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https://www.readbyqxmd.com/read/28697031/epidural-injections-contraindicated-for-lumbar-radiculopathy-in-may-thurner-syndrome-a-case-report
#1
Michael Sniderman
A 59-year-old patient presented to the chronic pain clinic with a 6-week history of worsening lumbar back pain, bilateral thigh pain, and unilateral radiculopathy. Magnetic resonance imaging revealed mild discogenic and facetogenic disease, but significant epidural venous plexus engorgement compressing the thecal sac. The patient reported previous treatment by a vascular surgeon for May-Thurner Syndrome, a type of inferior vena caval obstruction, yet had not experienced these specific complaints. A discussion with the radiologist confirmed worsening of the patient's May-Thurner Syndrome was the likely cause of the patient's symptoms...
July 10, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/28662854/female-runner-with-painful-left-thigh-swelling-a-case-of-may-thurner-syndrome
#2
Ziva Petrin, Charles Wowkanech, Anupam N Sinha, Sunny Gupta, Mitesh K Patel
We present a case of a female runner who presented with burning left groin and thigh pain and positional swelling following a long run. The workup revealed May-Thurner syndrome. May-Thurner syndrome anatomy is a common anatomical variant present in approximately 20% of the population. Compression of the iliac vein may result in venous stasis in the lower limb with a predisposition to deep venous thrombosis. We identify four reported cases of May-Thurner syndrome in female runners and review the importance of diagnosis and appropriate treatment of this condition...
June 26, 2017: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/28647635/new-vein-compression-entities-in-patients-with-unexplained-leg-swelling
#3
Alaina Garrie, Lauren E Jones, Julia F Chen, Robert W Feldtman, Kenneth R Kollmeyer, Jasmine L Richmond, Craig A Ferrara, Pablo V Uceda, Lelesse Mocio, Samuel S Ahn
BACKGROUND: This retrospective study identifies often overlooked anatomical sites for non-thrombotic venous outflow obstruction (NTVO) in patients with unexplained lower extremity edema and pain. MATERIALS AND METHODS: We retrospectively reviewed the charts of 75 consecutive patients experiencing symptoms of unexplained lower extremity edema with pain that were unexplained by ultrasound, computed tomography angiography (CTA), and magnetic resonance imaging (MRI), who subsequently underwent venography in an outpatient medical office from 2010 to 2014...
June 21, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28579688/intravascular-ultrasound-guided-intervention-for-may-thurner-syndrome
#4
REVIEW
Bill S Majdalany, Minhaj S Khaja, David M Williams
No abstract text is available yet for this article.
June 2017: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/28574042/-first-experience-with-intravascular-ultrasonographic-examination-in-diagnosis-of-post-traumatic-obstruction-of-deep-veins
#5
E V Shaĭdakov, O Ia Porembskaia, A G Grigorian, V L Bulatov, D A Rosukhovskiĭ
Intravascular ultrasonography (IVUS) is a highly effective method of diagnosis of post-thrombotic obstructions. Its possibilities by determining the degree and extension of obstructions of deep veins are superior to those of not only non-invasive methods of examination (ultrasonography, CT and MRI) but of phlebography whose results until recently were considered fundamental in diagnosis of the disease concerned. Limited possibilities of phlebography often lead to diagnostic errors when determining the degree and extension of post-thrombotic obstructions...
2017: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/28491171/transverse-mobility-of-pelvic-kidney-causing-left-lower-extremity-deep-venous-thrombosis
#6
Christopher P Vittore, Robert A Murray
A case of May-Thurner-like syndrome was found to be a result of a pelvic kidney compressing the left common iliac vein. Cross-sectional imaging demonstrated transverse mobility of the pelvic kidney which has not been described previously. The ectopic kidney's mobility resulted in intermittent venous compression. In a patient with recurrent lower extremity deep venous thrombosis and a pelvic kidney, the possibility of movement of the kidney resulting in venous compression needs to be considered.
June 2017: Radiology case reports
https://www.readbyqxmd.com/read/28465848/extensive-intracardiac-and-deep-venous-thromboses-in-a-young-woman-with-heparin-induced-thrombocytopenia-and-may-thurner-syndrome
#7
Yekaterina Kim, Daniel C Choi, Ali N Zaidi
A 38-year-old woman with a history of recurrent deep venous thromboses (DVTs) on chronic anticoagulation presented with acute left leg swelling. The patient was diagnosed with an acute left lower extremity (LLE) DVT in the setting of May-Thurner syndrome for which treatment with unfractionated heparin was started. Her hospital course was complicated by a new diagnosis of heparin-induced thrombocytopenia (HIT), with an incidental discovery of a large tricuspid valve mobile mass on a transthoracic echocardiogram (TTE)...
