Pelvic venous congestion syndrome – diagnosis and management.
Guidelines of the Angiology Section of Slovak Medical Chamber (2015)

Česká verzia

Authors: Peter Gavorník ^1,2,3; Karol Holomáň ⁴; Ľudovít Gašpar ^1,3; Andrej Dukát ^1,3; Andrea Komorníková ^1,3; †emil; Gavorník ^3,4
Authors place of work: II. interná klinika LF UK a UN Bratislava, Slovenská republika, prednosta doc. MUDr. Ľudovít Gašpar, CSc. ¹; Prvé angiologické pracovisko (PAP), vedúci lekár doc. MUDr. Peter Gavorník, PhD., mim. prof. ²; Angiologická sekcia Slovenskej lekárskej komory (AS SLK), predseda doc. MUDr. Peter Gavorník, PhD., mim. prof. ³; II. gynekologicko-pôrodnícka klinika LF UK a UN Bratislava, Slovenská republika, prednosta prof. MUDr. Karol Holomáň, CSc. ⁴
Published in the journal: Vnitř Lék 2015; 61(3): 244-250
Category: Guidelines

Summary

Pelvic congestion syndrome: chronic symptoms, which may include pelvic pain, perineal heaviness, urgency of micturition, and post-coital pain, caused by ovarian and/or pelvic vein reflux and/or obstruction, and which may be associated with vulvar, perineal, and/or lower extremity varices. The VEIN-TERM consensus document was developed by a transatlantic interdisciplinary faculty of experts under the auspices of the American Venous Forum (AVF), the European Venous Forum (EVF), the International Union of Phlebology (IUP), the American College of Phlebology (ACP), and the International Union of Angiology (IUA). It provides recommendations for fundamental venous terminology. Project Vessels of AS SMC.

Key words:
angiology/vascular medicine – diagnosis – chronic venous disease (CVD) – management – pelvic congestion syndrome (PCS) – phlebology/venous medicine

Zdroje

1. Eklof B, Perrin M, Delis KT et al. Updated terminology of chronic venous disorders: The VEIN-TERM transatlantic interdisciplinary consensus document. J Vasc Surg 2011; 49(2): 498–501.

2. Taylor HC Jr. Vascular congestion and hyperaemia; their effect on structure and function in the female reproductive system. Am J Obstet Gynecol 1949; 57(2): 211–230.

3. Bekou V, Zollikofer C, Nieuwkamp N et al. A therapeutic option in nutcracker syndrome and ovarian vein insufficiency. Phlebology 2014; 29(3): 1–6.

4. Phillips D, Deipolyi AR, Hesketh RL et al. Pelvic Congestion Syndrome: Etiology of Pain, Diagnosis, and Clinical Management. J Vasc Interv Radiol 2014; 25(5): 725–733.

5. Dos Santos SJ, Holdstock JM, Harrison CC et al. Ovarian Vein Diameter Cannot Be Used as an Indicator of Ovarian Venous Reflux. Eur J Vasc Endovasc Surg 2015; 49(1): 90–94.

6. Management of chronic venous disorders of the lower limbs. Guidelines according to scientific evidence. Int Angiol 2014; 33(2): 87–208.

7. Rabe E, Guex JJ, Puskas A et al. The VCP Coordinators. Epidemiology of chronic venous disorders in geographically diverse populations: results from the Vein Consult Program. Int Angiol 2012; 31(2): 105–115.

8. Gavorník P. Najčastejšie choroby vénového cievneho systému. Univerzita Komenského: Bratislava 2014. ISBN 9788022343532.

9. Eklof B, Rutherford RB, Bergan JJ et al. Revision of the CEAP classification for venous disorders: consensus statement. J Vasc Surg 2004; 40(6): 1248–1252.

10. Partsch H. The role of leg compression in the treatment of deep vein thrombosis. Phlebology 2014; 29(Suppl 1): 66–70.

11. Zimmet SE, Min RJ, Comerota AJ et al. Core content for training in venous and lymphatic medicine. Phlebology 2014; 29(9): 587–593.

12. Partsch H, Lee BB. Phlebology and lymphology – a family affair. Phlebology 2014; 29(10): 645–647.

13. Rabe E, Breu F, Cavezzi A et al. European guidelines for sclerotherapy in chronic venous disorders. Phlebology 2014; 29(6): 338–354.

