The Clinical Problem of Pelvic Venous Disorders

Abu Baker Sheikh; Marat Fudim; Ishan Garg; Abdul Mannan Khan Minhas; Asher A Sobotka; Manesh R Patel; Marvin H Eng; Paul A Sobotka

doi:10.1016/j.iccl.2022.03.003

The Clinical Problem of Pelvic Venous Disorders

Interv Cardiol Clin. 2022 Jul;11(3):307-324. doi: 10.1016/j.iccl.2022.03.003.

Authors

Abu Baker Sheikh¹, Marat Fudim², Ishan Garg¹, Abdul Mannan Khan Minhas³, Asher A Sobotka⁴, Manesh R Patel⁵, Marvin H Eng⁶, Paul A Sobotka⁷

Affiliations

¹ Department of Internal Medicine, University of New Mexico Health Sciences Center, 1021 Medical Arts Avenue NE, Albuquerque, NM 87102, USA.
² Division of Cardiology, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA; Duke Clinical Research Institute, 300 West Morgan Street, Durham, NC 27701, USA. Electronic address: Marat.fudim@duke.edu.
³ Department of Internal Medicine, Forrest General Hospital, 6051 US 49, Hattiesburg, MS 39401, USA.
⁴ University of Pennsylvania, Philadelphia, PA 19104, USA.
⁵ Division of Cardiology, Duke University Medical Center, 200 Trent Drive, Durham, NC 27710, USA; Duke Clinical Research Institute, 300 West Morgan Street, Durham, NC 27701, USA.
⁶ Division of Cardiology, University of Arizona, Banner University Medical Center, 1111 E McDowell Rd, Phoenix, AZ 85006, USA.
⁷ The Ohio State University, 281 West Lane Avenue, Columbus, OH 43210, USA. Electronic address: paul.a.sobotka@gmail.com.

PMID: 35710285
DOI: 10.1016/j.iccl.2022.03.003

Abstract

Pelvic venous disorders are inter-related pathologic conditions caused by reflux and obstruction in the pelvic veins. It can present a spectrum of clinical features based on the route of transmission of venous hypertension to either distal or caudal venous reservoirs. Imaging can help to visualize pelvic vascular and visceral structures to rule out other gynecologic, gastrointestinal, and urologic diseases. Endovascular treatment, owing to its low invasive nature and high success rate, has become the mainstay in the management of pelvic venous disorders. This article reviews the pathophysiology, clinical presentations, and diagnostic and therapeutic approaches to pelvic venous disorders.

Keywords: Cardiovenous syndrome; May-Thurner syndrome; Nutcracker syndrome; Pelvic congestion syndrome; Pelvic venous disorders; Percutaneous embolization; Percutaneous stenting.

Publication types

Review
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

MeSH terms

Female
Humans
Pelvic Pain* / diagnosis
Pelvic Pain* / etiology
Pelvic Pain* / therapy
Vascular Diseases* / diagnosis
Vascular Diseases* / therapy

Grants and funding

K23 HL151744/HL/NHLBI NIH HHS/United States