75773 20200117221649.0 doi 10.1016/j.jvir.2017.09.011 sideral 102151 ART-2018-102151 eng (orcid)0000-0002-0113-5121 Guirola, Jose A. A Randomized Trial of Endovascular Embolization Treatment in Pelvic Congestion Syndrome: Fibered Platinum Coils versus Vascular Plugs with 1-Year Clinical Outcomes 2018 Access copy available to the general public Unrestricted Purpose: To compare safety and efficacy of vascular plugs (VPs) and fibered platinum coils (FPCs) for embolization in pelvic congestion syndrome (PCS). Materials and Methods A randomized, prospective, single-center study enrolled 100 women with PCS from January 2014 to January 2015. Patients were randomly assigned to 2 groups, and embolization was performed with FPCs (n = 50) or VPs (n = 50). Mean age of patients was 42.7 years ± 7.60, and mean visual analog scale (VAS) score for pelvic pain before treatment was 7.4 ± 7.60. Primary outcome (clinical success at 1 y using a VAS), number of devices, procedure and fluoroscopy times, radiation doses, costs, and complications were compared, and participants were followed at 1, 3, 6, and 12 months. Results: Clinical success and subjective improvement were not significantly different at 1-year follow-up (89.7% for FPCs vs 90.6% for VPs; P = .760). Mean number of devices per case was 18.2 ± 1.33 for FPCs and 4.1 ± 0.31 for VPs (P < .001). Three FPCs and 1 VP migrated to pulmonary vasculature approximately 3–6 months after the embolization procedure; all were retrieved without complications. The FPC group had a significantly longer fluoroscopy time (33.4 min ± 4.68 vs 19.5 min ± 6.14) and larger radiation dose (air kerma 948.0 mGy ± 248.45 vs 320.7 mGy ± 134.33) (all P < .001). Conclusions: Embolization for PCS resulted in pain relief in 90% of patients; clinical success was not affected by embolic device. VPs were associated with decreased fluoroscopy time and radiation dose. info:eu-repo/semantics/openAccess by-nc-nd http://creativecommons.org/licenses/by-nc-nd/3.0/es/ 2.828 2018 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING 44 / 129 = 0.341 2018 Q2 T2 PERIPHERAL VASCULAR DISEASE 27 / 65 = 0.415 2018 Q2 T2 0.912 2018 Cardiology and Cardiovascular Medicine 2018 Q1 Radiology, Nuclear Medicine and Imaging 2018 Q1 Medicine (miscellaneous) 2018 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/acceptedVersion Sanchez-Ballestin, Maria Sierre, Sergio (orcid)0000-0003-3865-0925 Lahuerta, Celia Mayoral, Victoria (orcid)0000-0002-5618-7519 De Gregorio, Miguel A. Universidad de Zaragoza 1010 770 Universidad de Zaragoza Dpto. Pediatría Radiol.Med.Fís Área Radiol. y Medicina Física 29, 1 (2018), 45-53 J. vasc. interv. radiol. Journal of vascular and interventional radiology 1051-0443 2671144 http://zaguan.unizar.es/record/75773/files/texto_completo.pdf Postprint 94894 http://zaguan.unizar.es/record/75773/files/texto_completo.jpg?subformat=icon icon Postprint oai:zaguan.unizar.es:75773 articulos driver 2020-01-17-22:07:53 ARTICLE