{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:55:38Z","timestamp":1791525338211,"version":"4.3.4"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T00:00:00Z","timestamp":1468195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Med Imag Rad Onc"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Varicocele embolisation is an excellent treatment option for symptomatic scrotal varicosities. The purpose of this study was to assess the current practice of the endovascular treatment of left\u2010sided varicoceles at our institution, to compare the findings to international standards and to identify which access site reduces screening time and radiation dose.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All left\u2010sided varicocele embolisations over a 4\u2010year period were identified and analysed with regards to technical success, complications and recurrence rates. The results were analysed with regard to the encountered anatomy on a case\u2010to\u2010case basis to identify anatomical factors influencing the outcome of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period 95 primary left\u2010sided varicocele embolisations were performed by two experienced consultants. Five cases had a normal initial venogram (Type 0) and further five had unsuitable anatomy for embolisation. Eighty\u2010three of the remaining 85 attempted embolisations were technically successful (98% technical success rate). The clinical success rate was determined by recurrence, which was documented in five cases (mean follow\u2010up 34.3\u00a0month, 6% recurrence rate). Recurrence was associated with more complex local anatomy (Type 3 and Type 4). The overall findings were consistent with international published standards for technical success rate (95\u2013100%) and recurrence rates (1.6\u201310%). Complication rates were low with extravasation being reported in 4.7% (all self\u2010limiting) and temporary pain in 3.5% of the cases. There was no significant difference in radiation dose\/screening time, success or complications when comparing a groin versus neck approach to the embolisation procedure (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Varicocele embolisation is successful with a low complications rate. Neck and groin access are equally successful with no significant difference in screening time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1754-9485.12495","type":"journal-article","created":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T05:14:31Z","timestamp":1468214071000},"page":"728-732","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Neck or groin access for varicocele embolisation: Is it important?"],"prefix":"10.1111","volume":"60","author":[{"given":"Philipp","family":"Riede","sequence":"first","affiliation":[{"name":"Department of Radiology Churchill Hospital Headington Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eoghan","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Department of Radiology Churchill Hospital Headington Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Cary","sequence":"additional","affiliation":[{"name":"Department of Radiology Churchill Hospital Headington Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phil","family":"Boardman","sequence":"additional","affiliation":[{"name":"Department of Radiology Churchill Hospital Headington Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles R","family":"Tapping","sequence":"additional","affiliation":[{"name":"Department of Radiology Churchill Hospital Headington Oxford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0028-1085927"},{"key":"e_1_2_5_3_1","first-page":"51","article-title":"Endovascular treatment of male\u00a0varicocele","author":"Salazar G","year":"2011","journal-title":"Endovasc Today"},{"key":"e_1_2_5_4_1","first-page":"CD000479","article-title":"Surgery or embolization for varicoceles in subfertile men","volume":"10","author":"Kroese AC","year":"2012","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2013.08.033"},{"key":"e_1_2_5_6_1","first-page":"685","article-title":"Testicular masses","volume":"57","author":"Junnila J","year":"1998","journal-title":"Am Fam Physician"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1055705"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)45615-1"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.164.1.3588899"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-013-3413-6"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.07.081"},{"key":"e_1_2_5_12_1","first-page":"1263","article-title":"Interventional radiology of male varicocele: current status","volume":"3","author":"Baccarin V","year":"2012","journal-title":"Cardiovasc Intervent Radiol"}],"container-title":["Journal of Medical Imaging and Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1754-9485.12495","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1754-9485.12495","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1754-9485.12495","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:05:32Z","timestamp":1695546332000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1754-9485.12495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7,11]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2016,12]]}},"alternative-id":["10.1111\/1754-9485.12495"],"URL":"https:\/\/doi.org\/10.1111\/1754-9485.12495","archive":["Portico"],"relation":{},"ISSN":["1754-9477","1754-9485"],"issn-type":[{"value":"1754-9477","type":"print"},{"value":"1754-9485","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7,11]]},"assertion":[{"value":"2016-02-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-06-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-07-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}