14. Kuet ML, Lane TRA, Anwar MA et al. Comparison of disease-specific quality of life tools in patients with chronic venous disease. Phlebology 2014; 29(10): 648–653.

15. Van der Velden SK, Shadid NH et al. How specific are venous symptoms for diagnosis of chronic venous disease? Phlebology 2014; 29(9): 580–586.

16. Matic PA, Vlajinac HD, Marinkovic JM et al. Chronic venous disease: Correlation between ultrasound findings and the clinical, etiologic, anatomic and pathophysiologic classification. Phlebology 2014; 29(8): 522–527.

17. Chi YW, Schul M, Gibson K et al. Chronic venous disorder registry: A new perspective. Phlebology 2014; 29(7): 415–427.

18. Dharmarajah B, Lane TRA, Moore HM et al. The Future of Phlebology in Europe. Phlebology 2014; 29(Suppl 1): 181–185.

19. Rathbun S, Norris A, Morrison N et al. Performance of endovenous foam sclerotherapy in the USA for the treatment of venous disorders: ACP/SVM/AVF/SIR quality improvement guidelines. Phlebology 2014; 29(2): 76–82.

20. Cho SJ, Lee TH, Shim KY et al. Pelvic congestion syndrome diagnosed using endoscopic ultrasonography. Phlebology 2014; 29(2): 126–128.

21. Lattimer CR, Kalodiki E, Azzam M et al. Responsiveness of individual questions from the venous clinical severity score (VCSS) and the Aberdeen varicose vein questionnaire (AVVQ). Phlebology 2014; 29(1): 43–51.

22. Gavorník P. Angiológia 1 pre všeobecných praktických lekárov – Flebológia. Vydavateľstvo Dr. Josef Raabe: Bratislava 2013. ISBN 978808140083–4.

23. Gavorník P. Angiológia 2 pre všeobecných praktických lekárov. Arteriológia. Vydavateľstvo Dr. Josef Raabe Bratislava 2014. ISBN 9788081401688.

24. Kahn SR, Comerota AJ, Cushman M et al. on behalf of the American Heart Association Council on Peripheral Vascular Disease, Council on Clinical Cardiology, and Council on Cardiovascular and Stroke Nursing. The Postthrombotic Syndrome: Evidence-Based Prevention, Diagnosis, and Treatment Strategies: A Scientific Statement From the American Heart Association. Circulation 2014; 130: 1636–1661.

25. Gavorník P. Rehabilitácia a interná medicína. Interná Med 2013; 13(11): 498–501.

26. Eberhardt RT, Raffetto JD. Chronic Venous Insufficiency. Circulation 2014; 130(4): 333–346.

27. Mazzaccaro D, Malacrida G, Nano G. Variability of Origin of Splanchnic and Renal Vessels From the Thoracoabdominal Aorta. Eur J Vasc Endovasc Surg 2015; 49(1): 33–38.

28. Ahmed K, Sampath R, Khan MS. Current Trends in the Diagnosis and Management of Renal Nutcracker Syndrome: A Review. Eur J Vasc Endovasc Surg 2006; 31(4): 410–416.

29. Shin JI, Lee JS, Kim MJ. The Prevalence, Physical Characteristics and Diagnosis of Nutcracker Syndrome. Eur J Vasc Endovasc Surg 2006; 32(3): 335–336.

30. Renal nutckraker syndrome (left renal vein entrapment syndrome; ORPHA71273). Dostupné z WWW: <http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=en&Expert=71273>.

31. Hansrani V, Abbas A, Bhandari S et al. Trans-venous occlusion of incompetent pelvic veins for chronic pelvic pain in women: a systematic review. Eur J Obstet Gynecol Reprod Biol 2015; 185: 156–163. Dostupné z DOI: <http://dx.doi.org/10.1016/j.ejogrb.2014.12.011>.

32. Clemens RK, Pfammatter T, Meier TO et al. Vascular malformations revisited. Vasa 2015; 44(1): 5–22.

33. Willenberg T. Treatment of varicose veins. Rev Vasc Med 2014; 2(2): 67–72.