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.
Review of the technique of Foam Phlebectomy
87 year old with severe left leg claudication limiting ability to walk more than 100 feet
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.