127558 20241125101142.0 doi 10.3390/jcm12165408 sideral 134542 ART-2023-134542 eng De Gregorio, Miguel Ángel Universidad de Zaragoza (orcid)0000-0002-5618-7519 A comparative study of a small series of patients (50 patients) with pelvic varicose veins treated with plugs alone or plugs and polidocanol 2023 Access copy available to the general public Unrestricted Level of Evidence: Level 2. Purpose: To compare the safety and efficacy of vascular plug (VP) and vascular plug and polidocanol foam (VPPF) treatments for embolization in pelvic congestion syndrome (PCS). Materials and methods: A comparative, prospective, two-center study enrolled 50 women with PCS from January 2019 to January 2020. The patients were divided into two groups, and embolization was performed with VP (n = 25) and VPPF (n = 25) treatments. The mean age of the patients was 45.6 years ± 6.9. Three clinical parameters were assessed: abdominal pain, dyspareunia, and lower limb pain. The primary outcome (clinical success at 1 yr using a VAS), number of devices, procedure and fluoroscopy times, radiation doses, costs, and complications were compared. The participants were followed-up at 1, 3, 6, and 12 months. Results: At the 1-year follow-up, clinical success did not significantly differ between the two groups (VP vs. VPPF) regarding the improvement of the symptoms analyzed (pelvic pain, dyspareunia, lower extremity pain, and other symptoms (p < 0.05)). The mean number of devices per case was 4 ± 1.1 for the VP group and 2 ± 0.31 for the VPPF group (p < 0.001). No major complications were recorded in either group. The VPPF group had a significantly longer fluoroscopy time (42.8 min ± 14.2 vs. 25.4 min ± 7) and longer radiation dose (VPPF air kerma 839.4 ± 513 vs. VP air kerma 658.4 mGy ± 355 (all p < 0.001)). Conclusions: Embolization for PCS resulted in pain relief in 90% of patients; the use of polidocanol did not demonstrate changes in the clinical outcome. The use of a VP alone was associated with decreased fluoroscopy time and radiation dose. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.0 2023 MEDICINE, GENERAL & INTERNAL 59 / 329 = 0.179 2023 Q1 T1 0.882 2023 Medicine (miscellaneous) 2023 Q1 5.7 2023 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Yamamoto-Ramos, Masao Fredes, Arturo Serrano-Casorran, Carolina Universidad de Zaragoza (orcid)0000-0002-8880-6580 Sierre, Sergio Ciampi-Dopazo, Juan José Méndez, Santiago Abadal, Jose Maria Urtiaga, Ignacio Bonastre, Cristina Universidad de Zaragoza (orcid)0000-0001-6178-9891 Rodríguez, Jose Urbano, Jose Guirola, José Andrés Universidad de Zaragoza (orcid)0000-0002-0113-5121 1011 770 Universidad de Zaragoza Dpto. Microb.Ped.Radio.Sal.Pú. Área Radiol. y Medicina Física 1009 617 Universidad de Zaragoza Dpto. Patología Animal Área Medicina y Cirugía Animal 12, 16 (2023), 5408 [12 pp.] J. clin.med. Journal of Clinical Medicine 2077-0383 1345674 http://zaguan.unizar.es/record/127558/files/texto_completo.pdf Versión publicada 2665231 http://zaguan.unizar.es/record/127558/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:127558 articulos driver 2024-11-22-12:02:59 ARTICLE