Spermatic vein sclero-embolization through basilic vein access: A short communication

Author:

Posa Alessandro1ORCID,Barbieri Pierluigi2ORCID

Affiliation:

1. Department of Radiology, AFaR-IRCCS Fatebenefratelli Hospital Foundation for Health Research and Education, Roma, Italy

2. Interventional and Emergency Radiology, Department of Diagnostic Imaging, Oncological Radiotherapy and Hematology, Roma, Italy

Abstract

Objectives: To depict the basics of percutaneous spermatic vein sclero-embolization through a right basilic vein access and to qualitatively assess the reduced discomfort and pain of this access compared to the femoral one through a VAS scale. Methods: From February 2019 to March 2020, 20 varicocele sclero-embolizations through a right basilic vein were performed and retrospectively evaluated. All patients were men with a median age of 24.5 years. Treatment technique is described, as well as mean radiation dose and procedural time, and complication rates. Results: Technical success was obtained in all patients. 1 access site complication requiring conversion to femoral access occurred. 100% of patients reported only a “mild” pain ranging from 1 to 3 on VAS scale, suggesting a comfortable access for this procedure. Conclusions: Basilic vein access determines easy left and right spermatic vein catheterization, rapid ambulation as well as easy monitoring of the access site for post-procedural evaluations.

Publisher

SAGE Publications

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