Heghine Khachatryan about PVCS as Cause of Chronic Pelvic Pain and Lower-Extremity/Pelvic Varices in Women
Heghine Khachatryan, Editor-in-Chief of Hemostasis Today, Head of Hemophilia and Thrombosis Center at Yeolyan Hematology and Oncology Center, quoted CVIR Endovascular’s post on LinkedIn:
“Pelvic venous congestion syndrome (PVCS) is an important—often underrecognized—cause of chronic pelvic pain and lower-extremity/pelvic varices in women.
A helpful framework is the SVP classification:
• S (Symptoms): chronic pelvic pain, pelvic heaviness, dyspareunia, urinary symptoms, vulvar/perineal varices, and related extra-pelvic manifestations
• V (Varices): pelvic, ovarian, vulvar, and pelvic-origin extra-pelvic varices
• P (Pathophysiology): reflux and/or venous obstruction across key territories (renal/ovarian, iliac, and pelvic venous plexuses)
Why this matters: precise phenotyping (S-V-P) supports targeted imaging (US, CT/MR venography, catheter venography) and endovascular options such as embolization of refluxing gonadal/pelvic veins and treatment of obstructive lesions when present.
If you work with patients presenting with chronic pelvic pain or atypical varices, PVCS should be on the differential—and multidisciplinary collaboration is essential.”
Quoting CVIR Endovascular’s post:
“Quarterly update on pelvic congestion syndrome
Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options”
Title: Pelvic venous congestion syndrome: female venous congestive syndromes and endovascular treatment options
Authors: Elika Kashef, Elizabeth Evans, Neeral Patel, Deepsha Agrawal, Anne P Hemingway
Read full paper here.
Read more from Editor-in-Chief of Hemostasis Today here.
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