Ovarian Vein Embolization Dallas TX

Minimally Invasive Treatment for Pelvic Congestion Syndrome

Ovarian vein embolization is a safe and effective treatment for pelvic congestion syndrome, and one of the best options available to women looking for long-term relief from chronic pelvic pain.

Clinically Proven – Studies have shown that ovarian vein embolization is more effective than medications and more invasive surgical options.

Safe – There are no negative effects on fertility, menstrual cycle, or ovarian hormone levels.

Effective – Up to 85% of patients report relief from pelvic congestion syndrome following ovarian vein embolization.

No Hospital Stay – Ovarian vein embolization patients go home on the same day as their procedure.

The physicians at Interventional and Vascular Care are experienced providers of ovarian vein embolization in Dallas, TX. Find relief and get back to your life!

Ovarian vein embolization in Dallas TX explanatory diagram

Ovarian Vein Embolization Procedure: a small tube called a catheter is guided through the blood vessels to reach the ovarian veins. Small coil devices and/or sclerosing chemicals are injected into the veins to shut them down. This helps to alleviate symptoms of pelvic congestion syndrome.

Ovarian Vein Embolization Doctor in Dallas, TX

Dr. Aaron Fritts, MD

Interventional & Vascular Specialists

Dr. Aaron Fritts is a board-certified Vascular & Interventional Radiologist that specializes in ovarian vein embolization in Dallas, TX. Doctor Fritts is well-versed in vascular conditions, and has found his passion in providing minimally invasive treatment for women suffering from pelvic congestion syndrome. He was recently selected as a SuperDoctors Rising Star and has been voted one of D-Magazine’s best doctors in Dallas. Read full bio.

Dr. Aaron Fritts Interventional and Vascular Care Google Review Score
Ovarian vein embolization specialist Dr. Aaron Fritts in Dallas, TX

“From the moment I setup the initial appointment to speak with Dr. Fritts, to after my final procedure, the entire staff was phenomenal.”

– Erin in Dallas, TX

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“Dr. Fritts gave me all the time I needed to understand and feel comfortable with the procedure…He has a healer’s way about him. Highest recommendation.”

– Rod in Dallas, TX

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Ovarian Vein Embolization in Dallas, TX

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Ovarian Vein Embolization Overview

Ovarian vein embolization, also called gonadal vein embolization and sometimes pelvic vein embolization, is a minimally invasive procedure used to close the ovarian veins by safely inserting coils and/or sclerosing chemicals into the veins.

The ovarian veins sit within the pelvis and are responsible for draining both the left and right ovaries. They transport blood into the inferior vena cava via the right ovarian vein and into the left renal vein via the left ovarian vein. In cases of vein dysfunction and obstruction, blood can pool in the ovarian veins or flow in the wrong direction, causing a condition known as pelvic congestion syndrome. [1] While the ovarian veins are commonly targeted for interventions, other pelvic veins may also be involved and require embolization to address pelvic congestion syndrome.

Treatment for Pelvic Congestion Syndrome

Ovarian vein embolization is used to treat a lesser-known condition called pelvic congestion syndrome. Pelvic congestion syndrome is an under-diagnosed disease in women that is usually identified by chronic pelvic pain. In fact, up to 30% of patients with chronic pelvic pain may be suffering from pelvic congestion syndrome, and up to 39% of women experience chronic pelvic pain over their lifetime. [2,3]

Pelvic pain is often described by patients as dull and achy with sharp sensations in the abdomen that worsen after prolonged standing and walking. These may improve with sitting. Additionally, urological symptoms (such as blood in the urine, painful urination, and increased urinary frequency), pain after intercourse, pain on a bimanual exam, vulvar varicose veins, and lower extremity varicose veins and chronic venous insufficiency are also reported. [2] It is diagnosed most commonly in women having undergone multiple pregnancies and is less likely in post-menopausal women. [4]

Ovarian Vein Embolization in Dallas, TX

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How Does Ovarian Vein Embolization Work?

Pelvic congestion syndrome is understood to be caused by hormonal and mechanical changes in the pelvic veins that cause vein dilation or significantly impair the flow of blood in the veins. [5] This is thought of similarly to varicose veins, but in the pelvis. There can be valvular dysfunction, blood pooling, and other mechanical changes to the veins in the pelvis that cause chronic pelvic pain. Therefore, the goal of ovarian vein embolization is to close down dysfunctioning pelvic veins.

In medicine, the term ‘embolization’ describes when an object gets lodged in a vessel and blocks blood flow. In some instances, an embolization is an unwanted, harmful occurrence, as in pulmonary embolism. In this instance, embolization is a therapeutic procedure that is used to eliminate dysfunctional anatomy. Since its development in the 1990s, embolization has been used more and more for its comparative effectiveness and safety. Ovarian vein embolization works by ‘sealing off’ diseased veins in the pelvis. The procedure is done under local anesthesia or sedation, and uses a small tube called a catheter to introduce embolic coils, and oftentimes a sclerosing agent to completely shut down blood flow through the vein.

The ovarian veins are accessed with minimally invasive techniques, most often through veins in the arm (brachial vein), shoulder (subclavian vein), or groin (femoral vein). The procedure is done under local anesthesia or sedation, and patients are discharged after recovery from anesthesia, usually on the same-day as the procedure. [9]

Is Ovarian Vein Embolization Clinically Proven?

