Pelvic Venous Disorder: An Update on Imaging and Endovascular Therapy
Learning Objectives
Pelvic Venous Disorder (PeVD), the recognized nomenclature by Society of Interventional Radiology, refers to “syndromes”, which are characterized by chronic pelvic pain and lower extremity pain, and may be seen in as many as 40% of gynecologic outpatients. The diagnosis of PeVD is unfortunately often overlooked due to non-specific clinical findings and the absence of standardized diagnostic criteria.

However, non-invasive imaging provides visualization of the pelvic and vascular anatomy, which can identify functional and structural abnormalities. Additionally, non-invasive imaging can provide a roadmap for minimally invasive interventions.

In addition to medical and surgical therapies, over the last few decades, endovascular interventions have emerged as viable first line therapy and may provide additional diagnostic data. Various minimally invasive/endovascular procedures and techniques have emerged, each with different indications and outcomes. Optimal indications and techniques are under continued evaluation.

Content Description

Introduction
-Anatomy of the Pelvis and Pelvic Venous Circulation
-Clinical Presentations of Chronic Pelvic Pain and Diagnostic Challenges
-Pathophysiology of Pelvic Venous Disorders
-Therapeutic Options: Medical, Surgical, Endovascular
Diagnostic Imaging of Pelvic Venous Disorder
-Commonly Used Imaging Modalities: Doppler Ultrasound, CT, MRI
-Imaging Techniques and Protocols
-Imaging Interpretations and Differential Diagnosis
Endovascular Therapy
-Principle and Rationale
-Techniques: Instruments, Choice of Embolic Agents, Treatment Endpoint
-Review of Outcomes and Reported Complications
Future Research

Surbhi Trivedi

University of Illinois, Chicago

Appearances