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iliac vein compression syndrome

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https://www.readbyqxmd.com/read/28289992/dual-compression-is-not-an-uncommon-type-of-iliac-vein-compression-syndrome
#1
Wan-Yin Shi, Jian-Ping Gu, Chang-Jian Liu, Wen-Sheng Lou, Xu He
Typical iliac vein compression syndrome (IVCS) is characterized by compression of left common iliac vein (LCIV) by the overlying right common iliac artery (RCIA). We described an underestimated type of IVCS with dual compression by right and left common iliac arteries (LCIA) simultaneously. Thirty-one patients with IVCS were retrospectively included. All patients received trans-catheter venography and computed tomography (CT) examinations for diagnosing and evaluating IVCS. Late venography and reconstructed CT were used for evaluating the anatomical relationship among LCIV, RCIA and LCIA...
March 13, 2017: International Journal of Cardiovascular Imaging
https://www.readbyqxmd.com/read/28260745/an-unusual-endovascular-therapeutic-approach-for-a-rare-case-of-may-thurner-syndrome
#2
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
#3
J R Stern, V I Patel, D E Cafasso, N B Gentile, A J Meltzer
INTRODUCTION: 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/28163657/successful-treatment-of-deep-vein-thrombosis-caused-by-iliac-vein-compression-syndrome-with-a-single-dose-direct-oral-anti-coagulant
#4
Naoya Nakashima, Daisuke Sueta, Yusuke Kanemaru, Seiji Takashio, Eiichiro Yamamoto, Shinsuke Hanatani, Hisanori Kanazawa, Yasuhiro Izumiya, Sunao Kojima, Koichi Kaikita, Seiji Hokimoto, Kenichi Tsujita
BACKGROUND: Although vein stenting is popular for treatment for venous thromboembolism due to mechanical compression, some cases are forced to avoid inserting align agents because of immunodeficiency. CASE PRESENTATION: An 82-year-old man with left extremity redness and swelling presented to a hospital for a medical evaluation. The patient was immunodeficient because of the adverse effects of his treatment for Castleman's disease. A contrast-enhanced computed tomography scan revealed a venous thromboembolism in inferior vena cava and the left lower extremity...
2017: Thrombosis Journal
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
#5
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 x 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 was performed by partial resection of the aneurysm sac...
February 2, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28123973/imaging-of-venous-compression-syndromes
#6
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
https://www.readbyqxmd.com/read/28098065/the-treatment-of-post-thrombotic-syndrome
#7
Karina Schleimer, Mohammad Esmaeil Barbati, Alexander Gombert, Volker Wienert, Jochen Grommes, Houman Jalaie
BACKGROUND: Post-thrombotic syndrome (PTS) arises in 20-50% of patients who have sustained a deep vein thrombosis and markedly impairs their quality of life. METHODS: This review is based on pertinent publications retrieved by a selective literature search in PubMed and the Cochrane Library, and on the guidelines of the German Societies of Phlebology and Vascular Surgery (Deutsche Gesellschaft für Phlebologie, Deutsche Gesellschaft für Gefässchirurgie). RESULTS: The treatment options are conservative treatment with compression and patient exercises, endovascular recanalization with stent angioplasty, and open bypass surgery of the iliac obstructions...
December 16, 2016: Deutsches Ärzteblatt International
https://www.readbyqxmd.com/read/27965311/accurate-diagnosis-of-iliac-vein-thrombosis-in-pregnancy-with-magnetic-resonance-direct-thrombus-imaging-mrdti
#8
Charlotte E A Dronkers, Alexandr Srámek, Menno V Huisman, Frederikus A Klok
A pregnant woman aged 29 years, G1P0 at 21 weeks of gestation of a dichorionic diamniotic twin, presented with suspected deep vein thrombosis (DVT) of the left leg. Repeated (compression) ultrasonography was not diagnostic for DVT but showed reduced flow over the left external iliac vein, common femoral vein and superficial femoral vein. In pursue of a definite diagnosis, magnetic resonance direct thrombus imaging was performed showing a clear high signal in the left common iliac vein which is diagnostic for acute thrombosis in this venous segment...
December 13, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27831483/patency-and-clinical-outcomes-of-a-dedicated-self-expanding-hybrid-oblique-stent-used-in-the-treatment-of-common-iliac-vein-compression
#9
Anna K Stuck, Samuel Kunz, Iris Baumgartner, Nils Kucher
PURPOSE: To investigate the clinical outcomes of a dedicated hybrid oblique nitinol stent that has been specifically designed to treat common iliac vein compression. METHODS: The Bern Venous Stent Registry database was interrogated to identify all patients who had at least 6-month follow-up after treatment with the sinus-Obliquus hybrid stent for common iliac vein compression. The search identified 24 patients (mean age 39±18 years; 20 women) who matched the search criteria...
