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.
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.