Ovarian and Internal Iliac Vein Embolization for Pelvic Congestion Syndrome

Section: Surgery
Effective Date: July 01, 2018
Revised Date: August 08, 2019
Last Reviewed: July 16, 2019


Pelvic congestion syndrome (PCS also known as pelvic venous incompetence (PVI) is a condition that has been present for greater than 6 months with anatomic findings that include pelvic venous insufficiency and pelvic varicosities. 

The technique of transcatheter embolization for ovarian and pelvic varices is a minimally invasive treatment usually performed by an interventional radiologist that involves selective catheterization of the ovarian and internal iliac veins, followed by contrast venography and embolization. 


Ovarian and internal iliac vein embolization as treatment for pelvic congestion syndrome is considered experimental/investigational, and therefore non-covered.The published data regarding embolization therapy for pelvic congestion syndrome is inadequate to permit scientific conclusions, due to the lack of standardized diagnostic criteria for pelvic congestion and the lack of controlled trials of embolization therapy. 

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