Venous · IR Playbook

Pelvic Venous Disorder Embolization (PeVD embolization)

Pelvic venous disorder (PeVD) embolization is transcatheter occlusion of incompetent gonadal and internal iliac vein tributaries, with or without sclerotherapy of the pelvic venous reservoir, in women with venous-origin chronic pelvic pain. It is performed after non-venous causes are excluded and reflux is demonstrated on cross-sectional imaging and venography. Observational series report symptom improvement in the majority of appropriately selected patients, with post-embolization syndrome the commonest adverse event and coil migration or pulmonary embolism rare; no single embolization protocol has proven superior, and randomized sham-controlled evidence (EMBOLIZE) has only recently emerged.

What this playbook covers

• Indications
• Contraindications
• Pre-procedure
• Anatomy and Planning
• Equipment
• Procedure Steps
• Technical Endpoints
• Variants
• Comparisons
• Troubleshooting
• Complications
• Post-procedure Care
• References

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