Varicocele percutaneous embolization

A 36-year-old man had a pulmonary embolus after percutaneous embolization of a varicocele with enbucrilate (Histoacryl ) -I- lipiodol [26 ]. 

Lopez C, Serres-Cousine 0, Averous M (1998) Varicocele in adolescents. Treatment by sclerotherapy and percutaneous embolization reflections on the method. A propos of 23 leases. Prog Urol 8 382-387... 

Shlansky-Goldberg RD, VanArsdalen KN, Rutter CM, et al. (1997) Percutaneous varicocele embolization versus... 

Surgical correction has always been the main therapeutic option for correction of varicocele. In 1980 lACCARiNO [5] was the first to describe a percutaneous method for treatment of varicocele. The steady advancement in embolization techniques and materials has led to the development of the modern percutaneous procedure that is considered to be a safe, simple and effective alternative to surgery. 

The use of percutaneous sclerotherapy as a treatment for varicocele was first described in 1980 [5]. The most commonly used embolization method in the USA, which is the use of metal coils (Fig. 12.2), was described in 1978 [20]. Ever since, additional materials and methods have been reported including modified coils such as the new Amplatz vascular plug, boiling contrast, detachable balloons. 

When the percutaneous procedure is compared to surgical ligation, varicocele embolization has been shown to be an equally effective means of treatment and is associated with less post procedure discomfort and more rapid return to normal activities [24, 36-38]. 

Shlansky-Goldberg RD, VanArsdalen KN, Rutter CM, Soulen MC, Haskal ZJ, Baum RA, Redd DC, Cope C, Pentecost MJ (1997) Percutaneous varicocele embolization versus surgical ligation for the treatment of infertility changes in seminal parameters and pregnancy outcomes. J Vase Interv Radiol 8 759-767... 

Kolilekas L, Kalomenidis I, Manali E, Triantafillidou C, Brountzos E, Papiris S. Cyanoacrylate-related pulmonary embolism following percutaneous varicocele embolization. South Med J 2008 101(10) 1073. ... 

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