2017: Case Reports in Hematology
https://www.readbyqxmd.com/read/28458813/an-extensive-unprovoked-left-lower-extremity-deep-vein-thrombosis-secondary-to-an-anatomical-anomaly-a-case-of-may-thurner-syndrome
#8
Irfan Ahsan, Binish G Qureshi, Ali Raza Ghani, Faizan Malik, Zulfiqar Arif
May-Thurner syndrome (MTS) also known as Cockett's syndrome is a rare condition responsible for 2%-3% of all cases of deep venous thrombosis (DVT). The thrombosis results from mechanical compression of the left common iliac vein against the body of the fifth lumbar vertebra by the right common iliac artery. Repetitive hyperplasia of the venous wall by compression results in spur formation that in turn causes venous flow obstruction and results in the DVT. Our case is a young female who had acute extensive proximal DVT due to MTS that was successfully managed using mechanical thrombectomy with a venous stent...
April 6, 2017: Clinics and Practice
https://www.readbyqxmd.com/read/28457084/may-thurner-syndrome
#9
Roni Peleg, Yulia Treister-Goltzman
No abstract text is available yet for this article.
December 2016: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/28411702/outcomes-of-iliac-vein-stents-after-pregnancy
#10
Mohini Dasari, Efthimios Avgerinos, Seshadri Raju, Robert Tahara, Rabih A Chaer
OBJECTIVE: Stenting is the first-line treatment for obstructive iliocaval lesions when intervention is required. The aim of the study was to evaluate iliocaval stent patency during and after pregnancy in women of reproductive age who became pregnant after stent placement. METHODS: Female patients of reproductive age (18-45 years old) who underwent iliocaval stenting between May 2007 and March 2014 were identified from a three-center prospectively maintained database...
May 2017: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/28369771/intervention-radiology-for-venous-thrombosis-early-thrombus-removal-using-invasive-methods
#11
REVIEW
Ana I Casanegra, Robert D McBane, Haraldur Bjarnason
The post thrombotic syndrome is one of the most dreaded complications of proximal deep vein thrombosis. This syndrome leads to pain and suffering with leg swelling, recalcitrant ulceration and venous claudication which greatly impairs mobility and quality of life. The prevalence can be high in patients with iliofemoral venous involvement particularly in the setting of a proximal venous stenosis, such as occurs in May Thurner syndrome. Anticoagulation alone does not reduce the likelihood of this outcome. Compression therapy may be effective but garment discomfort limits its implementation...
April 2017: British Journal of Haematology
https://www.readbyqxmd.com/read/28321560/may-thurner-syndrome-old-acquaintance-new-perspective-case-report
#12
Anja Boc, Vinko Boc, Matija Kozak
May-Thurner syndrome (MTS) results from a frequent anatomic variant in which compression of the left common iliac vein between the body of the fifth lumbar vertebra and the pulsating right common iliac artery can cause deep venous thrombosis (DVT) of the left lower limb. While anticoagulation remains the mainstay treatment of acute DVT, catheter-directed thrombolysis combined with stenting provides a safe and effective method for relieving acute symptoms and preventing postthrombotic syndrome in patients with MTS...
March 20, 2017: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/28291305/comparison-of-clinical-outcomes-of-pharmacomechanical-thrombectomy-in-iliac-vein-thrombosis-with-and-without-may-thurner-syndrome
#13
In-Sub Kim, Won-Min Jo, Hwan-Hoon Chung, Seung-Hwa Lee
BACKGROUND: May-Thurner syndrome (MTS) has a different etiology from that of general deep vein thrombosis (DVT). However, few clinical comparisons of MTS-induced and non-MTS- induced DVT have been reported. The aim of this study was to analyze the clinical results of pharmacomechanical thrombectomy (PMT) in DVT with and without MTS. METHODS: Forty-seven iliac-vein thrombosis patients treated with PMT between January 2008 and December 2013 were enrolled. 25 patients had DVT with MTS and 22 patients had iliac vein DVT without MTS...
