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.
The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.