keyword
https://read.qxmd.com/read/38525891/the-topos-study
#1
JOURNAL ARTICLE
Tim Sebastian, Stefano Barco, Davide Voci, Michael Lichtenberg, Oliver Schlager, Houman Jalaie, Rick de Graaf, Christian Erbel, Alexander Massmann, Marc Schindewolf, David Spirk
<b/> Background : We aimed to study the long-term safety and efficacy of oblique venous stents for post-thrombotic syndrome (PTS) with iliac vein compression. Patients and methods : In the multinational, prospective, single-arm TOPOS study, PTS patients scheduled for endovascular therapy with the sinus-Obliquus® stent and optional distal extension with the sinus-Venous® or sinus-XL Flex® stent were enrolled at eight European vascular centres between October 2016 and December 2020. The primary outcome was primary stent patency at 24 months, and secondary outcomes included the clinical course of PTS (Villalta score, revised Venous Clinical Severity Score [rVCSS], Visual Analog Scale [VAS] of pain), quality of life changes (Chronic Venous Insufficiency Quality of Life Questionnaire, CIVIQ-20), and device-related complications...
March 25, 2024: VASA. Zeitschrift Für Gefässkrankheiten
https://read.qxmd.com/read/38514484/iliocaval-and-iliofemoral-venous-stenting-for-obstruction-secondary-to-tumor-compression
#2
JOURNAL ARTICLE
Ahmed K Aly, Amgad M Moussa, Olivier Chevallier, Sirish Kishore, Elena Petre, Adie Friedman, Yolanda Bryce, Adrian Gonzalez, Juan Camacho, Ernesto Santos, Fourat Ridouani
BACKGROUND: Cancer patients with pelviabdominal masses can suffer from lower extremity symptoms due to venous compression. The effectiveness of venous stenting has been established in extrinsic venous compression in benign conditions like May-Thurner syndrome. In this retrospective study we evaluate the efficacy and safety of caval, iliocaval and iliofemoral venous stenting for cases of extrinsic venous compression caused by malignant masses in cancer patients. METHODS: IRB-approved retrospective review of patients who underwent iliofemoral venography with venoplasty and stenting between January 2018 and February 2022 was performed...
March 22, 2024: CVIR Endovascular
https://read.qxmd.com/read/38513797/initial-experience-with-the-ambulatory-management-of-acute-iliofemoral-deep-vein-thrombosis-with-may-thurner-syndrome-with-percutaneous-mechanical-thrombectomy-angioplasty-and-stenting
#3
JOURNAL ARTICLE
Daniel Nguyen, Scott S Berman, Joshua A Balderman, Joseph E Sabat, Bernardo Mendoza, Luis R Leon, John P Pacanowski, Cody Kraemer
OBJECTIVE: Patients undergoing intervention for acute iliofemoral deep vein thrombosis (IFDVT) with May-Thurner syndrome (MTS) typically require inpatient (IP) hospitalization for initial treatment with anticoagulation and management with pharmacomechanical thrombectomy. Direct anticoagulants (DOACs) and percutaneous mechanical thrombectomy (PMT) devices offer the opportunity for outpatient (OP) management. Our approach with these patients is described in this report. METHODS: Patients receiving intervention for acute IFDVT from January 2020 through October 2022 were retrospectively reviewed...
March 19, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38469013/left-common-iliac-vein-stenting-in-a-case-of-postural-orthostatic-tachycardia-syndrome-pelvic-pain-overlap
#4
Mary M Pelling, Matthew T Brown, Charles A Gilliland, Alexis Cutchins
Postural orthostatic tachycardia syndrome (POTS) is mainly characterized by orthostatic intolerance and positional tachycardia although it frequently involves a myriad of non-specific symptoms that seem to overlap with existing medical conditions. Recent efforts have been made to further classify subtypes of POTS and associated conditions to better delineate underlying pathophysiology in an effort to guide diagnosis and tailor treatment. Here, we present a 22-year-old female with debilitating symptoms of POTS who reported pelvic pain on review of systems and underwent vascular ultrasound of the inferior vena cava, iliac veins, and bilateral lower extremities which revealed the characteristic left common iliac vein compression of May-Thurner syndrome prompting venous stenting which provided systemic symptomatic relief...
