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F Ajibade, S Hirsi-Farah
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Maen Aboul Hosn, Neelima Katragunta, Timothy Kresowik, William John Sharp
Spontaneous iliac vein rupture resulting in a retroperitoneal hematoma is extremely rare and can present as a life-threatening emergency. There is often a delay in diagnosis with no established treatment recommendations. We report the case of a 39-year-old woman who presented with hypovolemic shock, a large left retroperitoneal hematoma, and left lower extremity phlegmasia in the setting of a previously asymptomatic May-Thurner syndrome. She was successfully treated with a combined open and endovascular approach...
October 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Prasanna V Eswaradass, Emmad Qazi, Bijoy K Menon
No abstract text is available yet for this article.
September 2016: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
Emilia Calvaresi, Mahesh Swaminathan, Janet Jokela
May-Thurner syndrome is the condition of the left common iliac vein being compressed between the right common iliac artery and the associated vertebral body. This condition has been linked to spontaneous episodes of deep vein thrombosis (DVT), especially in women aged 20-50, and it may contribute to the slightly higher tendency to develop left-sided (~56%) versus right-sided DVTs. A 50-year-old morbidly obese (BMI 42.7 kg/m(2)) female presented to the emergency room with acute left leg pain. Past medical history included asthma...
2016: Carle Sel Pap
Masaki Goto, Shin-Ichiro Miura, Keijiro Saku
No abstract text is available yet for this article.
2016: Internal Medicine
Lin Ou-Yang, Guang-Ming Lu
STUDY DESIGN: Cross-sectional study. OBJECTIVE: To explore the underlying anatomy of MTS using CT and discuss its clinical significance for typing diagnosis. SUMMARY OF BACKGROUND DATA: Because the anatomical position of the corpse cannot fully illustrate the actual clinical situation in vivo, the diversity of MTS has not been fully elucidated yet. METHODS: Retrospectively analysed the data of 69 patients with MTS. By CT showing, patients were categorized to simple MTS (sMTS, 22), lumbar degeneration-related MTS (dMTS, 33) and other causes MTS (oMTS, 14); meanwhile, a healthy control group were set...
July 1, 2016: Spine
Anand M Prabhakar, Alexander S Misono, Katelyn N Brinegar, Ali Khademhosseini, Rahmi Oklu
The purpose of this study was to determine the prevalence of May-Thurner syndrome (MTS) in patients with cryptogenic stroke and to determine the incidence of patent foramen ovale. Magnetic resonance venography of 214 patients with cryptogenic stroke and 50 control patients with abdominopelvic computed tomography scans were evaluated for MTS. Incidence of patent foramen ovale and MTS in the stroke group were significantly greater than the control group (P = 0.0001, P = 0.0023, respectively). In addition, there was significantly greater compression of the left common iliac vein in the stroke group (32%) compared with the control group (13%) (P < 0...
April 27, 2016: Current Problems in Diagnostic Radiology
Martin Olivieri, Karin Kurnik, Florian Hoffmann, Karl Reiter, Christoph Bidlingmaier, Peter Kuhlencordt, Marcus Treitl
Descending iliofemoral thrombosis in children is a rare event. Anticoagulation therapy with low-molecular-weight-heparin is standard of care. However, patency cannot be achieved in all cases, increasing the risk for rethrombosis and postthrombotic syndrome. To reduce the risk of venous valve failure in adults, local catheter-directed thrombolysis is used to reopen vessels. Two adolescent girls (17 and 15 years old) presented with acute descending iliofemoral thrombosis of the left common iliac, external, and common femoral veins...
July 2016: Pediatrics
Carolina Lugo-Fagundo, John W Nance, Pamela T Johnson, Elliot K Fishman
May-Thurner syndrome (MTS) is a venous compression syndrome in which the left common iliac vein is compressed between the lower lumbar spine and the right common iliac artery. While asymptomatic compression is very common, the process can lead to morbidity in selected individuals, most commonly deep venous thrombosis (DVT) and the sequelae thereof. Radiologists must recognize the diagnosis because of the unique management, which differs from DVT without iliac vein compression. The current pictorial essay will review the pathophysiology, imaging, and treatment of MTS...
October 2016: Abdominal Radiology
(no author information available yet)
[This corrects the article on p. 19 in vol. 12, PMID: 26535184.].
