Traditionally, gonadal vein embolization is done by placing coils 10-20% over sized compared to the target vein. Often 10 or more coils are required to treat a single vein. Each coil only treats a short segment of vein leaving other segments open. The "uncoil coil" technique utilizes large diameter longer coils allowing a gonadal vein to be treated with 2-3 coils. The procedure is faster, exposes the patient to less radiation and reduces the risk of maldeployment and migration.
46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.
Presentation at Charring Cross Meeting London 2015
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.