February 2024: Curēus
https://read.qxmd.com/read/38398730/familiar-disposition-of-may-thurner-syndrome-a-case-series
#5
Stefanie Nowak, André Jakob, Robert Dalla Pozza, Sebastian Michel, Nikolaus A Haas, Joseph Pattathu
May-Thurner syndrome is a venous compression syndrome of the pelvic vessels that represents a relevant risk factor for thrombus formation. The standard procedure to secure a diagnosis is venography, followed by endovascular therapy as the preferred treatment choice if the patient is symptomatic. In our case series, there are three related patients with May-Thurner syndrome. A 16-year-old female was admitted with pulmonary embolism, dyspnoea and hip pain. The compression syndrome was diagnosed with interventional venography, and the patient received venous stent implantation...
February 4, 2024: Life
https://read.qxmd.com/read/38373714/interventional-therapy-of-pelvic-venous-disorders-pevd
#6
JOURNAL ARTICLE
Cornelia Lieselotte Angelika Dewald, Lena Sophie Becker, Berhard Christian Meyer
BACKGROUND:  Pelvic venous disorders (PeVD) are an underdiagnosed cause of chronic pelvic pain in women. They are caused by venous insufficiency of the pelvic or ovarian veins, leading to the development of mainly periuterine and periovarian varices. It is a progressive disease if left untreated and can cause swelling, dyspareunia, dysmenorrhea, and other symptoms, some non-specific, that affect the patient's quality of life. Interventional therapies are a central component of the treatment of PeVD, with a variety of techniques available for both diagnosis and treatment...
February 19, 2024: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://read.qxmd.com/read/38362386/ilio-iliac-arteriovenous-fistula-with-may-thurner-syndrome-a-case-report
#7
Tae Hyeon Kim, Jae Woo Yeon, Hyuk Jung Kim, Suk Ki Jang
An ilio-iliac arteriovenous fistula (AVF) is rare. Common factors leading to ilio-iliac AVF include congenital malformations, iatrogeny, and trauma. There is limited documentation in the literature of cases involving ilio-iliac AVF with May-Thurner syndrome. Here, we present a case of an ilio-iliac AVF with May-Thurner syndrome in an 80-year-old male. CT and angiography confirmed extensive ilio-iliac AVF. Successful endovascular procedures for ilio-iliac AVF were performed using several variable-sized coils and 1400-2000 µm gelatin particles...
January 2024: J Korean Soc Radiol
https://read.qxmd.com/read/38316289/review-of-the-literature-supporting-international-clinical-practice-guidelines-on-iliac-venous-stenting-and-their-applicability-to-australia-and-new-zealand-practice
#8
REVIEW
Laurencia Maria Villalba, Iman Bayat, Steven Dubenec, Philip Puckridge, Shannon Thomas, Ramon Varcoe, Thodur Vasudevan, Ramesh Tripathi
BACKGROUND: The overall goal of this report is to provide a high-level, practical approach to managing venous outflow obstruction (VOO). METHODS: A group of vascular surgeons from Australian and New Zealand with specific interest, training, and experience in the management of VOO were surveyed to assess current local practice. The results were analysed, and areas of disagreement identified. Following this, the group performed a literature review of consensus guidelines published by leading international organizations focused on the management of chronic venous disease, namely the Society for Vascular Surgery, American Venous Forum, European Society for Vascular Surgery, American Vein and Lymphatic Society, Cardiovascular and Interventional Radiology Society of Europe, and American Heart Association...
February 3, 2024: Journal of Vascular Surgery. Venous and Lymphatic Disorders
https://read.qxmd.com/read/38314350/a-comparative-study-of-altered-hemodynamics-in-iliac-vein-compression-syndrome
#9
JOURNAL ARTICLE
Ismael Z Assi, Sabrina R Lynch, Brian D Ricker, Siddhant V Ranjane, David M Williams, Thomas W Wakefield, Andrea T Obi, C Alberto Figueroa
Introduction: Iliac vein compression syndrome (IVCS) is present in over 20% of the population and is associated with left leg pain, swelling, and thrombosis. IVCS symptoms are thought to be induced by altered pelvic hemodynamics, however, there currently exists a knowledge gap on the hemodynamic differences between IVCS and healthy patients. To elucidate those differences, we carried out a patient-specific, computational modeling comparative study. Methods: Computed tomography and ultrasound velocity and area data were used to build and validate computational models for a cohort of IVCS (N = 4, Subject group) and control (N = 4, Control group) patients...