February 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27672549/cystic-adventitial-disease-of-the-common-femoral-vein-a-case-report
#10
Jimei Yu, Chaojun Lu, Xiaohua Pan, Weihua Li
Adventitial cystic disease (ACD) of the common femoral vein is a rare vascular disorder. It becomes more difficult to recognize preoperatively especially when the femoral vein is affected. We report the case of a 62-year-old female patient who presented with a one-month history of painless swelling in her right lower extremity. She had no specific past medical history and no history of trauma, and had a full coagulopathy profile that was negative for any hypercoagulable syndrome. On examination, her lower right leg was significantly swollen with a palpable mass in her right inguinal region...
August 2016: Intractable & Rare Diseases Research
https://www.readbyqxmd.com/read/27489392/a-case-of-may-thurner-syndrome
#11
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 Selected Papers
https://www.readbyqxmd.com/read/27477434/is-may-and-thurner-s-original-article-appropriate-for-characterizing-the-iliac-vein-compression-syndrome
#12
Hitoshi Sugawara, Katsuhiko Matsuura
No abstract text is available yet for this article.
2016: Internal Medicine
https://www.readbyqxmd.com/read/27385298/right-sided-cockett-s-syndrome
#13
REVIEW
Bert Du Pont, Jurgen Verbist, Wouter Van den Eynde, Patrick Peeters
Background Cockett and Thomas described and named Cockett's syndrome in 1965, commonly referred to as iliac vein compression syndrome (IVCS). It is often found as underlying cause in iliofemoral deep venous thrombosis (DVT). They described the syndrome mostly seen on the left side and predominantly in women during the second to the fourth decade of life. In this article, we present a patient with a Cockett's syndrome on the right side. Case presentation Our patient is a 52-year old female with edema of the right leg since 4 months...
April 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27379417/underlying-anatomy-and-typing-diagnosis-of-may-thurner-syndrome-and-clinical-significance-an-observation-based-on-ct
#14
Lin Ou-Yang, Guang-Ming Lu
STUDY DESIGN: Cross-sectional study. OBJECTIVE: To explore the underlying anatomy of May-Thurner syndrome (MTS) using computed tomography (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: We retrospectively analyzed the data of 69 patients with MTS...
November 1, 2016: Spine
https://www.readbyqxmd.com/read/27338307/use-of-magnetic-resonance-venography-in-screening-patients-with-cryptogenic-stroke-for-may-thurner-syndrome
#15
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...
November 2016: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/27271358/may-thurner-syndrome-mdct-findings-and-clinical-correlates
#16
REVIEW
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
https://www.readbyqxmd.com/read/27026834/may-thurner-syndrome-with-pulmonary-embolism-as-the-first-presentation-rather-than-deep-vein-thrombosis
#17
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
https://www.readbyqxmd.com/read/26993899/the-utility-of-dynamic-magnetic-resonance-venography-in-the-setting-of-pelvic-venous-pathology
#18
Cassidy Duran, Lucien Abboud, Christof Karmonik, Dipan Shah, Alan B Lumsden, Jean Bismuth
The standard initial noninvasive imaging modality for diagnosing May-Thurner syndrome is duplex ultrasound, but this modality provides only indirect measures and is frequently limited, necessitating further imaging to make the diagnosis. Other noninvasive imaging modalities (computed tomographic venography, time of flight, magnetic resonance venography) allow for direct visualization but lack hemodynamic and anatomic information about what is occurring throughout the cardiac cycle. Intravascular ultrasound is the invasive tool of choice in the setting of iliac vein compression syndrome, but quality, noninvasive imaging modalities have yet to be described...
January 2013: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26993862/aspiration-thrombectomy-using-a-large-size-catheter-for-acute-lower-extremity-deep-vein-thrombosis
#19
Zhongzhi Jia, Jianfei Tu, Jinwei Zhao, Baosheng Ren, Feng Tian, Kai Wang, Shaoqin Li, Guomin Jiang
OBJECTIVE: This study retrospectively evaluated the safety and efficacy of aspiration thrombectomy using a large-size catheter for acute lower extremity deep vein thrombosis (DVT). METHODS: All patients who underwent aspiration thrombectomy using 9F or 10F catheters for acute lower extremity DVT were included and analyzed. Aspiration thrombectomy was performed in all patients. Additional intravenous thrombolysis was performed in patients with residual thrombus, and stent placement was performed in patients with iliac vein compression syndrome...
April 2016: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://www.readbyqxmd.com/read/26992965/hemodynamic-changes-in-the-femoral-vein-with-increasing-outflow-resistance
#20
Christopher R Lattimer, Mustapha Azzam, Evi Kalodiki, X Yun Xu, George Geroulakos
INTRODUCTION: In post-thrombotic and May-Thurner syndromes, the iliac veins may be scarred, compressed, or obstructed. Obesity and increased intra-abdominal pressure may also hamper the venous return. Therefore, measurements of outflow resistance (OR) impeding venous return may be helpful to select patients for intervention and to assess the impact of intervention. A proof-of-concept study is presented in healthy volunteers where OR is quantified using duplex assessment of the femoral vein (FV) at mid-thigh following predetermined inflation pressures with a high thigh tourniquet...
January 2014: Journal of Vascular Surgery. Venous and Lymphatic Disorders
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