Limits...
What the Young Physician Should Know About May-Thurner Syndrome.

Donatella N, Marcello BU, Gaetano V, Massimo P, Massimo M, Giancarlo B - Transl Med UniSa (2014)

Bottom Line: Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome.Correct treatment is not well established and is based on clinical presentation.The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology D.I.B.I.M.E.F., "P. Giaccone" University Hospital, Palermo, Italy.

ABSTRACT
May-Thurner syndrome (MTS) is an anatomically variable condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine with subsequent development of a left deep vein thrombosis (DVT). Although this syndrome is rare, its true prevalence is likely underestimated. Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome. Correct treatment is not well established and is based on clinical presentation. Staged thrombolysis with/without prophylactic retrievable inferior vena cava filter placement followed by angioplasty/stenting of the left iliac vein appears to be the best option in MTS patients with extensive DVT. The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

No MeSH data available.


Related in: MedlinePlus

drawing showing cordlike obliteration of left common iliac vein in May-Thurner Syndrome (morphologic type III)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4592040&req=5

f3-tm-12-19: drawing showing cordlike obliteration of left common iliac vein in May-Thurner Syndrome (morphologic type III)

Mentions: CT, particularly with a standardized protocol, is useful for a fast, comprehensive evaluation of the vascular system. [14]. Jeon et al. in 2010 investigated the potential role of CT venography by analyzing the morphologic features in predicting endovascular technical difficulties (fibrotic stenosis increase stent insertion) and long-term stent patency [31]. Three morphologic types of MTS have been individuated, each representing different stages of the obstruction: focal extrinsic compression, diffuse atrophy and cordlike obliteration, (Fig. 1,2,3).


What the Young Physician Should Know About May-Thurner Syndrome.

Donatella N, Marcello BU, Gaetano V, Massimo P, Massimo M, Giancarlo B - Transl Med UniSa (2014)

drawing showing cordlike obliteration of left common iliac vein in May-Thurner Syndrome (morphologic type III)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4592040&req=5

f3-tm-12-19: drawing showing cordlike obliteration of left common iliac vein in May-Thurner Syndrome (morphologic type III)
Mentions: CT, particularly with a standardized protocol, is useful for a fast, comprehensive evaluation of the vascular system. [14]. Jeon et al. in 2010 investigated the potential role of CT venography by analyzing the morphologic features in predicting endovascular technical difficulties (fibrotic stenosis increase stent insertion) and long-term stent patency [31]. Three morphologic types of MTS have been individuated, each representing different stages of the obstruction: focal extrinsic compression, diffuse atrophy and cordlike obliteration, (Fig. 1,2,3).

Bottom Line: Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome.Correct treatment is not well established and is based on clinical presentation.The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology D.I.B.I.M.E.F., "P. Giaccone" University Hospital, Palermo, Italy.

ABSTRACT
May-Thurner syndrome (MTS) is an anatomically variable condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine with subsequent development of a left deep vein thrombosis (DVT). Although this syndrome is rare, its true prevalence is likely underestimated. Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome. Correct treatment is not well established and is based on clinical presentation. Staged thrombolysis with/without prophylactic retrievable inferior vena cava filter placement followed by angioplasty/stenting of the left iliac vein appears to be the best option in MTS patients with extensive DVT. The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

No MeSH data available.


Related in: MedlinePlus