Síndrome de congestión venosa pélvica: Diagnóstico y manejo endovascular

Pelvic venous congestion syndrome: Diagnosis and endovascular management

Contenido principal del artículo

José Lubin Mercado
Oswaldo Ceballos Burbano
Jorge Adalberto Márquez
Ricardo Mora Posada

Resumen

Consiste en la dilatación de las estructuras venosas intrapélvicas que genera su aumento en número y calibre. El principal síntoma es el dolor pélvico crónico y puede asociarse con dispareunia, dismenorrea, dolor postcoital y pesadez perineal; se manifiesta por várices genitales y atípicas en los miembros inferiores. Las diferentes estrategias médicas y quirúrgicas son poco efectivas y/o seguras. La terapia endovascular ofrece un abordaje mínimamente invasivo que permite el diagnóstico y el tratamiento definitivo. Se realizó una búsqueda de los estudios publicados en la literatura mundial sobre los diferentes métodos diagnósticos y terapéuticos, incluyendo series de casos y controles en los cuales se evaluaron los resultados de la terapia endovascular. Abreviaturas: SCVP, síndrome de congestión venosa pélvica.

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