March 14, 2017: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/28260745/an-unusual-endovascular-therapeutic-approach-for-a-rare-case-of-may-thurner-syndrome
#14
Adrian DaSilva-DeAbreu, Luke Masha, Shareez Peerbhai
BACKGROUND The etiology of deep venous thrombosis (DVT) may pose a significant diagnostic challenge because truly reversible causes of DVT are rare. In this regard, known pelvic anatomic abnormalities such as aortic and iliac aneurysms should be seriously considered as a complicating factor in patients presenting with acute DVT so as not to miss a potentially curable etiology of May-Thurner syndrome (MTS). CASE REPORT We report the case of a 69-year-old man with a known abdominal aortic aneurysm and bilateral iliac artery aneurysms who presented with an acute DVT...
March 6, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28258018/left-sided-varicocele-as-a-rare-presentation-of-may-thurner-syndrome
#15
Jordan R Stern, Virendra I Patel, Danielle E Cafasso, Nicole B Gentile, Andrew J Meltzer
BACKGROUND: May-Thurner syndrome (MTS), the clinical sequelae of left iliac vein compression between the right iliac artery and the spine, is an accepted cause of lower extremity edema and venous thromboembolism. It is more prevalent in younger women and typically presents with left lower extremity symptoms. Atypical presentations such as right-sided symptoms, chronic pelvic pain, and even fatal venous rupture have been reported. Here, we describe iliac vein compression presenting as a chronic left-sided testicular varicocele...
February 28, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28225397/acute-iliofemoral-dvt-in-the-presence-of-may-thurner-syndrome
#16
(no author information available yet)
No abstract text is available yet for this article.
March 2017: Nursing
https://www.readbyqxmd.com/read/28181918/acute-iliofemoral-dvt-in-the-presence-of-may-thurner-syndrome
#17
Susan K Adams, Inga Sinyangwe
No abstract text is available yet for this article.
February 8, 2017: Nursing
https://www.readbyqxmd.com/read/28163175/thrombosis-of-the-inferior-vena-cava-after-endovascular-aortic-repair-in-a-patient-with-may-thurner-syndrome-case-report-and-literature-review
#18
Firouza Dahi, Asimakis Gkremoutis, Marc Harth, Thomas Schmitz-Rixen, Michael Keese
Inferior vena cava (IVC) thrombosis is a rare complication of abdominal aortic aneurysm (AAA). A 70-year-old male patient of Italian origin presented with a 9.3 × 8.4 cm infrarenal AAA, which was treated by endovascular aortic repair (EVAR). He reported a history of ulcerative colitis and was on prednisolone 80 mg daily. Seven weeks postoperatively the patient was readmitted with a deep vein thrombosis including both iliac veins and IVC, and bilateral pulmonary embolism. Venous thrombectomy and decompression of the IVC were performed by partial resection of the aneurysm sac...
February 3, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28123978/minimally-invasive-treatments-for-venous-compression-syndromes
#19
REVIEW
Paul C Hulsberg, Eric McLoney, Sasan Partovi, Jon C Davidson, Indravadan J Patel
The management of venous compression syndromes has historically been reliant on surgical treatment when conservative measures fail. There are, however, several settings in which endovascular therapy can play a significant role as an adjunct or even a replacement to more invasive surgical methods. We explore the role of minimally invasive treatment options for three of the most well-studied venous compression syndromes. The clinical aspects and pathophysiology of Paget-Schroetter syndrome (PSS), nutcracker syndrome, and May-Thurner syndrome are discussed in detail, with particular emphasis on the role that interventionalists can play in minimally invasive treatment...
December 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/28123973/imaging-of-venous-compression-syndromes
#20
REVIEW
Evan J Zucker, Suvranu Ganguli, Brian B Ghoshhajra, Rajiv Gupta, Anand M Prabhakar
Venous compression syndromes are a unique group of disorders characterized by anatomical extrinsic venous compression, typically in young and otherwise healthy individuals. While uncommon, they may cause serious complications including pain, swelling, deep venous thrombosis (DVT), pulmonary embolism, and post-thrombotic syndrome. The major disease entities are May-Thurner syndrome (MTS), variant iliac vein compression syndrome (IVCS), venous thoracic outlet syndrome (VTOS)/Paget-Schroetter syndrome, nutcracker syndrome (NCS), and popliteal venous compression (PVC)...
December 2016: Cardiovascular Diagnosis and Therapy
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