A month ago I had embolisation of both ovarian veins. The day after, tingling in my legs started and then pain and it hasn't stopped. What's happening

This was the first time that embolisation for pelvic congestion syndrome was done in my country so my vascular doctor doesn't know what is happening and he reffered me to a neurologist. I saw a neurologist who told me to do EMG and ENG and the results came normal so she concluded that I do not have polyneuropathy and referred back to the vascular doctor. Now I'm back at square one and these new symptoms are even worse than the ones that I did the embolisation for.

Answers from doctors (1)


More About Doctor Vein Specialists

Published on Jun 04, 2018

Excellent question! For many years women may have been having pelvic or ovarian vein embolization without first having investigation of possible iliac vein compression syndrome (May Thurner is the most common form of this). If the ovarian or pelvic vein varicosities have developed over time as collateral drainage of the lower extremities, patients will often develop symptoms of PCS related to pelvic "varicose veins," similar to aching, one may experience in the legs due to leg varicose veins. So, now back to the embolization. If you have an iliac vein compression on one or both sides and your pelvic veins were important collateral drainage, and they closed them off with coils etc, then it would make perfect sense for your symptoms to worsen after your embolization. My next step would be IVUS (intravascular ultrasound) examination to definitively establish whether you have significant iliac vein compression, and if so, treat with IVUS directed stent treatment. I hope this helps and I wish you the best.

Answered by Vein Specialists (View Profile)

Excellent question! For many years women may have been having pelvic or ovarian vein embolization without first having investigation of possible iliac vein compression syndrome (May Thurner is the most common form of this). If the ovarian or pelvic vein varicosities have developed over time as collateral drainage of the lower extremities, patients will often develop symptoms of PCS related to pelvic "varicose veins," similar to aching, one may experience in the legs due to leg varicose veins. So, now back to the embolization. If you have an iliac vein compression on one or both sides and your pelvic veins were important collateral drainage, and they closed them off with coils etc, then it would make perfect sense for your symptoms to worsen after your embolization. My next step would be IVUS (intravascular ultrasound) examination to definitively establish whether you have significant iliac vein compression, and if so, treat with IVUS directed stent treatment. I hope this helps and I wish you the best.

Published on Jul 11, 2012


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