Ovarian vein embolization is supported by a growing body of clinical evidence. Procedure success is reported in 98-100% of cases and recurrence is observed in less than 8% of cases. [6] Symptom improvement is reported for 70-85% of patients at two weeks post-procedure. [7]

Ovarian Vein Embolization in Dallas, TX

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How Does Ovarian Vein Embolization
Compare to Other Options?

Ovarian vein embolization is more effective than medications. Pain management using non-steroidal anti-inflammatory medications is usually the first course of action when a pelvic congestion syndrome diagnosis is made. Medical therapy with progestin, danazol, and oral hormonal medications are used to contract the veins and decrease pain, but with limited effectiveness. [6,7]

Ovarian vein embolization is more effective and less invasive than surgical options. Surgical approaches to pelvic congestion syndrome include ovarian vein ligation, and less often, hysterectomy with bilateral oophorectomy and hormone replacement. Though it provides symptomatic improvement, hysterectomy and bilateral oophorectomy are less effective than ovarian vein ligation and have an increased rate of recurrent or persistent pelvic pain. Ovarian vein ligation improves symptoms in about 75% of women undergoing the procedure.7 However, it is more invasive and less effective than ovarian vein embolization. Though head-to-head comparisons between these methodologies are limited, one randomized controlled trial comparing embolization to hysterectomy demonstrated a comparatively greater reduction in pelvic pain in patients that received embolization. [8]

Ovarian Vein Embolization FAQs

Pain after ovarian vein embolization

Temporary pain after ovarian vein embolization is common. A collection of symptoms termed “postembolization syndrome” may occur. These include needle-site pain, generalized aches, mild fever, and pain in the lower back and buttocks. These symptoms are typically managed with over-the-counter medications and resolve on their own within approximately 5 days. [3,9,10]

Side effects of ovarian vein embolism

The long-term side effects of this intervention are less well-understood, but the available data suggests there are no negative effects on fertility, menstrual cycle, or ovarian hormone levels. [3,9,10]
Woman consulting nurse about ovarian vein embolization in Dallas, TX

Ovarian vein embolization complications

Complications of embolic therapy include vein perforation, embolization of unintended veins, local vein inflammation (phlebitis), coil-related complications (misplacement, migration, and erosion with re-canalization), and rarely stroke. These risks are minimal, with studies reporting them to occur in 3% to 9% of cases. [7]

Does ovarian vein embolization affect fertility?

Current studies do not report a negative impact on fertility as a consequence of ovarian vein embolization. However, there is still uncertainty and more studies regarding this are necessary.

Ovarian Vein Embolization in Dallas, TX

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References
[1] Abdelsalam H. Clinical outcome of ovarian vein embolization in pelvic congestion syndrome. Alexandria Journal of Medicine. 2017;53(1):15-20. doi:10.1016/j.ajme.2016.01.006
[2] Jurga-Karwacka A, Karwacki GM, Schoetzau A, Zech CJ, Heinzelmann-Schwarz V, Schwab FD. A forgotten disease: Pelvic congestion syndrome as a cause of chronic lower abdominal pain. Serra R, ed. PLoS ONE. 2019;14(4):e0213834. doi:10.1371/journal.pone.0213834
[3] Kim HS, Malhotra AD, Rowe PC, Lee JM, Venbrux AC. Embolotherapy for Pelvic Congestion Syndrome: Long-term Results. Journal of Vascular and Interventional Radiology. 2006;17(2):289-297. doi:10.1097/01.RVI.0000194870.11980.F8
[4] Karaosmanoglu D, Karcaaltincaba M, Karcaaltincaba D, Akata D, Ozmen M. MDCT of the Ovarian Vein: Normal Anatomy and Pathology. American Journal of Roentgenology. 2009;192(1):295-299. doi:10.2214/AJR.08.1015
[5] Rane N, Leyon JJ, Littlehales T, Ganeshan A, Crowe P, Uberoi R. Pelvic Congestion Syndrome. Current Problems in Diagnostic Radiology. 2013;42(4):135-140. doi:10.1067/j.cpradiol.2012.11.002
[6] Ganeshan A, Upponi S, Hon L-Q, Uthappa MC, Warakaulle DR, Uberoi R. Chronic Pelvic Pain due to Pelvic Congestion Syndrome: The Role of Diagnostic and Interventional Radiology. Cardiovasc Intervent Radiol. 2007;30(6):1105-1111. doi:10.1007/s00270-007-9160-0
[7] Borghi C, Dell’Atti L. Pelvic congestion syndrome: the current state of the literature. Arch Gynecol Obstet. 2016;293(2):291-301. doi:10.1007/s00404-015-3895-7
[8] Chung M-H, Huh C-Y. Comparison of Treatments for Pelvic Congestion Syndrome. Tohoku J Exp Med. 2003;201(3):131-138. doi:10.1620/tjem.201.131
[9] Lopez AJ. Female Pelvic Vein Embolization: Indications, Techniques, and Outcomes. Cardiovasc Intervent Radiol. 2015;38(4):806-820. doi:10.1007/s00270-015-1074-7
[10] Daniels JP, Champaneria R, Shah L, Gupta JK, Birch J, Moss JG. Effectiveness of Embolization or Sclerotherapy of Pelvic Veins for Reducing Chronic Pelvic Pain: A Systematic Review. Journal of Vascular and Interventional Radiology. 2016;27(10):1478-1486.e8. doi:10.1016/j.jvir.2016.04.016

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Interventional & Vascular Care (IVC) provides minimally invasive image-guided procedures (MIIPs) to patients in the Dallas metroplex. Specializing in venous insufficiency, uterine fibroids, pelvic congestion syndrome, peripheral artery disease, and other conditions.

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