Improvement of Urinary Urgency(12 months)
- Satisfaction With the Procedure(12 months)
- Fluoroscopy Time(Intraoperative)
- Procedure Radiation Dose (AK)(Intraoperative)
- Complications(12 months)
- Improvement of Dyspareunia(12 months)
- Improvement of Dysmenorrhea(12 months)
- Number of Devices Used(intraoperative)