Amplatzer vascular plug for alternate treatment in pelvic congestive syndrome in Rsud Dr. Soetomo

Pelvic congestion syndrome (PCS) is one of the common causes of chronic pelvic pain in women of reproductive age. 10-60% of PCS is caused by insufficient iliac vein, ovarian vein, or both of them. Ligation of incompetent ovarian veins can lead to favorable results. An endovascular technique using an embolization coil, glue, foam, or amplatzer can be an alternative treatment for PCS. We described a case of a 50-year-old woman with a history of chronic pelvic pain who was successfully pain-free after the closure of an ovarian vein using an amplatzer vascular plug with no postprocedural complications. Pelvic vein transcatheter embolization is currently the least invasive and most effective treatment option for pelvic varicose veins. The American Venous Forum and the Society for Vascular Surgery both propose coil embolization with a grade 2B plug. According to the findings of the research studies, there was no variation in efficacy between a fiber platinum coil and a vascular plug. This case demonstrated one of numerous endovascular treatment possibilities for PCS caused by ovarian vein valve insufficiency. The use of an amplatzer vascular plug to block the vein gave satisfactory outcomes, with no recurring flow following therapy. In conclusion, venous occlusion with a vascular plug for the treatment of PCS is as safe and effective as an embolization agent or surgery, with an impressive reduction in PCS pelvic symptoms.