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May Thurner syndrome

Bill S Majdalany, Natosha Monfore, Minhaj S Khaja, David M Williams
INTRODUCTION: Chronically occluded venous stents may be difficult to salvage, necessitating multiple approaches and adjunctive techniques. Radiofrequency wires have been used to cross chronic obstructions in a variety of settings. Herein, radiofrequency wire recanalization (RFWR) of chronically occluded venous stents is presented. MATERIALS AND METHODS: Fifteen patients (8 males; 7 females) aged 23-74 years (median 42 years) underwent prior venous stenting in the setting of venous occlusions...
January 2019: Cardiovascular and Interventional Radiology
Robert P Liddell, Natalie S Evans
No abstract text is available yet for this article.
October 2018: Vascular Medicine
Timme M A J van Vuuren, Ralph L M Kurstjens, Cees H A Wittens, Jorinde H H van Laanen, Rick de Graaf
OBJECTIVE: Iliac vein compression syndrome can cause severe leg symptoms. In clinical practice, it remains a challenge to differentiate which compression is clinically relevant. The aim of the current study was to assess the general treatment indications and the prevalence of angiographic signs of iliac vein compression in a group of healthy participants. METHODS: This was a prospective cohort study. A total of 20 healthy volunteers (median age 21, range 20-22 years) were recruited through advertisement and underwent angiography of the iliac veins...
August 29, 2018: European Journal of Vascular and Endovascular Surgery
Manohar N M Bhat, Rohit Vadala, Ebenezer Rabindrarajan, Nagarajan Ramakrishnan
May-Thurner syndrome (MTS) or iliac vein compression syndrome is an uncommon cause of deep venous thrombosis (DVT) of the lower limb occurring, especially on the left side. It occurs due to compression of the left common iliac vein by the right common iliac artery and occurs predominantly in young females. The awareness of such a presentation is essential to guide therapy. We report one such unusual case of acute-onset DVT of the left lower limb due to MTS.
July 2018: Indian Journal of Critical Care Medicine
Salman Khalid, Young Jin Youn, Michael Azrin, Juyong Lee
May-Thurner syndrome (MTS) refers to venous outflow obstruction caused by extrinsic compression of the left common iliac vein (LCIV) by the overlying pulsatile right common iliac artery against lumbar vertebrae. The classic clinical presentation is acute unilateral left leg painful swelling due to deep venous thrombosis in a young woman in the second or third decade of life. We present a case of a 66-year-old woman who presented with late-onset left leg swelling caused by nonthrombotic venous hypertension due to degenerative lumbar disc bulge leading to LCIV compression against the left common iliac artery which was confirmed by computed tomography and intravascular ultrasound...
August 9, 2018: Vascular and Endovascular Surgery
Ashraf Odeh Alshabatat, Mohammad Esmaeil Barbati, Omran Alzoubi, Houman Jalaie, Cees H A Wittens
BACKGROUND: May-Thurner syndrome (MTS) leads to an increased incidence of deep vein thrombosis (DVT). Early thrombus removal decreases the post-thrombotic morbidities. Our aim was to better elucidate the relationship between MTS and venous patency after catheter-directed thrombolysis (CDT). METHODS: The medical records of all patients who underwent CDT from January 2005 to December 2011 due to acute DVT were reviewed retrospectively. Patient characteristics and clinical variables were evaluated to determine association with vein patency...
August 6, 2018: Annals of Vascular Surgery
Sidra Khalid, Aariez Khalid, Tessy Meridores, Hamed Daw
May-Thurner syndrome (MTS) is a medical condition where the left iliac vein is compressed by the right iliac artery, which in turn predisposes patients to deep venous thrombosis (DVT). We present a case of a 67-year-old female who had pain and swelling of the left leg. Ultrasound of the deep veins of the leg revealed DVT of the distal external iliac vein. She was treated with catheter-directed thrombolysis and stent placement. Finally, she was discharged on long-term anticoagulation with warfarin. The purpose of presenting this case is to highlight the clinical presentation, diagnosis, and treatment of MTS...
May 29, 2018: Curēus
Dominika M Zoltowska, Guramrinder Thind, Yashwant Agrawal, Vishal Gupta, Jagadeesh Kumar Kalavakunta
May-Thurner syndrome is an underrecognized anatomical variant that can lead to increased propensity for venous thrombosis in the lower extremities. We present a case of a 67-year-old female who presented with transient ischemic attack. Initial workup including CT scan of the head, MRI scan of the head, and magnetic resonance angiogram of the head and neck was unremarkable. A transthoracic echocardiogram with bubble study was also normal. Subsequently, a transesophageal echocardiogram was performed that revealed a patent foramen ovale with right-to-left shunt...
2018: Case Reports in Cardiology
Elizabeth G Lieberman, Courtney D Bell, Andrea Herzka
CASE: A 20-year-old woman underwent hip arthroscopy with a labral repair, a femoral neck osteoplasty, and acetabular rim trimming. Six weeks after surgery, she presented with leg pain and edema, and was found to have an extensive deep vein thrombosis (DVT). Additional imaging studies revealed apparent extrinsic compression of the left common iliac vein, a vascular anatomic variant consistent with May-Thurner syndrome (MTS). CONCLUSION: Thromboembolic events in patients undergoing low-risk procedures should raise concern for additional risk factors, including MTS...
July 25, 2018: JBJS Case Connector
Joerg Herold, Maciej Pech
No abstract text is available yet for this article.
