%0 Journal Article
%T Antegrade embolization of varicocele with cyanoacrylate glue: a case report.
%A Le Tat T
%A Jost R
%A Hanotin C
%A Lucas A
%A Laouisset L
%A Hakime A
%A Kuoch V
%J CVIR Endovasc
%V 7
%N 1
%D 2024 Jun 27
%M 38935311
暂无%R 10.1186/s42155-024-00446-6
%X <B>BACKGROUND: </B>Varicocele embolization is an effective, minimally invasive treatment option, with a symptom improvement rate of around 90%. However, anatomical variations and post-embolization recurrences pose challenges to its efficacy. This article discusses the antegrade embolization technique as a viable alternative for cases in which retrograde embolization fails, offering a broader spectrum of treatment options for varicocele.<BR><B>METHODS: </B>This case report details the treatment of a 27-year-old male with a left varicocele, diagnosed during infertility assessment, using an alternative embolization technique. Despite initial failed attempts at retrograde catheterization via the femoral vein, a direct inguinal puncture of the left testicular vein was successfully performed under ultrasound guidance. A mixture of Glubran® and Lipiodol® was used for embolization, achieving varicocele embolization without complications. The patient was discharged 2 hours post-procedure, with follow-up confirming the procedure's effectiveness and safety.<BR><B>CONCLUSIONS: </B>This article introduces a less invasive, ultrasound-guided technique for varicocele embolization, presenting a viable alternative to surgery when conventional retrograde methods fail.