December 2015: Translational Medicine @ UniSa
Adebayo A Fasanya, Gina LaCapra
May-Thurner syndrome (MTS) is a rare disease that causes deep vein thrombosis (DVT) in young females (age 20 to 50). DVT is caused by mechanical obstruction of the left common iliac vein by the right common iliac artery resulting in stasis rather than a primary hypercoagulable state. Although MTS is found in 22% of cadavers, it causes <5% of lower extremity venous disorder. Greater than 70% compression is needed to cause DVT. MTS patients usually present with acute left leg edema. Many cases are recurrent with a past workup negative for other etiologies of DVT or pulmonary embolism (PE)...
2016: Curēus
Minyi Yin, Xintian Huang, Chaoyi Cui, Kaichuang Ye, Weimin Li, Xinwu Lu, Min Lu, Mier Jiang
OBJECTIVE: The current study aimed to determine whether it is necessary to correct May-Thurner syndrome (MTS) simultaneously with superficial venous reflux disease (S-VRD) in limbs of combined symptomatic MTS/S-VRD. METHODS: A retrospective analysis of patients with S-VRD combined with MTS was conducted in a single institution from January 2001 to December 2010. Doppler ultrasound and phlebography were performed in patients with VRD. Computed tomography angiography or transfemoral venography was selectively performed in patients with severe symptoms or findings on phlebography suggestive of MTS...
April 2015: Journal of Vascular Surgery. Venous and Lymphatic Disorders
Mehmet Cihat Demir, Damlanur Kucur, Eda Çakır, Nalan Metin Aksu, Mehmet Ruhi Onur, Timuçin Sabuncu, Meltem Akkaş
No abstract text is available yet for this article.
September 2016: American Journal of Emergency Medicine
Aliya B Ladha, Rizwana Fareeduddin
Background Venous thromboembolism in pregnancy remains one of the leading causes of morbidity and mortality. Case A young, gravid patient presented with a cyanotic, edematous left lower extremity with no distal pulses palpable. She was emergently taken to the operating room and was found to have extensive iliofemoral thrombosis requiring femoral angioplasty and embolectomy with 43.7-rad intraoperative radiation exposure. Phlegmasia cerulea dolens and May-Thurner syndrome were diagnosed. Conclusion Timely diagnosis and prompt surgical management are necessary due to the limb-threatening nature of this condition...
March 2016: American Journal of Perinatology Reports
T-H Ho, C-Y Lee
No abstract text is available yet for this article.
May 2016: QJM: Monthly Journal of the Association of Physicians
Franklin Nwoke, Andrew C Picel
No abstract text is available yet for this article.
March 2016: Journal of Vascular and Interventional Radiology: JVIR
Edward J Woo, Ross A Ogilvie, Van Schaumburg Krueger, Michael Lundin, David M Williams
May-Thurner syndrome is an anatomic variant where the right common iliac artery compresses the left common iliac vein. The variant exists in a significant portion of the population, but is usually asymptomatic; however, clinically significant stenosis can occur by iatrogenic means. In this report, we describe a patient who presents with left lower extremity pain and swelling. Initial workup for deep vein thrombosis was negative. After being referred to our venous clinic, a magnetic resonance angiography revealed narrowing of the left common iliac vein with a tortuous right common iliac artery crossing over the constriction...
2016: Journal of Surgical Case Reports
Nam Yeol Yim, Jae Kyu Kim, Hyoung Ook Kim, Yang Jun Kang, Hye Doo Jung
We report a case of iliac vein stent fracture due to hooking by a migrated retrievable inferior vena cava filter in a 55-year-old woman with acute deep venous thrombosis related to May-Thurner syndrome.
February 2016: Vascular and Endovascular Surgery
Paul L Hermany, Apurva O Badheka, Carlos I Mena-Hurtado, Robert R Attaran
No abstract text is available yet for this article.
March 14, 2016: JACC. Cardiovascular Interventions
J Davies, R Tippet, A Watson, J Metcalfe
Catheter-directed thrombolysis is becoming increasingly considered in the treatment of acute ileofemoral deep vein thrombosis. By targeting occlusive thrombi early, it is possible to mitigate the symptoms of post-thrombotic syndrome, which include oedema, pain, and ulceration. NICE guidelines recommend the use of catheter-directed thrombolysis in those without contraindications to treatment. The main risk of thrombolysis is bleeding; however, other side effects such as allergy have been reported. We present a 50-year-old man who presented with an acute left-sided ileofemoral deep vein thrombosis...
February 8, 2016: Phlebology
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