June 29, 2018: Deutsches Ärzteblatt International
Atsushi Funatsu, Hitoshi Anzai, Kota Komiyama, Kuniomi Oi, Hiroshi Araki, Yasuhiro Tanabe, Masashi Nakao, Makoto Utsunomiya, Atsushi Mizuno, Michiaki Higashitani, Shigeru Nakamura
The outcomes of stent implantation in managing May-Thurner syndrome (MTS) are not well understood. To clarify the acute and long-term outcomes of stent implantation in patients with MTS having acute deep venous thrombosis (DVT), we retrospectively investigated consecutive 59 patients from 10 hospitals in Japan who were treated with stents for left iliac vein stenosis with acute DVT. Stents were considered successful if the stent was patent at discharge, which in turn was defined as patient success. The primary endpoint for the study was stent patency, and the secondary endpoint was recurrence of DVT and development of post-thrombotic syndrome (PTS) during follow-up...
June 8, 2018: Cardiovascular Intervention and Therapeutics
C Y Maximilian Png, Kenneth R Nakazawa, Ignatius H Lau, Rami O Tadros, Peter L Faries, Windsor Ting
Venous complications of iliac artery aneurysms are rare. We report the case of bilateral iliac aneurysms that resulted in iliac vein outflow obstruction despite endovascular aneurysm repair. In our patient, bilateral iliac vein stenting resulted in symptom resolution.
September 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
A V Pokrovskiĭ, I M Ignat'ev, E G Gradusov
OBJECTIVE: The purpose of the study was to assess the immediate and remote results of endovascular treatment of obstructive lesions of the veins of the iliofemoral segment. PATIENTS AND METHODS: We performed balloon angioplasty and stenting for iliofemoral venous thrombosis in a total of 75 patients. Of these, 60 patients were subjected to stenting of post-thrombotic obstructions and 15 patients underwent stenting of non-thrombotic obstructive lesions of the iliac veins (for May-Thurner syndrome - in 11, for extravasal tumour-induced compression and cicatricial stenosis - in 4)...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
Song Jin, Ziqiang Sun, Xiaoqin Li, Tao Jian, Xing Jin, Sheng Li, Guodong Wang, Chong Ma, Kai Cui, Peng Xu
OBJECTIVE: Pulmonary embolism (PE) is the most common complication of deep venous thrombosis (DVT). May-Thurner syndrome (MTS) is known to increase the risk of DVT, but an association between MTS and PE has not been established. This study investigated an association between MTS and the risk of PE in patients with acute lower extremity DVT. METHODS: Between June 2014 and September 2016, there were 112 patients with DVT at our hospital who underwent venous angiography and computed tomography pulmonary angiography...
July 2018: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Shahrzad Sharafi, Khashayar Farsad
May Thurner syndrome (MTS) is an anatomic variant that can present as acute or chronic deep vein thrombosis. Although it is classically reported in young and middle-aged women, it is also seen in both young and older men. Multiple cases of anatomic variations of MTS have been described. We present an uncommon case of variant MTS, including diagnostic imaging and approach to treatment.
April 2018: Radiology case reports
Zulfiqar Qutrio Baloch, Muhammad Hussain, Muhammad Ayyaz, Nishant Dagli, Shabber Agha Abbas
May-Thurner syndrome (MTS) is a rare cause of deep venous thrombosis and occurs due to an anatomic anomaly which produces chronic compression of the left common iliac vein by the overlying right common iliac artery when it passes between the right common iliac artery and the spine. Prolonged compression on the vein potentiates thrombus formation by impairing the intima and by leading to the development of membranes within the lumen that may decrease and/or block venous flow. In this case presentation, we elaborate on a case of a 43-year-old woman who presented with worsening left leg swelling and pain...
May 21, 2018: Annals of Vascular Surgery
Joshua L Moore, Kelly M Pirozzi, Corine Creech, Benjamin Marder
May-Thurner syndrome (MTS) is a rare condition in which patients develop iliofemoral deep venous thrombosis owing to an anatomic variant in which the right common iliac artery overlies and compresses the left common iliac vein against the lumbar spine. Data regarding lower extremity trauma in patients with previously diagnosed MTS are rare. We discuss the operative approach for ankle trauma occurring 3 weeks after endovascular surgery for the treatment of MTS.
September 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Haijie Che, Lubin Li, Fubo Song, Mu Yang
May-Thurner syndrome (MTS) is a condition in which the left common iliac vein is compressed by the right common iliac artery, which may cause swelling, pain or deep venous thrombosis of the left lower extremity.1 Postthrombotic syndrome, nonthrombotic chronic venous insufficiency, and recurrence after venous thrombosis are also possible complications. Although MTS combined with left iliac arteriovenous fistula is rarely reported, we treated 3 such cases in the past year.
August 2018: Annals of Vascular Surgery
Kazuaki Yamamoto, Gakuji Gondo, Hidemitsu Ogino, Tsuyoshi Watanabe, Masahiko Tanaka, Satoshi Tanaka, Taisuke Kawasaki
BACKGROUND: Sciatic neuralgia (SN) is a type of pain commonly associated with lumbosacral radiculopathy. May-Thurner syndrome (MTS) is a disease characterized by venous congestion in the left common iliac vein (LCIV) due to right common iliac artery compression. A case of MTS with SN as the first presenting symptom is described. CASE DESCRIPTION: A 53-year-old man gradually developed left SN; however, radiologic examination showed no causal findings. Conservative medical treatment did not result in satisfactory pain relief...
August 2018: World Neurosurgery
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