2024: Frontiers in Bioengineering and Biotechnology
https://read.qxmd.com/read/38304205/is-the-may-thurner-syndrome-a-major-risk-factor-for-deep-vein-thrombosis-in-total-hip-arthroplasty
#10
JOURNAL ARTICLE
Chaemoon Lim, Young Ho Roh, Dae Whan Kim, Kwang Woo Nam
BACKGROUND: May-Thurner syndrome (MTS) is iliac vein compression syndrome associated with postoperative deep vein thrombosis (DVT) resulting from chronic compression of the left iliac vein against lumbar vertebrae by the overlying right or left common iliac artery. MTS is not well known as a risk factor for DVT after total hip arthroplasty (THA). We evaluated the incidence of DVT after THA and analyzed if the MTS is a risk factor for DVT after THA. We hypothesized that MTS would be associated with an increased risk of developing DVT after THA...
February 2024: Clinics in Orthopedic Surgery
https://read.qxmd.com/read/38288165/iliac-vein-rupture-during-the-endovascular-treatment-for-may-thurner-syndrome-in-a-previously-irradiated-pelvis
#11
Lucas Leleu, Philippe Devaux, Carlo Caravaggio, Manuel Pirotte
May-Thurner syndrome (MTS) is a vascular condition for which endovascular management is commonly chosen. We report an unusual presentation of this syndrome in a patient with previous Wertheim hysterectomy and pelvic radiotherapy, characterized by bilateral leg swelling due to radiation-induced right iliac vein stenosis. Endovascular left iliac vein stenting was performed. During the procedure, an iliac vein rupture occurred after stenting and was successfully treated using a stent graft. Two months follow-up showed a significant reduction of the leg swelling and the patency of the iliac stents...
December 2023: Curēus
https://read.qxmd.com/read/38223962/-cockett-s-syndrome-a-rare-differential-diagnosis-of-unilateral-inferior-member-oedema
#12
Fanny Chiaradia, Félicie Lorthioir, Xavier Bertrand
We present here a typical picture of May-Thurner syndrome, rare but treatable etiology with specific treatment, of unilateral leg oedema and thromboembolic disease of the young woman.
January 2024: Revue Médicale de Liège
https://read.qxmd.com/read/38174177/may-thurner-syndrome-in-a-case-of-left-iliofemoral-vein-thrombosis-with-contralateral-tubo-ovarian-abscess-in-the-post-postpartum-period
#13
Anupama Bahadur, Rajlaxmi Mundhra, Anoosha K Ravi, Poonam Gill, Anjali Pathak, Shreya Singhvi, Komal Shah, Gayatri Suresh
May-Thurner syndrome (MTS) is a rare, yet important, differential diagnosis in reproductive-age women with deep vein thrombosis (DVT). It is characterized by the compression of the left common iliac vein by the right common artery against the lumbar vertebra. The condition is complicated by recurrent DVT with pulmonary thromboembolism (PTE). Here is a case of multiparous women in early puerperium with right tubo-ovarian abscess and left lower limb DVT likely due to MTS. The diagnosis was further complicated by the presence of persistent thrombocytosis but a myeloproliferative neoplasm was ruled out by genetic mutation testing...
December 2023: Curēus
https://read.qxmd.com/read/38156618/spontaneous-extraperitoneal-hematoma-related-to-may-thurner-syndrome
#14
JOURNAL ARTICLE
Cherie Im, Min Jung Shim, Seung-Yul Lee, Guy Mok Lee, In Jai Kim
In this report, we describe a rare case: deep vein thrombosis due to May-Thurner syndrome with a spontaneous pelvic extraperitoneal hematoma. This unique challenge highlights balancing thrombosis treatment and bleeding risk. Endovascular treatment with delayed anticoagulation may be an alternative to surgery for stable retroperitoneal hematoma in May-Thurner syndrome patients.
December 29, 2023: Vascular and Endovascular Surgery
https://read.qxmd.com/read/38115161/the-pulsating-stent-sign-in-may-thurner-syndrome
#15
JOURNAL ARTICLE
Robert R Attaran, Yasser Jamil
PURPOSE: To report a case of a patient with May-Thurner syndrome who underwent endovenous stenting and was found to have pulsating arterial compression on the venous stent. REPORT: A 74-year-old man presented with 18 months of progressive right thigh and calf edema. After an extensive work-up, the patient underwent a venogram with intravascular ultrasound (IVUS), revealing compression of the right iliac vein by the external iliac artery and psoas muscle. Following stent deployment, fluoroscopy revealed extrinsic compression by an artery, but IVUS confirmed sufficient stent expansion...
