{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T14:50:28Z","timestamp":1782226228086,"version":"3.54.5"},"reference-count":30,"publisher":"Galenos Yayinevi","issue":"2","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Turk Gogus Kalp Dama"],"accepted":{"date-parts":[[2025,4,1]]},"published-print":{"date-parts":[[2025,4,1]]},"abstract":"<jats:p>\n                    <jats:bold>\n                      <jats:italic>Background:<\/jats:italic>\n                    <\/jats:bold>\n                    In this study, we aimed to evaluate one-year clinical follow-up of patients who underwent bilateral ovarian vein embolization using crossover maneuvers between the ovarian veins via unilateral puncture.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic>Methods:<\/jats:italic>\n                    <\/jats:bold>\n                    Between January 2017 and September 2022, a total of 34 women (mean age: 39.6\u00b14.9 years; range, 26 to 52 years) who had pelvic venous disease and underwent bilateral embolization of ovarian veins with unilateral puncture and collateral crossover were retrospectively analyzed. The patients were followed at one, six, and 12 months postoperatively. Symptoms were evaluated using physical examination findings and Visual Analog Scale scores and the need for reintervention was assessed.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic>Results:<\/jats:italic>\n                    <\/jats:bold>\n                    Of a total of 34 patients, 21 (61.8%) reported dysmenorrhea and 18 (53%) reported both dyspareunia and lower limb varices. There were no major complications during the procedure. The mean preoperative Visual Analog Scale score was 8.1\u00b10.8, which decreased to 2.1\u00b10.6 at 12 months. Reintervention was necessary for only one patient during one-year follow-up.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>\n                      <jats:italic>Conclusion:<\/jats:italic>\n                    <\/jats:bold>\n                    Although bilateral ovarian vein embolization with crossover to the contralateral side poses greater technical challenges than unilateral ovarian vein closure, it remains a viable technique with favorable outcomes and lower complication rates.\n                  <\/jats:p>","DOI":"10.5606\/tgkdc.dergisi.2025.27100","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T08:38:52Z","timestamp":1749544732000},"page":"176-184","source":"Crossref","is-referenced-by-count":0,"title":["Bilateral ovarian vein coil embolization with crossover technique in pelvic venous disease: One year follow-up results"],"prefix":"10.4274","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1528-6788","authenticated-orcid":false,"given":"Serkan","family":"Ketenciler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5208-0626","authenticated-orcid":false,"given":"Mehmet","family":"Ali Ye\u015filta\u015f","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5834-2455","authenticated-orcid":false,"given":"Ahmet","family":"Ozan Koyuncu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1047-7940","authenticated-orcid":false,"given":"\u00d6zg\u00fcr","family":"Gursu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8930-9319","authenticated-orcid":false,"given":"\u0130lhan","family":"Saniso\u011flu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2811","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"ref-1","doi-asserted-by":"crossref","unstructured":"Meissner