Andrew,
I work with experts in the field of pelvic congestion Dr Maureen Kohi UCSF
and several at Stanford using IVUS.
Since you need to know the health of the IVC and iliacs IVUS is the best
choice since you cannot close an gonadal vein off the Renals to the pelvis
if that is their only collateral.
I have an extensive vascular ultrasound background with abdominal and
imaging the gonadal vein is going to be difficult. I also work with several
private offices that have IVUS.
Perhaps there are hospitals and private offices doing ultrasound for pelvic
congestion. I know you will most likely have to do transvaginal with color
flow Doppler.  Here is an article

Good luck and let us know your progress with this syndrome,
Denise

https://radiopaedia.org/articles/pelvic-congestion-syndrome-2?lang=us#nav_radiographic-features

Ultrasound

   - ovarian vein >5-6 mm (positive predictive value of 71-83%)
   - may show multiple dilated veins in the adnexa with reversed venous
   flow on color Doppler, especially after Valsalva maneuver
   <https://radiopaedia.org/articles/valsalva-manoeuvre?lang=us>
   - the venous calibers may increase on real time during Valsalva
   - prominent myometrial veins may also be


On Wed, Apr 29, 2020 at 1:08 PM Bebry, Andrew <[log in to unmask]> wrote:

> Good morning all:
>
> Hope you all are doing well and staying healthy without contracting the
> Cornoleo virus.
>
> We are looking to find out which labs have experience and/or interest in
> developing protocols or those who have protocols to scan for pelvic
> congestion syndrome.  The doc here said the local hospital now has IVUS and
> perhaps we should look into our outpt vascular lab performing this
> procedure (not IVUS) here in the private setting.
>
> If you have experience or have interest in this, please share your
> protocols and experiences with this.
>
> Thank you,
>
> Andy
>
>
>
>
>
> <https://www.google.com/maps/search/4+Technology+Drive,+Suite+120+%0D%0A+East+Setauket,+NY+11733?entry=gmail&source=g>
>
> *Andrew J. Bebry, BA, RVT, RCS*
>
> Technical Director, Vascular Lab
>
> Vascular Associates of L.I.
>
> Division of Harborview Medical Services
>
> Division of Mather Hospital
>
> Division of Northwell
>
> 4 Technology Drive, Suite 120
> <https://www.google.com/maps/search/4+Technology+Drive,+Suite+120+%0D%0A+East+Setauket,+NY+11733?entry=gmail&source=g>
>
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> 11733
> <https://www.google.com/maps/search/4+Technology+Drive,+Suite+120+%0D%0A+East+Setauket,+NY+11733?entry=gmail&source=g>
>
> Tel: (631) 246 8289
>
> Fax: (631) 246-8294
>
> [log in to unmask]
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