December 19, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/38106805/a-case-report-on-may-thurner-syndrome-beyond-the-usual-suspects
#16
Jorge Nadal Bosch, Mario Moya, Samuel Serna, Richard Sanchez, Javier Malcolm
May-Thurner syndrome (MTS), also known as iliocaval venous compression syndrome, is a vascular condition characterized by extrinsic venous compression within the iliocaval territory. While traditionally considered a condition predominantly affecting women, this case report presents an atypical presentation in a middle-aged male patient. The patient initially presented with left lower extremity pain and swelling, which was attributed to deep venous thrombosis (DVT) in the left calf and femoral vein. Despite anticoagulation therapy, his symptoms persisted, leading to further diagnostic evaluation and the identification of MTS...
November 2023: Curēus
https://read.qxmd.com/read/38097769/technical-feasibility-and-clinical-efficacy-of-iliac-vein-stent-placement-in-adolescents-and-young-adults-with-may-thurner-syndrome
#17
JOURNAL ARTICLE
Frederic J Bertino, C Matthew Hawkins, Gary M Woods, Jay H Shah, Darshan E Variyam, Kavita N Patel, Anne E Gill
PURPOSE: To report technical feasibility and clinical efficacy of iliac vein stent placement in adolescent patients with May-Thurner Syndrome (MTS). MATERIALS AND METHODS: Single-institution retrospective review of the medical record between 2014 and 2021 found 63 symptomatic patients (F = 40/63; mean age 16.1 years, 12-20 years) who underwent left common iliac vein (LCIV) stent placement for treatment of LCIV compression from an overriding right common iliac artery, or equivalent (n = 1, left IVC)...
January 2024: Cardiovascular and Interventional Radiology
https://read.qxmd.com/read/38076963/iliocaval-and-iliofemoral-venous-stenting-for-obstruction-secondary-to-tumor-compression-single-center-experience
#18
Ahmed K Aly, Amgad Moussa, Olivier Chevallier, Sirish Kishore, Elena Petre, Adie Friedman, Yolanda Bryce, Adrian Gonzalez-Aguirre, Juan Camacho, Ernesto Santos, Fourat Ridouani
Background Cancer patients with pelviabdominal masses can suffer from lower extremity symptoms due to venous compression. The effectiveness of venous stenting has been established in extrinsic venous compression in benign conditions like May-Thurner syndrome. In this retrospective study we evaluate the efficacy and safety of caval, iliocaval and iliofemoral venous stenting for cases of extrinsic venous compression caused by malignant masses in cancer patients. Methods IRB-approved retrospective review of patients who underwent iliofemoral venography with venoplasty and stenting between January 2018 and February 2022 was performed...
November 28, 2023: Research Square
https://read.qxmd.com/read/38050791/improvement-in-chronic-pelvic-pain-orthostatic-intolerance-and-interstitial-cystitis-symptoms-after-treatment-of-pelvic-vein-insufficiency
#19
JOURNAL ARTICLE
Steven J Smith, Michael J Sichlau, B Holly Smith, Dacre Rt Knight, Brenda Chen, Peter C Rowe
OBJECTIVES: Comorbidities associated with venous origin chronic pelvic pain (VO-CPP) were evaluated pre and post venous treatment to assess change. MATERIALS AND METHODS: 45 women with VO-CPP were treated with venous stenting and/or embolization. Four surveys assessed symptoms pre- and post-treatment: IPPS (chronic pelvic pain), PUF (interstitial cystitis), OHQ (dysautonomia), and modified ROME III (IBS). Prevalence of joint hypermobility was investigated. RESULTS: Ages were 18-65...
December 5, 2023: Phlebology
https://read.qxmd.com/read/38034392/case-report-it-s-not-always-about-the-veins-intervention-of-bilateral-may-thurner-syndrome-secondary-to-iliac-aneurysm
#20
Syed H Haq, Sidra R Shah, Jaya Chandra, Pavithra Kannan, Sandeep M Patel
May-Thurner Syndrome (MTS) remains evasive because of the insidiousness and variable etiologies by which it can manifest. In this study, we examine a unique presentation of MTS resulting from compression of both common iliac veins by a right common iliac artery aneurysm that required complex endovascular venous and arterial intervention.
2023: Frontiers in Cardiovascular Medicine
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