MH, Gloviczki P. Pelvic venous disorders. In: Almeida J, editor. Atlas of endovascular venous surgery. Philadelphia: Elsevier; 2019. p. 567-599.","DOI":"10.1016\/B978-0-323-51139-1.00021-8"},{"key":"ref-2","doi-asserted-by":"crossref","unstructured":"Meissner MH, Khilnani NM, Labropoulos N, Gasparis AP, Gibson K, Greiner M, et al. The symptomsvarices-pathophysiology classification of pelvic venous disorders: A report of the American Vein & Lymphatic Society International Working Group on Pelvic Venous Disorders. Phlebology 2021;36:342-60. doi: 10.1177\/0268355521999559.","DOI":"10.1177\/0268355521999559"},{"key":"ref-3","doi-asserted-by":"crossref","unstructured":"De Maeseneer MG, Kakkos SK, Aherne T, Baekgaard N, Black S, Blomgren L, et al. Editor's choice - European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs. Eur J Vasc Endovasc Surg 2022;63:184- 267. doi: 10.1016\/j.ejvs.2021.12.024.","DOI":"10.1016\/j.ejvs.2022.06.022"},{"key":"ref-4","doi-asserted-by":"crossref","unstructured":"Antignani PL, Lazarashvili Z, Monedero JL, Ezpeleta SZ, Whiteley MS, Khilnani NM, et al. Diagnosis and treatment of pelvic congestion syndrome: UIP consensus document. Int Angiol 2019;38:265-83. doi: 10.23736\/S0392- 9590.19.04237-8.","DOI":"10.23736\/S0392-9590.19.04237-8"},{"key":"ref-5","doi-asserted-by":"crossref","unstructured":"Dorobisz TA, Garcarek JS, Kurcz J, Korta K, Dorobisz AT, Podg\u00f3rski P, et al. Diagnosis and treatment of pelvic congestion syndrome: Single-centre experiences. Adv Clin Exp Med 2017;26:269-76. doi: 10.17219\/acem\/68158.","DOI":"10.17219\/acem\/68158"},{"key":"ref-6","doi-asserted-by":"crossref","unstructured":"Gavrilov SG, Sazhin A, Krasavin G, Moskalenko E, Mishakina N. Comparative analysis of the efficacy and safety of endovascular and endoscopic interventions on the gonadal veins in the treatment of pelvic congestion syndrome. J Vasc Surg Venous Lymphat Disord 2021;9:178-86. doi: 10.1016\/j. jvsv.2020.05.013.","DOI":"10.1016\/j.jvsv.2020.05.013"},{"key":"ref-7","doi-asserted-by":"crossref","unstructured":"Doganci, S. Poorly understood pelvic venous disorders require a multidisciplinary approach. Phlebologie 2021;50:279-282.","DOI":"10.1055\/a-1521-5995"},{"key":"ref-8","doi-asserted-by":"crossref","unstructured":"De Gregorio MA, Guirola JA, Alvarez-Arranz E, S\u00e1nchezBallestin M, Urbano J, Sierre S. Pelvic venous disorders in women due to pelvic varices: Treatment by embolization: Experience in 520 patients. J Vasc Interv Radiol 2020;31:1560- 9. doi: 10.1016\/j.jvir.2020.06.017.","DOI":"10.1016\/j.jvir.2020.06.017"},{"key":"ref-9","unstructured":"Sidawy AN, Perler BA. Rutherford\u2019s vascular surgery and endovascular therapy. 2nd ed. Philadelphia: Elsevier Health Sciences; 2022."},{"key":"ref-10","unstructured":"Bozkurt KA. Periferik Arter ve Ven Hastal\u0131klar\u0131-Ulusal Tedavi K\u0131lavuzu 2021. \u0130stanbul: Bay\u00e7\u0131nar T\u0131bbi Yay\u0131nc\u0131l\u0131k; 2021."