The "'ovarian vein "', the female gonadal vein, carries deoxygenated blood from its corresponding ovary to inferior vena cava or one of its tributaries.
12.
However, the left ovary drains from the plexus to the left ovarian vein, and from there drains to the left renal vein before emptying into the inferior vena cava.
13.
In those cases, ovarian vein coil embolisation should be considered second line treatment to be used if veins recur in a short time period i . e . 1 3 years.
14.
Ovarian vein coil embolisation is an effective and safe treatment for pelvic congestion syndrome and lower limb varices of pelvic origin . many patient with lower limb varices of pelvic origin respond to local treatment i . e . ultrasound guided sclerotherapy.
15.
Coil embolisation requires exclusion of other pelvic pathology, expertise in endovascular surgery, correct placement of appropriate sized coils in the pelvis and also in the upper left ovarian vein, careful pre-and post-procedure specialist vascular ultrasound imaging, a full discussion of the procedure with the patient i . e . informed consent.
