May-Thurner syndrome: diagnosis and management

VASA ◽  
2013 ◽  
Vol 42 (2) ◽  
pp. 96-105 ◽  
Author(s):  
Nicholas F. Brazeau ◽  
Harlan B. Harvey ◽  
Erique G. Pinto ◽  
Amy Deipolyi ◽  
Richard L. Hesketh ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Clinical Management ◽  
Young Patients ◽  
Diagnostic Errors ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Endovascular Management ◽  
Left Common Iliac Vein ◽  
Syndrome Diagnosis ◽  
Iliac Vein Compression

For over fifty years, the pathogenesis of May-Thurner syndrome (MTS) has been associated with chronic left common iliac vein compression resulting in the formation of intraluminal, permanent obstructive lesions. However, despite this association, the mechanism by which compression produces these lesions is unknown. Diagnostic accuracy of MTS is critical since it often afflicts young patients requiring endovascular management. This review will focus on the historical, embryological and evolutionary description of MTS and examine its development, diagnosis, clinical management and potential diagnostic errors.

scholarly journals Left Common Iliac Vein Compression Is Not Uncommon CT Finding

2012 ◽  
Vol 55 (1) ◽  
pp. 298
Author(s):  
M. Nazzal ◽  
M. Elfedaly ◽  
W. Qu ◽  
v. Kazan ◽  
J. Abbas ◽  
...  
Keyword(s):  
Iliac Vein ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein ◽  
Iliac Vein Compression ◽  
Ct Finding

scholarly journals Decreased incidence of left common iliac vein compression in patients with abdominal aortic aneurysms

2006 ◽  
Vol 44 (3) ◽  
pp. 595-600 ◽  
Author(s):  
Natalie C. Moreland ◽  
Michael Ujiki ◽  
Jon S. Matsumura ◽  
Mark D. Morasch ◽  
Mark K. Eskandari ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysms ◽  
Iliac Vein ◽  
Aortic Aneurysms ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein ◽  
Abdominal Aortic ◽  
Iliac Vein Compression

scholarly journals PD25-09 VARICOCELE IS ASSOCIATED WITH LEFT COMMON ILIAC VEIN COMPRESSION

2020 ◽  
Vol 203 ◽  
pp. e541
Author(s):  
Peter Chin* ◽  
Laurencia Villalba ◽  
Sean Huang ◽  
Lovelace Osei-Tutu ◽  
Jean Oʼriordan
Keyword(s):  
Iliac Vein ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein ◽  
Iliac Vein Compression

scholarly journals Case Report: Rare Iliac Vein Compression (May–Thurner) Syndrome in a Pediatric Patient

2021 ◽  
Vol 9 ◽  
Author(s):  
Lianfu Ji ◽  
Fan Yang ◽  
Xuan Chen ◽  
Jinlong Chen ◽  
Xueying Cheng ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Left Common Iliac Vein ◽  
Left Lower Extremity ◽  
Normal Ranges ◽  
Iliac Vein Compression ◽  
Magnetic Resonance Imaging Mri ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Iliac vein compression syndrome (IVCS) or May–Thurner syndrome occurs predominantly in young to middle-aged women. Here we reported a case of IVCS in a 5-year-old boy. The child was admitted to our vasculocardiology department with left lower extremity that had been swollen for 1 month. Blood tests revealed coagulation routine and platelets in the normal ranges. Computer tomography angiography (CTA) and magnetic resonance imaging (MRI) showed the left common iliac vein had become narrow before it entered the right common iliac vein. To further clarify, we performed angiography, which clearly showed the stenosis and the blood return of the left common iliac vein. So IVCS was diagnosed. What is more, we found the aorta descended to the right of the spine, and this may be the reason for the apparent compression of the left common iliac vein. Given the young age and mild symptoms of the child, the treatment was conservative mainly including elevation of the affected limb, wearing medical elastic socks, and short-term oral aspirin for anticoagulation. Meanwhile, the boy is being followed up closely. If the swelling of the left lower extremity significantly increases, stent placement may need to be considered in the future.

scholarly journals Novel typing of iliac vein compression in asymptomatic individuals evaluated by contrast enhanced CT

2021 ◽  
Author(s):  
Jiaying Li ◽  
Haibo Chen ◽  
Wujie Chen ◽  
Kefeng Zhou ◽  
Zhichao Xu ◽  
...  
Keyword(s):  
Iliac Vein ◽  
Common Iliac Vein ◽  
Type I ◽  
Type Ii ◽  
Left Common Iliac Vein ◽  
Upper Limit ◽  
Contrast Enhanced Ct ◽  
Contrast Enhanced ◽  
Enhanced Ct ◽  
Iliac Vein Compression

Abstract Purpose Compression of the iliac vein between the iliac artery and lumbosacral vertebra can cause iliac vein compression syndrome (IVCS). The purpose of this study is to assess compression characteristics and establish a new sub-typing in asymptomatic IVCS individuals using contrast-enhanced CT. Methods A retrospective analysis of abdomen contrast-enhanced CT images from 195 asymptomatic subjects with iliac vein compressed was investigated. Patients had no history of venous pathology, and images were collected from June 2018 to January 2019. Qualitative and quantitative characteristics of compression were examined including the location, pattern, minor diameter, area, and the percentage compression on an orthogonal section by the post-processing of multiple planar reconstruction and volume rendering. Results There were 107 females and 88 males with age range 18–92 years. The most common site of iliac vein compression was localized to the left common iliac vein (LCIV) (178/195, 91.3%). Notably, four compression types (type I–IV) were established according to the compression location, with type II being the most common. The four compression types had differences in the upper limit and fluctuation range of compression. It was found that the average level of iliac vein compression was below 25%. The compression degree of the left common iliac vein in type II was relatively concentrated, and the upper limit of compression was close to 70%. Conclusion Asymptomatic iliac vein compression was categorized according to compression location. The proposal of four types might help clinicians to predict which IVCS patients would benefit from interventional therapy.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

Sign in / Sign up

Export Citation Format

Share Document