},{"key":"ref-11","doi-asserted-by":"crossref","unstructured":"Steenbeek MP, van der Vleuten CJM, Schultze Kool LJ, Nieboer TE. Noninvasive diagnostic tools for pelvic congestion syndrome: A systematic review. Acta Obstet Gynecol Scand 2018;97:776-86. doi: 10.1111\/aogs.13311.","DOI":"10.1111\/aogs.13311"},{"key":"ref-12","doi-asserted-by":"crossref","unstructured":"Phillips D, Deipolyi AR, Hesketh RL, Midia M, Oklu R. Pelvic congestion syndrome: Etiology of pain, diagnosis, and clinical management. J Vasc Interv Radiol 2014;25:725-33. doi: 10.1016\/j.jvir.2014.01.030.","DOI":"10.1016\/j.jvir.2014.01.030"},{"key":"ref-13","doi-asserted-by":"crossref","unstructured":"Liddle AD, Davies AH. Pelvic congestion syndrome: Chronic pelvic pain caused by ovarian and internal iliac varices. Phlebology 2007;22:100-4. doi: 10.1258\/026835507780807248.","DOI":"10.1258\/026835507780807248"},{"key":"ref-14","doi-asserted-by":"crossref","unstructured":"Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990;13:227-36. doi: 10.1002\/nur.4770130405.","DOI":"10.1002\/nur.4770130405"},{"key":"ref-15","doi-asserted-by":"crossref","unstructured":"Jurga-Karwacka A, Karwacki GM, Schoetzau A, Zech CJ, Heinzelmann-Schwarz V, Schwab FD. A forgotten disease: Pelvic congestion syndrome as a cause of chronic lower abdominal pain. PLoS One 2019;14:e0213834. doi: 10.1371\/ journal.pone.0213834.","DOI":"10.1371\/journal.pone.0213834"},{"key":"ref-16","doi-asserted-by":"crossref","unstructured":"Wikkeling M, Witte M, Jalaie H. Long term follow-up in PeVD with compression syndromes. Turk J Vasc Surg 2023;32:10-3.","DOI":"10.9739\/tjvs.1970.01.218"},{"key":"ref-17","doi-asserted-by":"crossref","unstructured":"Gavrilov SG, Sazhin AV, Akhmetzianov R, Bredikhin RA, Krasavin GV, Mishakina NY, et al. Surgical and endovascular treatment of pelvic venous disorder: Results of a multicentre retrospective cohort study. J Vasc Surg Venous Lymphat Disord 2023;11:1045-54. doi: 10.1016\/j.jvsv.2023.04.009.","DOI":"10.1016\/j.jvsv.2023.04.009"},{"key":"ref-18","doi-asserted-by":"crossref","unstructured":"Daniels JP, Champaneria R, Shah L, Gupta JK, Birch J, Moss JG. Effectiveness of embolization or sclerotherapy of pelvic veins for reducing chronic pelvic pain: A systematic review. J Vasc Interv Radiol 2016;27:1478-86.e8. doi: 10.1016\/j. jvir.2016.04.016.","DOI":"10.1016\/j.jvir.2016.04.016"},{"key":"ref-19","doi-asserted-by":"crossref","unstructured":"Guirola JA, S\u00e1nchez-Ballestin M, Sierre S, Lahuerta C, Mayoral V, De Gregorio MA. A randomized trial of endovascular embolization treatment in pelvic congestion syndrome: Fibered platinum coils versus vascular plugs with 1-year clinical outcomes. J Vasc Interv Radiol 2018;29:45-53. doi: 10.1016\/j.jvir.2017.09.011.","DOI":"10.1016\/j.jvir.2017.09.011"},{"key":"ref-20","doi-asserted-by":"crossref","unstructured":"Marcelin C, Izaaryene J, Castelli M, Barral PA, Jacquier A, Vidal V, et al. Embolization of ovarian vein for pelvic congestion syndrome with ethylene vinyl alcohol copolymer  (Onyx\u00ae). Diagn Interv Imaging 2017;98:843-8. doi: 10.1016\/j. diii.2017.05.011.","DOI":"10.1016\/j.diii.2017.05.011"},{"key":"ref-21","doi-asserted-by":"crossref","unstructured":"Maleux G, Stockx L, Wilms G, Marchal G. Ovarian vein embolization for the treatment of pelvic congestion syndrome: Long-term technical and clinical results. J Vasc Interv Radiol 2000;11:859-64. doi: 10.1016\/s1051-0443(07)61801-6.","DOI":"10.1016\/S1051-0443(07)61801-6"},{"key":"ref-22","doi-asserted-by":"crossref","unstructured":"Capasso P, Simons C, Trotteur G, Dondelinger RF, Henroteaux D, Gaspard U. Treatment of symptomatic pelvic varices by ovarian vein embolization. Cardiovasc Intervent