⭐THE NEW TERMINOLOGY OF VENOUS PELVIC DISORDERS⭐ Dr Gerardo Peón Peralta Vascular Surgery ⭐Sesión Mexicana del XX Congreso Mundial de Flebología UIP 2023 Miami Beach ,Florida, USA. ⭐American Vein & Linphatic Society

1. THE NEW TERMINOLOGY OF
VENOUS PELVIC DISORDERS
Dr. Gerardo Peón Peralta
Vascular Surgery
CLÍNICA DE MÉRIDA

2. • SYNDROMIC TERMINOLOGY
• May – Thurner Syndrome
• Nutcracker Syndrome
• Pelvic Congestion Syndrome
• Pelvic Dumping Syndrome
PELVIC VENOUS DISORDERS

3. • NEW TERMINOLOGY
• Critical for the multisociety
efforts to improve care for
the large number of women
living with these conditions
• Affects approximately 8% of
females of child-bearing age
and is the cause of 20% of
gynecological consultations
for chronic pelvic pain
PELVIC VENOUS DISORDERS

4. • NEW TERMINOLOGY
• Many Insurance Carriers
world wide have medical
policies stating that ovarian
and Internal Iliac Vein reflux
embolization as treatment
of PCS is investigational
PELVIC VENOUS DISORDERS

5. • NEW TERMINOLOGY
• Many Insurance Carriers
world wide have medical
policies stating that ovarian
and Internal Iliac Vein reflux
embolization as treatment
of PCS is investigational
PELVIC VENOUS DISORDERS

6. • PREVALENCE
PELVIC VENOUS DISORDERS

7. SVP CLASSIFICATION

8. PELVIC VENOUS DISORDERS

9. PELVIC VENOUS DISORDERS

10. PATHOPHYSIOLOGY

11. SVP CLASSIFICATION

12. SVP CLASSIFICATION

13. CONCLUSION
PCS, May-Thurner syndrome, nutcracker syndrome, and
pelvic dumping syndrome should be replaced in the clinical
and research communities to specifically discuss the
pathophysiology leading to CPP resulting from PeVDs.
Optimal understanding of the disease processes that lead
to venous-origin pelvic pain will lead to more accurate
identification of patients who can benefit from intervention
and optimization of treatment strategies. The SVP
classification scheme is a critical thesaurus to understand
patients with CPP of venous origin or pelvic-derived lower
extremity varicose veins. Application of this tool will allow
important future steps to validate interventional strategies
and optimize patient evaluation.