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Ultrasound-Guided Percutaneous Antegrade Varicocele Embolization with Cyanoacrylate Glue as an Alternative to the Standard Retrograde Approach

Department of Radiology, Section of Vascular and Image-Guided Therapy, François-Mitterrand University Hospital, 14 Rue Paul Gaffarel, BP 77908, 21079 Dijon, France
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Diagnostics 2020, 10(6), 432; https://doi.org/10.3390/diagnostics10060432
Received: 22 May 2020 / Revised: 24 June 2020 / Accepted: 25 June 2020 / Published: 25 June 2020
(This article belongs to the Special Issue Endovascular Interventions for Venous Diseases)
We report a case of a 29-year-old male referred to our hospital for endovascular treatment of a left-sided painful varicocele. Standard retrograde embolization via the left renal vein was not possible because of the presence of a left circum-aortic renal vein making the catheterization of the testicular vein not feasible. The patient was successfully treated via ultrasound-guided percutaneous antegrade access of the testicular vein at the inguinal level with subsequent cyanoacrylate glue embolization as a minimally invasive alternative to surgical therapy. This is a new approach to varicocele embolization when the left renal vein does not feed the varicocele. View Full-Text
Keywords: venous intervention; varicocele; testicular vein; embolization; cyanoacrylate glue venous intervention; varicocele; testicular vein; embolization; cyanoacrylate glue
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Chevallier, O.; Pellegrinelli, J.; Guillen, K.; Loffroy, R. Ultrasound-Guided Percutaneous Antegrade Varicocele Embolization with Cyanoacrylate Glue as an Alternative to the Standard Retrograde Approach. Diagnostics 2020, 10, 432.

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