Radiol 1997;20:107-11. doi: 10.1007\/ s002709900116.","DOI":"10.1007\/s002709900116"},{"key":"ref-23","doi-asserted-by":"crossref","unstructured":"Laborda A, Medrano J, de Blas I, Urtiaga I, Carnevale FC, de Gregorio MA. Endovascular treatment of pelvic congestion syndrome: Visual Analog Scale (VAS) long-term follow-up clinical evaluation in 202 patients. Cardiovasc Intervent Radiol 2013;36:1006-14. doi: 10.1007\/s00270-013-0586-2.","DOI":"10.1007\/s00270-013-0586-2"},{"key":"ref-24","doi-asserted-by":"crossref","unstructured":"Kim HS, Malhotra AD, Rowe PC, Lee JM, Venbrux AC. Embolotherapy for pelvic congestion syndrome: Long-term results. J Vasc Interv Radiol 2006;17:289-97. doi: 10.1097\/01. RVI.0000194870.11980.F8.","DOI":"10.1097\/01.RVI.0000194870.11980.F8"},{"key":"ref-25","doi-asserted-by":"crossref","unstructured":"Jaworucka-Kaczorowska A. Pelvic escape points: Bottom- up is the way to go! Turk J Vasc Surg 2023;32:14-9. doi: 10.9739\/ tjvs.1970.01.223.","DOI":"10.9739\/tjvs.1970.01.223"},{"key":"ref-26","doi-asserted-by":"crossref","unstructured":"Monedero JL, Ezpeleta SZ, Perrin M. Pelvic congestion syndrome can be treated operatively with good longterm results. Phlebology 2012;27:65-73. doi: 10.1258\/ phleb.2011.012s03.","DOI":"10.1258\/phleb.2011.012s03"},{"key":"ref-27","doi-asserted-by":"crossref","unstructured":"Monedero JL, Ezpeleta SZ, Castro JC, Ortiz MC, Fernandez GS. 2006. Embolization treatment of recurrent varices of pelvic origin. Phlebology 2006;21:3-11.","DOI":"10.1258\/026835506775971108"},{"key":"ref-28","doi-asserted-by":"crossref","unstructured":"Greiner M, Gilling-Smith GL. Leg varices originating from the pelvis: Diagnosis and treatment. Vascular 2007;15:70-8. doi: 10.2310\/6670.2006.00030.","DOI":"10.2310\/6670.2006.00030"},{"key":"ref-29","doi-asserted-by":"crossref","unstructured":"Meneses L, Fava M, Diaz P, And\u00eda M, Tejos C, Irarrazaval P, et al. Embolization of incompetent pelvic veins for the treatment of recurrent varicose veins in lower limbs and pelvic congestion syndrome. Cardiovasc Intervent Radiol 2013;36:128-32. doi: 10.1007\/s00270-012-0389-x.","DOI":"10.1007\/s00270-012-0389-x"},{"key":"ref-30","doi-asserted-by":"crossref","unstructured":"Ignacio Leal Lorenzo J, Gallardo Madue\u00f1o G, Alc\u00e1zar Peral A, Pillado Rodr\u00edguez E, C\u00e1rdenas Santos R, Alonso Burgos A. Bilateral ovarian vein embolisation from a unilateral basilic approach with n-2-Butyl cyanoacrylate and crossover technique for pelvic congestion syndrome. Eur J Vasc Endovasc Surg 2022;63:163-4. doi: 10.1016\/j. ejvs.2021.09.022.","DOI":"10.1016\/j.ejvs.2021.09.022"}],"container-title":["Turkish Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3969.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/tgkdc.dergisi.org\/uploads\/pdf\/pdf_TGKDC_3969.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T13:52:48Z","timestamp":1782222768000},"score":1,"resource":{"primary":{"URL":"https:\/\/tjtcvs.org\/articles\/doi\/tgkdc.dergisi.2025.27100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,1]]},"references-count":30,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,4,1]]}},"URL":"https:\/\/doi.org\/10.5606\/tgkdc.dergisi.2025.27100","relation":{},"ISSN":["1301-5680","2149-8156"],"issn-type":[{"value":"1301-5680","type":"print"},{"value":"2149-8156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,1]]}}}