BackTable Vascular & Interventional Ep. 497 Essential Guide to Varicocele Embolization with Dr. John Matson
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Nov 22, 2024 Dr. John Matson, an Assistant Professor of Interventional Radiology at the University of Virginia, shares invaluable insights into varicocele embolization. He explores its role as the least invasive treatment option and highlights essential pre-procedure evaluations and imaging requirements. The discussion covers the importance of coil sizing, varied embolic materials, and managing complications during the procedure. Dr. Matson also emphasizes effective post-procedure care and follow-up, making this a must-listen for both junior and experienced interventional radiologists.
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Pre-Procedure Evaluation for Varicocele
- Always obtain a physical exam with a standing evaluation, with and without Valsalva.
- Couple this with an ultrasound evaluation to assess varicocele size and reflux.
Patient Counseling and Expectations
- Counsel patients on the procedure, including the use of moderate conscious sedation and the ability to follow instructions.
- Explain the expected duration, recovery process, and return-to-work timeline, including lifting restrictions.
Procedural Setup for Varicocele Embolization
- Access the left renal vein via the right internal jugular vein using a C2 catheter and glide wire.
- If difficulty arises, use a pigtail catheter for a cavagram and a tip deflecting wire for selection.